Differences in specific depressive symptoms among community-dwelling middle-aged Japanese adults before and after a universal screening intervention
Differences in specific depressive symptoms among community-dwelling middle-aged Japanese adults before and after a universal screening intervention
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普遍筛查干预前后日本社区中年成年人特定抑郁症状的差异
DOI：
10.1007/s00127-013-0735-6
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发表时间：
2014
影响因子：
4.4
通讯作者：
T. Sakashita
中科院分区：
文献类型：
--
作者：
H. Oyama;T. Sakashita
目的本研究调查了实施抑郁症普遍筛查和后续护理支持后抑郁症状的变化。方法采用整群随机研究设计，使用日本北部的 10 个分区（2,400 名 40-64 岁居民），按 2:3 的比例随机分配干预和控制条件。干预区所有 900 名 40-64 岁居民均被邀请参加为期 2 年的抑郁筛查项目，参与率为 49.2%。干预区和控制区都开展了为期 4 年的持续教育计划。流行病学研究中心抑郁量表（CES-D）用于评估抑郁症状。在干预前（n = 1,516，应答率 63.6 %）和干预后（n = 1,596，66.4 %）重复横断面样本进行调查，并根据地区聚类数据，使用混合效应模型在个体层面进行分析。 结果 在干预组中，在抑郁情绪、躯体症状方面观察到基线和 5 年随访之间平均得分的显着变化症状，以及 人际关系问题分量表。两组中三个分量表随时间的变化差异显着，对于 CES-D 总量表而言差异显着，但对于积极影响分量表则不显着。 结论 对于社区环境中的中年人来说，普遍抑郁症筛查和后续支持可以有效预防一般抑郁症状，但可能不会影响心理健康。
PurposeThis study investigated changes in depressive symptoms after the implementation of a universal screening for depression and subsequent care support.MethodsA cluster-randomized study design used 10 subdistricts (2,400 inhabitants aged 40–64 years) in northern Japan randomly assigned in a 2:3 ratio to intervention and control conditions. All 900 residents aged 40–64 in the intervention districts were invited to participate in a 2-year depressive screening program, with a participation rate of 49.2 %. A 4-year ongoing education program occurred in both intervention and control districts. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptomatology. Repeated cross-sectional samples were surveyed before (n = 1,516, response rate 63.6 %) and after (n = 1,596, 66.4 %) intervention, and the data, clustered according to district, were analyzed at the individual level using a mixed-effects model.ResultsSignificant changes in mean scores between baseline and 5-year follow-up in the intervention group were observed in the Depressive Affect, Somatic Symptoms, and Interpersonal Problems subscales. The difference between the changes over time in the two groups was significant for the three subscales and marginally for the CES-D total scale, but not for the Positive Affect subscale.ConclusionsUniversal depression screening and subsequent support can be effective in preventing general depressive symptoms, but may not influence psychological well-being, among middle-aged adults in a community setting.
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使用自我报告症状量表来检测社区样本中的抑郁症。
DOI：
10.1176/ajp.137.9.1081
发表时间：
1980
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Myers,JK;Weissman,MM
通讯作者：
Weissman,MM
影响因子：
17.7
作者：
Kraemer, HC;Yesavage, JA;Kupfer, D
通讯作者：
Kupfer, D
影响因子：
3.4
作者：
SHEEHAN, TJ;FIFIELD, J;TENNEN, H
通讯作者：
TENNEN, H
影响因子：
--
作者：
Boyd,JH;Weissman,MM;Thompson,WD;Myers,JK
通讯作者：
Myers,JK