Old age and depression in Ghana: assessing and addressing diagnosis and treatment gaps.
Old age and depression in Ghana: assessing and addressing diagnosis and treatment gaps.
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加纳的老年和抑郁症：评估和解决诊断和治疗差距。
DOI：
10.1080/16549716.2019.1678282
复制
发表时间：
2019
影响因子：
2.6
通讯作者：
Lloyd-Sherlock P
中科院分区：
文献类型：
--
作者：
Lloyd-Sherlock P
背景：关于撒哈拉以南非洲老年人抑郁症患病率、治疗可及性或社区干预措施的潜在功效的证据有限。目的：使用来自世卫组织SAGE调查的具有全国代表性的数据，我们研究了加纳50岁及以上人群中抑郁症的患病率及其相关因素。比较自我报告的诊断和症状算法来评估治疗差距和与差距大小相关的因素。评估针对老年人的小型社区干预的可行性。方法：患病率和治疗数据取自世卫组织2007年加纳SAGE调查，包括4,725名50岁或以上的人。感兴趣的结果是自我报告的抑郁和基于症状的算法得出的抑郁诊断。数据进行了双变量和多变量分析。与此同时，对35名老年人进行了试点干预，其中包括由训练有素的精神病学家进行筛查和后续的心理治疗小组会议。结果：对症算法报告的研究人群的总体发生率为9.2%，与女性和年龄较大有关。这些病例的治疗差距被发现为83.0%。利益相关者认为试点研究的实施是有效的和可复制的，有一些证据表明轻度抑郁症患者的治疗效果得到了改善。结论：加纳有大量老年人患有抑郁症，但很少有人能够获得治疗。迫切需要为患有这种疾病的老年人开发和验证以社区为基础的服务。
Background: There is limited evidence about the prevalence of depression among older people in sub-Saharan Africa, about access to treatment or the potential efficacy of community-based interventions.Objective: Using nationally representative data from the WHO SAGE survey, we examine the prevalence of and factors associated with depression among people aged 50 and over in Ghana. Compare self-reported diagnosis and a symptom algorithm to assess treatment gaps and factors associated with the size of gap. Assess the feasibility of a small community-based intervention specifically for older people.Method: Prevalence and treatment data were taken from the WHO SAGE 2007 survey in Ghana, including 4,725 people aged 50 or over. Outcomes of interest were self-reported depression and diagnosis of depression derived from a symptom-based algorithm. The data were subjected to bivariate and multivariate analysis. In parallel, a pilot intervention was conducted with 35 older people, which included screening by a trained psychiatrist and follow-up group sessions of psychotherapy.Results: The symptomatic algorithm reported an overall rate of 9.2 per cent for the study population, with associations with female sex and older age. The treatment gap for these cases was found to be 83.0 per cent. The implementation of the pilot study was perceived as effective and replicable by stakeholders and there was some evidence of enhanced outcomes for people with mild depression.Conclusions: Large numbers of older people in Ghana experience depression, but very few have access to treatment. There is an urgent need to develop and validate community-based services for older people experiencing this condition.
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影响因子：
4.4
作者：
Azale T;Fekadu A;Hanlon C
通讯作者：
Hanlon C
影响因子：
2.8
作者：
J. Sheikh;J. Yesavage
通讯作者：
J. Sheikh;J. Yesavage
影响因子：
20.8
作者：
Kessler RC;Bromet EJ
通讯作者：
Bromet EJ
影响因子：
7.3
作者：
Stuart, Amanda L.;Pasco, Julie A.;Williams, Lana J.
通讯作者：
Williams, Lana J.
南非和加纳 50 岁及以上人群的抑郁症及其相关性：世界卫生组织全球老龄化和成人健康研究的结果。
DOI：
10.4172/1994-8220.1000167
发表时间：
2014
期刊：
Journal of psychiatry
影响因子：
--
作者：
Thapa,SurajBahadur;Martinez,Priscilla;Clausen,Thomas
通讯作者：
Clausen,Thomas