中国畲族人老年期抑郁症患病率调查及危险因素分析  

The Study on Prevalence and Risk Factors of Depression in Elderly of the She Population in China

作　　者：彭有敬[1] 岳增昌[1] 郑志雄[1] 陈彩华[1] 李康增[1] 

机构地区：[1]福建医科大学附属闽东医院神经内科,宁德市脑血管病研究所,355000

出　　处：《中国临床神经科学》2013年第2期166-171,共6页Chinese Journal of Clinical Neurosciences

摘　　要：目的了解中国畲族人老年期抑郁症的患病率及其相关因素,为制订防治措施提供科学依据。方法以2011年福建省福安市穆云乡畲族聚居区638例畲族老年人作为老年期抑郁症患病率的调查对象进行问卷调查,应用简易精神状态量表(MMSE)、老年抑郁量表(GDS)对全部调查对象进行筛查,筛查阳性者再采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)进行评定。采用描述性分析、Logistic回归分析方法对调查数据进行分析。结果畲族60岁以上老年人抑郁症的患病率为7.52%。单因素分析显示不同年龄(P=0.01)、不同经济状态(P<0.01)及不同婚姻状况(P<0.05)的老年人之间的抑郁症患病率差异均有统计学意义;患有心脑血管疾病或人际关系紧张的抑郁症患病率高于无相关危险因素(P<0.01)。多因素Logistic回归分析显示人际关系紧张(P=0.000)、心脑血管疾病(P=0.000)、其他躯体疾病(P=0.008)、增龄(P=0.01)为畲族老年抑郁症的独立危险因素。结论畲族老年抑郁症患病率(7.52%)稍高于中国其他民族的平均患病率。增龄、人际关系紧张、心脑血管疾病、其他系统疾病是影响畲族老年抑郁症发生的独立危险因素。Aim To explore the prevalence and risk factors of elderly depression of the She population. Methods 683 old people of the She population in Muyun county of Fuan in Fujian province were investigated with questionnaire, whom were scanned by using Mini-Mental State Examination Score（MMSE）, Geriatric Depression Scale（GDS） and evaluated with Hamilton Depression Scale（HAMD）, Hamilton Anxiety Scale（HAM_A）. The data were analyzed descriptively and with Logistic regression analysis. Results Prevalence of depression in elderly of the She population was 7.52%. Univariate analysis showed that risk factors of geriatric depression in the She population included age（P=-0.01）, economic（P〈0.01） and marital status（P〈0.05）, cerebrovascular diseases and other somatic diseases（P〈0.01）, intense interpersonal relationships. Multivariate analysis found that intense interpersonal relationships（P=0.000）, cerebrovascular diseases（P=0.000） and other somatic diseases （P=0.008）, larger age（P=0.01）were the independent risk factors. Conclusion Prevalence of depression in elderly of the She population was a little higher than the average prevalence rate of geriatric depression in China. Controlling the independent risk factors including intense interpersonal relationships, cerebrovascular diseases and other somatic diseases, larger age may prevent depression in elderly of the She population.

关 键 词：畲族 老年 抑郁症 患病率 简易精神状态量表 汉密尔顿抑郁量表 

分 类 号：R749.4[医药卫生—神经病学与精神病学]