Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population.
Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population.
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一般人群样本中亚综合征抑郁症状和重度抑郁症的社会经济负担。
DOI：
10.1176/ajp.153.11.1411
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Rapaport,MH
中科院分区：
文献类型：
--
作者：
Judd,LL;Paulus,MP;Wells,KB;Rapaport,MH
作者的目标是评估日常功能障碍与亚综合征抑郁症状以及重性抑郁症之间的关系，以确定这些条件的经济和社会意义。作者将来自洛杉矶ECA站点的2，393名受试者分为三组：具有亚综合征抑郁症状的受试者（N= 270）、重度抑郁（N= 102）和无抑郁障碍或症状的受试者（N= 2021）。各组进行了比较I 0域的功能结果和well-being.ResultsSignificantly更多的受试者与抑郁症状比谁没有障碍的报告高水平ofhousehold应变，社会易怒，和financial应变以及限制在身体或工作功能，活动受限的日子，床天，和健康状况不佳。与没有疾病的受试者相比，患有重度抑郁症的受试者明显更多地报告了重大的经济损失、卧床天数、高水平的经济压力、身体或工作功能的限制以及健康状况不佳。除了较低的自我评价的健康状况，没有显着差异被发现与亚综合征的症状和那些与major depression.ConclusionsSignificantly更多的人与亚综合征抑郁症状或抑郁症报告的8个I-0功能域比没有障碍的主题。亚综合征抑郁症状的1年患病率很高，加上相关的功能障碍，强调了临床和公共卫生的重要性，以及对这些症状进行额外调查的必要性。
ObjectiveThe authors’ goal was to evaluate the association between impairment in daily f unction and subsyndromal depressive symptoms as well as major depression to determine the economic and societal significance of these conditions.MethodUsing 12-month prevalence data gathered by the National Institute of Mental Health (NIMH) Epidemiologic Catchment Area Program(ECA), based on responses to the NIMH Diagnostic Interview Schedule, the authors divided the 2,393 subjects from the Los Angeles ECA site into three groups: subjects with subsyndromal depressive symptoms(N= 2 70), major depression(N= I 02), and no depressive disorder or symptoms(N= 2, 02 1). The groups were compared on I 0 domains of functional outcome and well-being.ResultsSignificantly more subjects with depressive symptoms than subjects who had no disorder reported high levels ofhousehold strain, social irritability, and f inancial strain as well as limitations in physical or job functioning, restricted activity days, bed days, and poor health status. Significantly more subjects with major depression than subjects with no disorder reported major financial losses, bed days, high levels of financial strain, limitations in physical or job functioning, and poor health status. Except for lower self-ratings of health status, no significant differences were found between subjects with subsyndromal symptoms and those with major depression.ConclusionsSignificantly more people with subsyndromal depressive symptoms or major depression reported impairment in eight of I 0 functional domains than did subjects with no disorder. The high 1-year prevalence of subsyndromal depressive symptoms, combined with the associated functional impairment, emphasizes the clinical and public health importance and need for additional investigations iiito these symptoms.