Depression in Japanese community-dwelling elderly - prevalence and association with ADL and QOL
Depression in Japanese community-dwelling elderly - prevalence and association with ADL and QOL
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DOI：
10.1016/j.archger.2003.12.003
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发表时间：
2004-07-01
影响因子：
4
通讯作者：
Matsubayashi, K
中科院分区：
文献类型：
--
作者：
Wada, T;Ishine, M;Matsubayashi, K
这项横断面研究探讨了基于筛查的抑郁症的患病率，并比较了日本社区居住的老年抑郁症患者和非抑郁症患者的日常生活活动（ADL）和生活质量（QOL）评分。2000年或2001年，居住在四个农村城镇的65岁或以上的老年受试者参加了研究（n = 5363，女性58.3%，平均（S.D.）年龄74.6（7.0）岁）。使用15项老年抑郁量表（GDS-15）评估抑郁症状，并通过自我报告问卷评估ADL、高级功能以及病史和社会史。使用100 mm视觉模拟量表评估主观QOL。1798名参与者（33.5%，范围32.3-34.6%）使用GDS-15的5/6临界值患有暗示性抑郁症。抑郁症患者的ADL和QOL评分显著低于非抑郁症患者。在日本四个不同的农村城镇中，基于筛查的抑郁症患病率相似。然而，报告的抑郁症患病率在不同的国家差异很大。基层医生和照顾者应更多地关注社区老年人群中的抑郁症，特别是低于重度抑郁症作为轻度抑郁症或心境恶劣的阈值。(C)2003爱思唯尔爱尔兰有限公司保留所有权利。
This cross-sectional study examined the prevalence of screening-based depression and compared the scores of activities of daily living (ADL) and quality of life (QOL) between community-dwelling elderly subjects with and without depression in Japan. Elderly subjects aged 65 or older living in four rural towns participated in 2000 or 2001 (n = 5363, female 58.3%, mean (S.D.) age 74.6 (7.0) years). Depressive symptoms were assessed using a 15-item Geriatric Depression Scale (GDS-15) and ADL, higher functions, and medical and social histories were assessed by self-report questionnaires. For assessing subjective QOL, a 100 mm visual analogue scale was used. One thousand seven hundred ninety-eight participants (33.5%, range, 32.3-34.6%) had suggestive depression using cutoff 5/6 of GDS-15. Subjects with depression revealed significantly lower scores for ADL and QOL than those without depression. Prevalence of screening-based depression was similar in the four different rural Japanese towns. However, the reported prevalence of depression varies enormously in different country. Primary physicians and caregivers should pay more attention to depression in the community-dwelling elderly population, especially below the threshold of major depression as minor depression or dysthymia. (C) 2003 Elsevier Ireland Ltd. All rights reserved.