Symptoms of depression in the Estonian population: prevalence, sociodemographic correlates and social adjustment

Symptoms of depression in the Estonian population: prevalence, sociodemographic correlates and social adjustment
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DOI:
10.1016/s0165-0327(02)00179-9
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发表时间:
2004-01-01
影响因子:
6.6
通讯作者:
Luuk, K
Luuk, K
中科院分区:
医学2区
文献类型:
--
作者:
Aluoja, A;Leinsalu, M;Luuk, K

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目的:本研究提供了爱沙尼亚人群中抑郁症状患病率的数据,并检查了相关的社会人口因素和社会适应的主观方面。方法:数据来自爱沙尼亚健康访谈调查,访问了4711名年龄在15-79岁之间的人。这项研究包括4677名受访者,他们回答了情绪状态问卷(EST-Q),这是一种抑郁和焦虑的自我评定量表。有关社会人口学因素和社会适应领域的数据来自结构化访谈。结果:11.1%的被调查者有抑郁症状。抑郁情绪在妇女、年龄较大的群体、未婚人士、爱沙尼亚人以外的其他族裔群体、低收入群体以及失业和不从事经济活动的受访者中更为普遍。抑郁的受试者更不满意,对未来的预测更悲观,自我健康评分更低。较低的控制感水平与抑郁有显著的相关性。即使在控制了客观环境后,抑郁与较差的主观社会适应之间的关联仍然显著。局限性:抑郁症是由自测问卷确定的,因此,如果没有谨慎,结果不能推广到临床抑郁症。结论:爱沙尼亚人群中的抑郁症状与社会经济功能密切相关。结果强调,主观社会适应和知觉控制是抑郁症的重要特征,在评估和治疗中应予以考虑。(C)2002 Elsevier B.V.保留所有权利。
Objective: The current study presents data on the prevalence of depressive symptoms in the Estonian population and examines associated sociodemographic factors and subjective aspects of social adjustment. Method: The data came from the Estonian Health Interview Survey where 4711 persons aged 15-79 were interviewed. This study included 4677 respondents who answered the Emotional State Questionnaire (EST-Q), a self-rating scale of depression and anxiety. Data on the sociodemographic factors and domains of social adjustment were derived from structured interviews. Results: Depressive symptoms were observed in 11.1% of the respondents. Depressiveness was more common among women, in older age groups, among those not married, in ethnic groups other than Estonians, in lower income groups, and among the unemployed and economically inactive respondents. Depressive subjects were less satisfied, had a more pessimistic prognosis about the future and lower self-rated health. A low level of perceived control was a significant correlate of depression. The association of depressiveness with poor subjective social adjustment remained significant even after controlling for objective circumstances. Limitations: Depression was identified by a self-rate questionnaire, therefore results can not be generalized to clinical depression without caution. Conclusion: Depressive symptoms in the Estonian population were strongly related to socioeconomic functioning. Results emphasize that subjective social adjustment and perceived control are important characteristics of depression and should be considered in assessment and treatment. (C) 2002 Elsevier B.V. All rights reserved.