SYMPTOMATIC DEPRESSION IN ELDERLY MEDICAL OUTPATIENTS .1. PREVALENCE, DEMOGRAPHY, AND HEALTH-SERVICE UTILIZATION
SYMPTOMATIC DEPRESSION IN ELDERLY MEDICAL OUTPATIENTS .1. PREVALENCE, DEMOGRAPHY, AND HEALTH-SERVICE UTILIZATION
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DOI：
10.1111/j.1532-5415.1986.tb04316.x
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发表时间：
1986-05-01
影响因子：
6.3
通讯作者：
RASKIND, MA
中科院分区：
文献类型：
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作者：
BORSON, S;BARNES, RA;RASKIND, MA
作者评估了抑郁症状的患病率和人口统计学，其与特定慢性疾病的关系，以及其对初级保健环境中老年男性大样本卫生服务使用的影响。24%的受访者报告了临床显著的抑郁症状;重度抑郁症的患病率估计为10%，但只有1%的人报告接受了专家的心理健康治疗。自我报告的婚姻分居或离婚和影响就业的身体残疾与高抑郁评分密切相关，而老龄化的规范压力（丧偶，退休，社会孤立）则没有。只有慢性肺部疾病与高抑郁评分存在差异性相关，而且这种影响很弱。作者讨论了这些研究结果对老年慢性病综合卫生服务设计的启示。
The authors assessed the prevalence and demography of depressive symptoms, their association with specific chronic diseases, and their influence on health service use in a large sample of elderly men seen in a primary care setting. Twenty-four percent of respondents reported clinically significant depressive symptoms; the prevalence of major depressive disorders was estimated at 10%, but only 1% reported receiving mental health treatment by a specialist. Self-reported marital separation or divorce and physical disability affecting employment were strongly associated with high depression scores, whereas the normative stresses of aging (widowhood, retirement, social isolation) were not. Only chronic lung disease was differentially associated with high depression scores, and this effect was weak. The authors discuss the implications of these findings for the design of comprehensive health services of the elderly with chronic disease.