Major and minor depression in later life: A study of prevalence and risk factors

Major and minor depression in later life: A study of prevalence and risk factors
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DOI:
10.1016/0165-0327(95)00061-5
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发表时间:
1995-12-24
影响因子:
6.6
通讯作者:
vanTilburg, W
vanTilburg, W
中科院分区:
医学2区
文献类型:
--
作者:
Beekman, ATF;Deeg, DJH;vanTilburg, W

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在本文中,一个以社区为基础的研究的结果,在老年人(55-85岁)人口的抑郁症的患病率和危险因素。重度抑郁症的患病率为2.02%,轻度抑郁症的患病率为12.9%,而14.9%的患者有临床相关程度的抑郁症状。与一套全面的风险因素的关联并没有受到年龄或性别的显著影响。然而,将重度抑郁症与轻度抑郁症相比,风险分布有很大不同。看来,重度抑郁症更经常是慢性情绪障碍的恶化,根源在于长期存在的脆弱因素;而轻度抑郁症更经常是对晚年生活中通常经历的压力的反应。
In this paper, the results of a community-based study into the prevalence and risk factors associated with depression in the older (55-85 years) population of The Netherlands are presented. The prevalence of major depression was 2.02%, that of minor depression 12.9%, while 14.9% had clinically relevant levels of depressive symptoms. Associations with a comprehensive set of risk factors were not affected dramatically by age or sex. However, comparing major to minor depression, risks were substantially differently distributed. It appears that major depression is more often an exacerbation of a chronic mood disturbance, with roots in long-standing vulnerability factors; while minor depression is more often a reaction to the stresses commonly experienced in later life.