Prevalence of depressed mood and loss of interest among community-dwelling older people: Large-scale questionnaire survey and visiting intervention
Prevalence of depressed mood and loss of interest among community-dwelling older people: Large-scale questionnaire survey and visiting intervention
复制标题
社区老年人抑郁情绪和兴趣丧失的患病率：大规模问卷调查和走访干预
DOI：
10.1111/ggi.13526
复制
发表时间：
2018
影响因子：
3.3
通讯作者：
Awata Shuichi
中科院分区：
文献类型：
--
作者：
Okamura Tsuyoshi;Ura Chiaki;Miyamae Fumiko;Sugiyama Mika;Inagaki Hiroki;Ayako Edahiro;Hiroshi Murayama;Motokawa Keiko;Awata Shuichi
与年轻人相比，全科医生发现晚期抑郁症的频率要低，但未能在初级保健机构发现晚期抑郁症可能会导致致命的后果。本研究的目的是在一项大规模的研究中检查抑郁情绪和兴趣丧失的患病率，并确定社区居住的老年人的相关因素。方法对东京某地区所有年龄≥65岁的居民（n= 132005）进行问卷调查。问卷调查的问题是情绪低落和失去兴趣。它还包括测量社会人口变量、身体健康相关变量、心理变量、社会经济变量、对社区的态度和基于社区的综合护理系统痴呆评估表的项目。结果在过去的一个月里，总共有19.5%的社区老年人经历过情绪低落或失去兴趣。这一群体也表现出越来越多的脆弱和对社区的消极态度，并且不太可能处于经济劣势（尽管更有可能在童年时期处于经济劣势）。多变量分析显示，虚弱程度的增加与抑郁情绪的关系最为密切。具有上述任何一种情况的调查对象更有可能从以社区为基础的综合支持中心获得支持。结论：目前的研究表明，老年人抑郁情绪和兴趣丧失的患病率很高。虚弱是一个重要因素，这表明初级保健老年病学和老年精神病学之间的合作是必不可少的。Geriatr Gerontol Int 2018；18: 1567 - 1572。
AimLate‐life depression is identified less often by general practitioners than depression in younger adults, but failure to have late‐life depression recognized in a primary care setting can have fatal consequences. The aim of the present study was to examine the prevalence of depressed mood and loss of interest, and identify associated factors among community‐dwelling older adults in a large‐scale study.MethodsA questionnaire was mailed to all residents (n= 132 005) aged ≥65 years in one Tokyo district. The questionnaire asked about depressed mood and loss of interest. It also included items measuring sociodemographic variables, physical health‐related variables, psychological variables, socioeconomic variables, attitude to the community and the Dementia Assessment Sheet for Community‐based Integrated Care System ‐ 21 items.ResultIn total, 19.5% of community‐dwelling older people had experienced a depressed mood or loss of interest during the past month. This group also showed increased frailty and a negative attitude towards the community, and were less likely to be economically disadvantaged (although more likely to have had a childhood economic disadvantage). The multivariate analysis showed that increased frailty had the strongest relationship with depressed mood. Survey respondents who had either of these conditions were more likely to receive support from the community‐based integrated support center.ConclusionsThe present study showed a high prevalence of depressed mood and loss of interest among older people. Frailty was a significant factor, suggesting that collaboration is essential between primary care geriatrics and geriatric psychiatry.Geriatr Gerontol Int 2018; 18: 1567–1572.