Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders.
Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders.
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DOI：
10.1111/appy.12138
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发表时间：
2014-09
期刊：
影响因子：
--
通讯作者：
Steffens DC
中科院分区：
文献类型：
--
作者：
Jeong HG;Han C;Park MH;Ryu SH;Pae CU;Lee JY;Kim SH;Steffens DC
老年人通常会经历躯体症状，而那些有躯体症状的人也更有可能患有抑郁症。本研究的目的是探讨躯体症状的数量和严重程度对老年人抑郁症状（包括自杀）严重程度的影响。本研究是韩国安山市一项基于社区的队列研究——安山老年研究的一部分。共有3210名60岁及以上的老年人（男性1388人，女性1770人）参与了这项研究。韩国版贝克抑郁量表（BDI）用于测量抑郁症状和自杀倾向。躯体症状通过患者健康问卷-15 （PHQ-15）进行评估。轻微和严重的躯体症状都显著增加了严重抑郁和高自杀率的风险。严重的躯体症状使严重抑郁和自杀倾向的风险增加了一倍。躯体症状不能完全解释为医学疾病，与晚年抑郁密切相关，即使在调整了共病的身体疾病和其他混杂因素后也是如此。躯体症状同时存在，但不能完全由共病性身体疾病或残疾解释，似乎是预测晚年抑郁和自杀严重程度的独立标志。
Older adults commonly experience somatic symptoms, and those who do are more likely to have depressive disorders as well. Our goal in this study is to examine the influence of the number and severity of somatic symptoms on the severity of depressive symptoms, including suicidality, in elderly adults. This study was conducted as part of the Ansan Geriatric (AGE) Study, a community-based cohort study in Ansan City, South Korea. A total of 3,210 elderly adults aged 60 years or over (1,388 males and 1,770 females) participated in this study. The Korean version of the Beck Depression Inventory (BDI) was used to measure depressive symptoms and suicidality. Somatic symptoms were assessed by the Patient Health Questionnaire-15 (PHQ-15). Both mild and severe somatic symptoms significantly increased the risk for severe depression and high suicidality. Severe somatic symptoms doubled the risk for severe depression and suicidal intent. Somatic symptoms not fully explained as medical illnesses are closely associated with late-life depression, even after adjustments for comorbid physical illnesses and other confounding factors. The presence of somatic symptoms concurrent with, but not fully explained by comorbid physical illness or disability, seems to be an independent marker for predicting the severity of late-life depression and suicidality.
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