武漢地區(qū)老年人群抑郁癥的患病率調(diào)查
發(fā)布時(shí)間:2018-05-29 07:25
本文選題:老年人 + 抑郁癥; 參考:《中國(guó)心理衛(wèi)生雜志》2017年11期
【摘要】:目的:調(diào)查武漢地區(qū)老年人抑郁癥(MDD)的患病率和危險(xiǎn)因素。方法:多階段隨機(jī)整群抽取武漢市30個(gè)社區(qū)的1572例60歲及以上老人進(jìn)行簡(jiǎn)明國(guó)際神經(jīng)精神訪談評(píng)定,并了解MDD老人的精神衛(wèi)生服務(wù)利用情況。結(jié)果:武漢地區(qū)老年人MDD的調(diào)整患病率為5.9%。多因素Logistic回歸分析顯示,女性、年齡≥80歲、農(nóng)村居住、有孤獨(dú)感、罹患慢性病、身體移動(dòng)困難、自我照料困難和與他人相處困難是老年人MDD的危險(xiǎn)因素(OR=1.60~3.90,均P≤0.05)。MDD老人的精神衛(wèi)生服務(wù)利用率僅為3.9%。結(jié)論:武漢地區(qū)老年人MDD患病率高,但精神衛(wèi)生服務(wù)利用率極低。提供心理社會(huì)支持以減輕孤獨(dú)感、治療軀體病及采取措施以減輕軀體活動(dòng)和日常生活能力受限的程度可能有助于預(yù)防老年人的抑郁癥。
[Abstract]:Objective: to investigate the prevalence and risk factors of MDD in the elderly in Wuhan. Methods: 1572 elderly people aged 60 years old and over in 30 communities of Wuhan City were selected by multi-stage random cluster and evaluated with brief international neuropsychiatric interviews, and the utilization of mental health services in MDD elderly was investigated. Results: the adjusted prevalence of MDD in the elderly in Wuhan was 5.9%. Multivariate Logistic regression analysis showed that female, aged more than 80 years, lived in rural areas, had a feeling of loneliness, suffered from chronic diseases, and had difficulty in moving their bodies. The risk factors of MDD in the elderly were self-care difficulties and difficulty in getting along with others, and the utilization rate of mental health services for all P 鈮,
本文編號(hào):1949996
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