我国中老年糖尿病患者抑郁轨迹发展研究  

Development trajectory of depression in diabetes patients in middle-aged and elderly Chinese

作　　者：周蓉 曾静 Zhou Rong;Zeng Jing(Department of Endocrinology/Geriatrics,Yibin No.4 People's Hospital,Yibin 644002,Sichuan,China;School of Social Development and Public Policy,Beijing Normal University,Beijing 100875,China)

机构地区：[1]宜宾市第四人民医院内分泌/老年病科,四川宜宾644002 [2]北京师范大学社会发展与公共政策学院,北京100875

出　　处：《疾病监测》2023年第10期1258-1263,共6页Disease Surveillance

基　　金：宜宾市卫生健康委员会科研项目(No.2020YW087)。

摘　　要：目的研究旨在识别我国中老年糖尿病患者的抑郁发展轨迹,检验其抑郁轨迹是否存在性别和城乡差异,为糖尿患者抑郁症状的预防与管理提供依据。方法采用中国健康与养老追踪调研中2011—2018年4期纵向数据,选择≥45岁确诊糖尿病患者数据进行分析。应用增长混合模型开展潜类别模型拟合性评估,分析男性与女性、城市与农村中老年糖尿病患者抑郁症状的发展轨迹。结果共481名中老年人纳入数据分析,男性(7.17~7.81)和城市(7.50~8.38)糖尿病患者在各阶段抑郁症状得分均值普遍低于女性(9.07~10.27)和农村(9.06~10.11)患者。男性糖尿病患者抑郁症状轨迹可划分为高–降组与低–升组,女性患者可划分为恒高组和低–升组;城市患者抑郁症状轨迹可划分为高–降组和低–升组,农村患者可划分为恒低组和低–升组。结论我国中老年糖尿病患者抑郁症状整体有增长趋势,不同群体抑郁症状轨迹具有异质性。女性和农村糖尿病患者抑郁症状更为严重,是心理干预措施的重点关注对象。Objective To identify the development trajectory of depression of diabetes patients in middle-aged and elderly Chinese,explore the possible gender,urban-rural area specific differences in the development trajectory of depression in this population,and provide evidence for the prevention and management of depression in diabetes patients.Methods The data from four phases of a longitudinal health study in elderly population in China from 2011 to 2018 were used to analyze the development trajectory of depression of diabetes patients aged≥45 years.The Growth Mix Model was used to evaluate the fitness of the potential models,and the development trajectories of depression in men and women,in urban and rural residents in this population were analyzed.Results A total of 481 middle-aged and elderly diabetes patients were included in the analysis.The results showed that the mean depressive symptom scores of men(7.17–7.81)and urban residents(7.50–8.38)were generally lower than those of women(9.07–10.27)and rural residents(9.06–10.11).The development trajectory of depression showed high-decreasing and low-increasing patterns in men,high-stable and low-increasing patterns in women,high-decreasing and low-increasing patterns in urban residents and low-stable and low-increasing patterns in rural residents.Conclusion The incidence of depressive symptoms in middle-aged and elderly diabetes patients in China showed an increasing trend,and the development trajectories of depression in different groups were heterogeneous.Women and rural residents had more severe depressive symptoms,suggesting the necessity of psychological intervention in this group.

关 键 词：中老年人 糖尿病 抑郁轨迹 抑郁症状 

分 类 号：R211[医药卫生—中医学] R587.1