上海社区老人抑郁障碍患者3年随访调查  

Three-year follow-up survey on ederly depressive disorder in Shanghai community

作　　者：袁杰[1] 孙喜蓉[1] 瞿正万[1] 张洁[1] 江琦[1] 秦红云[1] 

机构地区：[1]上海市浦东新区精神卫生中心一病区,200124

出　　处：《临床精神医学杂志》2017年第1期25-27,共3页Journal of Clinical Psychiatry

基　　金：上海市浦东新区卫生系统学科带头人基金(PWRd2013-04)

摘　　要：目的:调查社区老人抑郁障碍的患病率、自然转归及其危险因素。方法:对2011年采用多层次整群随机抽样法抽取的上海市浦东新区常住户籍≥60岁的3 579名老年人进行3年后随访,以《美国精神障碍诊断与统计手册》第4版(DSM-Ⅳ)轴I障碍定式临床检查患者版(SCID-I/P)为诊断工具,对入组者抑郁障碍的患病率、自然转归及其危险因素进行分析。结果:共调查3 478(97.17%)人,抑郁障碍时点患病率为12.92%(446例);3年后新发病38例(1.09%),好转和痊愈26例(1.05%),病情加重21例(0.60%);女性、不良婚姻状况具更高的患病率(P均<0.05);糖尿病及心脏病是抑郁障碍的易感因素(P均<0.01)。结论:社区老人抑郁障碍患病率高,女性、不良婚姻状况者多见;共患糖尿病、心脏病者是易感因素。Objective：To survey the prevalence of community elderly depressive disorder, natural outcome and its risk factors. Method：The aged over 60 years old 3 579 residents of Shanghai pudong new area who were extracted and investigated by multi-level cluster random sampling method at 3 years ago were followup. By the diagnostic tool of the diagnostic and statistical manual of mental disorders fourth edition （ DSM-IV ） axis I disorders with clinical eheck box version （SCID-I/P） ,the prevalence of depressive disorder,natural out- come and its risk factors of the respondents were analyzed. Results：The total 3 478 （97.17%）people comple- ted the follow-up. Point prevalence of depression was 12.92% （446 cases）. Three years later a new onset was 38 cases （ 1.09% ） ,improvement and recovery was 26 cases （ 1.05% ） ,aggravation was 21 cases （0.60%）. The prevalence in female and people in poor marital status were higher （ all P 〈 0.05 ）. Diabetes and heart disease history were predisposing factors of depressive disorder. Diabetes and heart disease were the risk factors of depressive disorder. Conclusion：The prevalence of depressive disorder in elder residents is high in community, especially in female and people with poor marital status. Diabetes, heart disease is susceptible factors.

关 键 词：抑郁障碍 社区老人 患病率 转归 易感因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]