社区老人抑郁障碍1年转归随访  

One- year Outcome Follow- up of Elderly Depression in Community

作　　者：孙喜蓉[1] 瞿正万[1] 江琦[1] 张洁[1] 秦虹云[1] 傅伟忠[1] 袁杰[1] 裴瑜[1] 

机构地区：[1]上海市浦东新区精神卫生中心,中国200124

出　　处：《中国健康心理学杂志》2015年第6期833-836,共4页China Journal of Health Psychology

基　　金：上海市浦东新区政府基金资助项目(编号:PWZXK201006);上海市浦东新区卫生系统学科带头人培养专项基金资助项目(编号:PWRd201304)

摘　　要：目的:了解社区老人抑郁障碍的患病率、自然转归及其易感危险因素,为防治疾病提供重要依据。方法:2010年第一次随机抽样调查上海市浦东新区43个村(居)委会在册常住3311例老人,2011年第二次抽样方法是从第一次入组老人中随机抽取3个街道,又从这3个中抽取13个居委,共1585例,实际入组1428例。应用美国精神障碍诊断与统计手册第4版(DSM一Ⅳ)轴I障碍定式临床检查患者版(SCID-I/P)诊断工具进行调查。结果:入组1428人中,第一次(2010年)抑郁障碍患病率12.89%(184例);第二次(2011年)抑郁障碍患病率13.03%(186例),明显高于第一次(χ2=975.16,P<0.001),其中1年后仍正常1224例(85.7%),好转和改善48例(3.4%),疾病无变化96例(6.7%),1年后患病20例(1.4%),疾病加重40例(2.8%)。抑郁障碍1年转归情况在性别和生活能力各组间差异均有显著统计学意义(P<0.05或P<0.001)。抑郁障碍阳性与性别易感危险因素相关(P<0.05)。结论:社区老人抑郁障碍患病有逐年增高趋势,1年自然转归无明显缓解,女性是社区老人抑郁障碍高危人群,应重点干预。Objective： To investigate the prevalence,prognosis and predisposing risk factors of elderly depression in community,in order to provide an important basis for preventions and treatment. Methods：The Structured Clinical Interview for DSM- IV（ SCID- I / P） were applied. There were 3311 cases of elderly residents from 43 villages in Pudong New Area in 2010 and 1585 cases of 13 villages from those samples in 2011. Results： A total of 1428 cases were put into the statistics. And the prevalence of depressive disorder were 12. 89%（ n = 184） in 2010 and 13. 03%（ n = 186） in 2011,the difference was significant（ χ2= 975. 16,P 0. 001）. There were 48 cases（ 3. 4%） improved,96 cases（ 6. 7%） remained,40 cases（ 2. 8%） deteriorated,and 20 were new cases（ 1. 4%）. There were significant differences in gender and living ability between each group of year（ P 0. 05 or P 0. 001）. Gender was susceptibility risk factor of depression（ P 0. 05）. Conclusion： There is a trend of increase of elderly depressive disorder year by year in community,and no obvious remission of one year follow- up. Female is at high risk,and should be the focus for intervention.

关 键 词：抑郁障碍 社区老人 1年转归 易感因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]