Effects of Universal Screening for Depression Among Middle-Aged Adults in a Community With a High Suicide Rate
Effects of Universal Screening for Depression Among Middle-Aged Adults in a Community With a High Suicide Rate
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DOI：
10.1097/nmd.0000000000000119
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发表时间：
2014-04-01
影响因子：
1.9
通讯作者：
Sakashita, Tomoe
中科院分区：
文献类型：
--
作者：
Oyama, Hirofumi;Sakashita, Tomoe
我们研究了基于社区的筛查项目对中年人抑郁的影响。将日本北部自杀率较高的10个乡镇(2400名40~岁居民)随机分为干预组(4个)和对照组(6个)。干预组为40岁至岁的成年人提供为期2年的抑郁症筛查计划，包括识别和随后的护理支持，同时在两组中持续4年传播教育信息。抑郁症状患病率的变化通过使用流行病学研究中心抑郁量表前后的横断面调查来评估。在900名目标人群中，49.2%的人参与了筛查。比较这些调查的数据，在控制了地区水平的分组后，干预组的基线患病率和5年随访的患病率比对照组的患病率差异更大。普遍的筛查和随后的支持似乎有效地降低了社区环境中中年人的抑郁症状患病率。
We examined the effect of a community-based screening program on depression in middle-aged individuals. Ten subdistricts constituting a rural township (2400 inhabitants aged 40-64 years) in northern Japan with a high suicide rate were randomly assigned to intervention (four) and control (six) groups. A 2-year depression-screening program entailing identification and subsequent care support was offered to adults aged 40 to 64 years in the intervention group, accompanied by 4-year ongoing dissemination of educational information in both groups. Change in depressive symptom prevalence was assessed through before-and-after cross-sectional surveys using the Center for Epidemiologic Studies-Depression Scale. Of the 900 targeted individuals, 49.2% participated in the screening. Comparison of data from these surveys after controlling for district-level clustering indicated a greater difference in prevalence between baseline and 5-year follow-up in the intervention group than that in the control. Universal screening and subsequent support seem effective to decrease depressive symptom prevalence among middle-aged individuals in a community setting.