Vascular depression prevalence and epidemiology in the United States.
Vascular depression prevalence and epidemiology in the United States.
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DOI：
10.1016/j.jpsychires.2012.01.011
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发表时间：
2012-04
影响因子：
4.8
通讯作者：
Gallo JJ
中科院分区：
文献类型：
--
作者：
González HM;Tarraf W;Whitfield K;Gallo JJ
检查和描述美国血管性抑郁症的流行病学。对生活在美国 48 个相邻地区的家庭居民成年人（18 岁及以上；N = 16,423）的全国概率样本的横断面数据进行分析，以计算血管性抑郁症、相关残疾和治疗率的患病率估计值。在这项研究中，血管性抑郁症被定义为50岁及以上且符合12个月DSM-IV重性抑郁症标准的成年人中存在心脑血管疾病（CVD）和CVD主要危险因素（例如糖尿病、高血压、心脏病和肥胖）。我们估计大约 3.4%（即大约 264 万 50 岁及以上的美国成年人）符合我们的血管性抑郁症标准。在符合终生重度抑郁症标准的成年人中，超过五分之一（22.1%）被认为患有血管性抑郁症亚型。其次，相对于非抑郁人群和仅符合重度抑郁症标准的成年人，血管性抑郁症与功能障碍显着增加相关。尽管血管性抑郁症受访者的抑郁症护理使用率明显高于单纯重度抑郁症患者，但实践指南一致治疗的使用率却并非如此。血管抑郁症似乎是一个重要的公共卫生问题，影响着美国大部分患有重度抑郁症的成年人，并且与过度的功能障碍有关，而没有相应的更好的抑郁症护理。
To examine and describe vascular depression epidemiology in the United States. Cross-sectional data from a national probability sample of household resident adults (18-years and older; N = 16,423) living in the 48 coterminous United States were analyzed to calculate prevalence estimates of vascular depression, associated disability and treatment rates. In this study, vascular depression was defined as the presence of cardiovascular and cerebrovascular disease (CVD) and CVD major risk factors (e.g., diabetes, hypertension, heart disease, and obesity) among adults 50-years and older who also met 12-month DSM-IV major depression criteria. We estimated that about 3.4% or approximately 2.64 million American adults 50-years and older met our criteria for vascular depression. Among adults who met criteria for lifetime major depression, over one-in-five (22.1%) were considered to have the vascular depression subtype. Secondly, vascular depression was associated with significantly increased functional impairment relative to the non-depressed population and adults meeting criteria for major depression alone. Although depression care use was significantly higher among vascular depression respondents relative to those with major depression alone, practice guideline concordant therapy use was not. Vascular depression appears to be an important public health problem that affects a large portion of the U.S. adult population with major depression, and that it is associated with excess functional impairment without concomitant better depression care.
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影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
8.3
作者：
Yakushiji, Yusuke;Nishiyama, Masanori;Kuroda, Yasuo
通讯作者：
Kuroda, Yasuo
DOI：
10.1016/s0140-6736(10)62037-5
发表时间：
2011-02-12
期刊：
Lancet (London, England)
影响因子：
--
作者：
Finucane MM;Stevens GA;Cowan MJ;Danaei G;Lin JK;Paciorek CJ;Singh GM;Gutierrez HR;Lu Y;Bahalim AN;Farzadfar F;Riley LM;Ezzati M;Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)
通讯作者：
Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)
影响因子：
3.1
作者：
Heeringa, SG;Wagner, J;Berglund, P
通讯作者：
Berglund, P
影响因子：
--
作者：
Sheline YI;Pieper CF;Barch DM;Welsh-Bohmer K;McKinstry RC;MacFall JR;D'Angelo G;Garcia KS;Gersing K;Wilkins C;Taylor W;Steffens DC;Krishnan RR;Doraiswamy PM
通讯作者：
Doraiswamy PM