国内7省市老年人抑郁症的检出率及影响因素分析

目的:调查分析国内7省市老年人抑郁症的检出率及特点,并从老年人基本情况、躯体健康、认知功能等方面综合分析抑郁症的影响因素。方法:采用GDS-30量表分析2011-2012年在北京、上海、哈尔滨、西安、成都、长沙和重庆市及周边乡镇的9200名60岁以上老年抑郁症的发生情况,并分析影响抑郁检出率的相关因素。结果:调查老年对象的抑郁症检出率为17.2%,其中男性为15%,女性为19.6%。女性老年人在各个年龄段的抑郁症检出率均高于男性。抑郁症检出率随着年龄的增加逐渐增加。文化水平、健康自评、认知功能与抑郁症检出率密切相关。结论:抑郁症是国内7省市老年人常见的心理疾病,女性、高龄、低文化水平、健康自评差、认知功能障碍的老年人患抑郁症的几率更高。

Prevalence of Depression in Chinese Elderly Persons and Associated Factors

ABSTRACT Objective: To investigate the prevalence of depression in the elderly in 7 provinces in China and determine the impact factors from the aspects of personal information, physical health, and cognitive function. Methods: The incidence and impact factors of depression in 9200 cases of elderly people aged over 60 years in Beijing, Shanghai, Harbin, Xi''an, Chengdu, Changsha, Chongqing and surrounding towns were analyzed by GDS-30 scale. Results: The prevalence of depression in total elderly was 17.2 % and 15 % in male and 19.6 % in female respectively. At all ages, the prevalence of the depression in female was higher than that in man. With the increase of age, the prevalence of depression increased. Educational level, health self-evaluation and cognitive function were closely associated with the prevalence of depression in the elderly. Conclusion: Depression is a common mental disorder in the elderly in the domestic 7 provinces. Female, older people, lower educational level, lower health self-evaluation and lower cognitive function of the elderly are higher risks for depression.