Physical health and depressive symptoms in older Europeans -: Results from EURODEP

Physical health and depressive symptoms in older Europeans -: Results from EURODEP
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DOI:
10.1192/bjp.187.1.35
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发表时间:
2005-07-01
影响因子:
10.5
通讯作者:
Copeland, JRM
Copeland, JRM
中科院分区:
医学1区
文献类型:
--
作者:
Braam, AW;Prince, MJ;Copeland, JRM

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在65岁以下的成年人中,身体健康和抑郁之间的关联在不同文化中是一致的。在以后的生活中,身体健康对抑郁症的影响要大得多,这可能取决于社会文化因素。目的研究西欧老年人身体健康与抑郁症状之间关系的跨国差异。方法在西欧9个国家开展了14项以社区为基础的老年抑郁症研究,共纳入22 570名年龄在65岁及以上的调查对象。统一了抑郁症状(EURO - D量表)、功能限制和慢性身体状况的测量方法。结果在大多数参与样本中,抑郁症状与功能障碍的相关性强于与慢性身体状况的相关性。这种关联在英国和爱尔兰更为明显。结论:在整个西欧,身体健康与晚年抑郁症状之间的关系是一致的。
Background Associations between physical health and depression are consistent across cultures among adults up to 65 years of age. In later life, the impact of physical health on depression is much more substantial and may depend on sociocultural factors.Aims To examine cross-national differences in the association between physical health and depressive symptoms in elderly people across western Europe.Method Fourteen community-based studies on depression in later life in nine western European countries contributed to a total study sample of 22 570 respondents aged 65 years and older. Measures were harmonised for depressive symptoms (EURO - D scale), functional limitations and chronic physical conditions.Results In the majority of the participating samples, the association of depressive symptoms with functional disability was stronger than with chronic physical conditions. Associations were slightly more pronounced in the UK and Ireland.Conclusions The association between physical health and depressive symptoms in later life is consistent across western Europe.