Chronic stress and depressive disorders in older adults.
Chronic stress and depressive disorders in older adults.
复制标题
老年人的慢性压力和抑郁症。
DOI：
10.1037//0021-843x.99.3.284
复制
发表时间：
1990
影响因子：
4.6
通讯作者：
Kiecolt-Glaser,JK
中科院分区：
文献类型：
--
作者：
Dura,JR;Stukenberg,KW;Kiecolt-Glaser,JK
对照顾患有进行性痴呆的配偶的 86 名老年人和 86 名社会人口统计学匹配的对照受试者进行了比较，诊断和统计手册（第 3 版修订版）疾病的当前和终生发生率。痴呆症护理人员比非护理人员明显更烦躁。在提供护理之前的几年中，各组之间抑郁症的发生率没有差异，一级亲属精神疾病的发生率也没有组间差异。在他们提供护理的这些年里，30% 的护理人员经历过抑郁症（重度抑郁症、心境恶劣或未另行说明的抑郁症），而同一时期的匹配对照者只有 1% 经历过抑郁症。只有两名在护理期间符合标准的护理人员在护理之前符合抑郁症的标准，并且家族史与高危护理人员的识别甚至没有微弱的相关性。与抑郁症的这些组间差异相比，其他轴 I 障碍在护理之前或期间没有显着差异。因此，长期的护理压力似乎与老年人抑郁症的发病有关，而此前没有证据表明老年人患有抑郁症。
Current and lifetime rates of Diagnostic and Statistical Manual (rev. 3rd ed.) disorders were compared in 86 older adults caring for a spouse with a progressive dementia and 86 sociodemographically matched control subjects. Dementia caregivers were significantly more dysphoric than noncare givers. The frequencies of depressive disorders did not differ between groups in the years before care giving, and there were no group differences in first-degree relatives' incidence of psychiatric disorder. During the years they had been providing care, 30% of care givers experienced a depressive disorder (major depression, dysthymia, or depression not otherwise specified) versus 1% of their matched controls in the same time period. Only two care givers who met criteria during care giving had met criteria for a depressive disorder before care giving, and family history was not even weakly related to the identification of at-risk care givers. In contrast to these group differences in depressive disorders, there were no significant differences in other Axis I disorders either before or during care giving. Thus, the chronic strains of care giving appear to be linked to the onset of depressive disorders in older adults with no prior evidence of vulnerability.
登录
查看更多内容
使用 DSM-III 结构化临床访谈评估 DSM-III 对重度抑郁症和广泛性焦虑症诊断的可靠性。
影响因子：
--
作者：
Riskind,JH;Beck,AT;Berchick,RJ;Brown,G;Steer,RA
通讯作者：
Steer,RA
影响因子：
3.7
作者：
HALEY, WE;LEVINE, EG;BARTOLUCCI, AA
通讯作者：
BARTOLUCCI, AA
影响因子：
--
作者：
N. Breslau;G. Davis
通讯作者：
N. Breslau;G. Davis
家族史方法用于精神病诊断的可靠性。
影响因子：
--
作者：
Mark Zimmerman;W. Coryell;B. Pfohl;D. Stangl
通讯作者：
D. Stangl
失控、自责和抑郁：对阿尔茨海默病患者配偶照顾者的调查。
影响因子：
4.6
作者：
Mark Pagel;Joseph Becker;D. Coppel
通讯作者：
D. Coppel