甘肃省留守老年人群重性抑郁障碍现况调查  

Investigation of Major Depression Disorder in the the over 60 years old rural left behind elderly in Gansu

作　　者：王刚平[1] 丁志杰[1] 颉瑞 裴根祥 张永录[1] 杜鹤宇 洪贵子 王军[1] 杨杰[1] WANG Gangping;DING Zhijie;XIE Rui(Department of Psychology,the Third People's Hospital of Tianshui,Tianshui 741000,China)

机构地区：[1]甘肃省天水市第三人民医院

出　　处：《国际精神病学杂志》2019年第4期608-611,615,共5页Journal Of International Psychiatry

基　　金：甘肃省科技重点研发专项计划项目（编号：17YF1FE142）

摘　　要：目的了解甘肃省≥60岁农村留守人群重性抑郁障碍的患病率、抑郁症人口学特征及社会生活功能状况。方法 2017年11月~2018年6月采用多阶段分层整群抽样方法随机抽取≥60岁人群。用扩展的一般健康问卷(GHQ-12)以及美国精神障碍诊断与统计手册(DSM-IV)轴Ⅰ障碍定式临床检查患者版对所有纳入人群进行筛查和诊断。采用大体功能评定量表(GAF)评价功能状态。结果共6000人完成了调查。①甘肃省≥60岁农村留守人群重性抑郁障碍时点患病率为92.03‰(95%CI:7.99%~10.60%),终身患病率为92.87‰(95%CI:9.06%~10.70%);②女性重性抑郁障碍患病率(118.72‰)高于男性(62.43‰),不在婚者(123.04‰)高于在婚者(84.28‰);重性抑郁障碍患病率各年龄段间无差异(P>0.05);低经济收入、不良婚姻是重性抑郁障碍的危险因素。重性抑郁障碍GAF评分52.56±10.13,83.69%为中度到严重功能损害。结论甘肃省≥60岁农村留守人群重性抑郁障碍患病率较高,严重程度以中重度为主,求治率及精神科治疗率均较低。Objective To investigate the prevalence,demographic characteristics and social life function of the major depressive disorder in the rural left behind elderly over 60 years old in Gansu. Methods From Novembe 2017 to June 2018,a multi-stage stratified cluster sampling method was used to randomly select the rural left behind elderly over 60 years old in Gansu,a total of 6000. By the extended general health questionnaire(GHQ-12)and the American Handbook for Diagnosis and Statistics of Mental Disorders(DSM-IV)Axis I Disorders Formal Clinical Examination Patient Edition. we screened and diagnosed all of the people who were incluuded in the population. Functional status was assessed by the Global Assessment Function scale(GAF). Results Total 6000 subjects were completed the survey.①The adjusted current prevalence of the major depressive disorder was 92.43‰(95%CI :7.99%~10.60%)and lifetime prevalence was 92.87‰(95%CI :9.06%~10.70%).② The time point prevalence in women(118.72‰)was higher than that in men(62.43‰),and the unmarried(123.04‰)was higher than that married(84.28‰). There was no difference in prevalence among different age groups(P>0.05). Low income and poor marriage are risk factors for major depressive disorder. The GAF score of major depressive disorder was 52.56±10.13,and 83.69% was moderate to severe functional impairment. Conclusions The prevalence of major depressive disorder among the elderly left behind in rural areas over 60 years old in Gansu province is high. Severity is moderate to severe. The treatment rate and psychiatric treatment rate are relatively lower.

关 键 词：重性抑郁障碍 农村留守老人 流行病学研究 患病率 

分 类 号：R749.4[医药卫生—神经病学与精神病学]