PSYCHIATRIC STATUS AMONG THE HOMEBOUND ELDERLY - AN EPIDEMIOLOGIC PERSPECTIVE
PSYCHIATRIC STATUS AMONG THE HOMEBOUND ELDERLY - AN EPIDEMIOLOGIC PERSPECTIVE
复制标题
DOI：
10.1111/j.1532-5415.1992.tb02103.x
复制
发表时间：
1992-06-01
影响因子：
6.3
通讯作者：
MCNAMARA, R
中科院分区：
文献类型：
--
作者：
BRUCE, ML;MCNAMARA, R
目的：在控制人口、身体健康和社会经济因素的情况下，比较居家老年人与其他老年人的特定精神疾病患病率。设计：调查。背景：康涅狄格州纽黑文流行病学聚集区 (ECA) 项目。参与者：代表大纽黑文地区老年人口总数的 2,553 名非收容老年人。干预：无主要措施：通过自我报告确定居家状况；根据 DSM III 诊断面谈时间表 (DIS) 的精神状态；结果：认知障碍（21.8% vs 11.0%，P < 0.001）、抑郁（2.3% vs 0.7%，P < 0.01）、心境恶劣（3.9% vs 1.7%，P < 0.01）和焦虑症（2.2% vs 0.4%，P < 0.001）分别至少坐在床上或椅子上的长者中的患病率是不在家长者中的两倍。 这一增长大部分与居家隔离者身体健康状况较差有关；在控制健康状况后，只有心境恶劣（比值比 = 2.1，P < 0.01）在被限制在床上或椅子上的老年人中显着更高。结论：居家老年人中疾病的患病率较高，这支持建议精神评估成为居家老年人初级保健检查的常规，并且居家老年人获得预防和治疗性精神科服务的可用性增加。
Objective: To compare the prevalence of specific psychiatric disorders in the homebound elderly to other elders, controlling for demographic, physical health, and socio-economic factors.Design: Survey.Setting: Epidemiologic Catchment Area (ECA) project in New Haven, CT.Participants: 2,553 non-institutionalized elders representing the total elderly population of the greater New Haven area.Intervention: NoneMain Measures: Homebound status determined by self-report; psychiatric status according to DSM III by the Diagnostic Interview Schedule (DIS); cognitive status by Mini-Mental Status Examination.Results: Cognitive impairment (21.8% vs 11.0%, P < 0.001), depression (2.3% vs 0.7%, P < 0.01), dysthymia (3.9% vs 1.7%, P < 0.01), and anxiety disorders (2.2% vs 0.4%, P < 0.001) were each at least twice as prevalent among elders confined to a bed or chair as among non-homebound elders. Most of this increase was consistent with the poorer physical health status of the homebound; after controlling for health status, only dysthymia (Odds ratio = 2.1, P < 0.01) was significantly more prevalent among elders confined to a bed or chair.Conclusions: The higher prevalence of disorders among the homebound support recommendations that psychiatric assessments become routine in primary care examinations of homebound elders and that the availability of preventive and therapeutic psychiatric services to the homebound increase.