中国老年人抑郁障碍患病率的Meta分析  

Prevalence of depressive disorder among elderly people in China:a Meta-analysis

作　　者：吴萍[1,2] 黄光彪 谭忠林 吴月 梁素改 Wu Ping;Huang Guangbiao;Tan Zhonglin;Wu Yue;Liang Sugai(Zhejiang Chinese Medical University,Hangzhou 310053,China;HuZhou Third Municipal Hospital,Huzhou 313000,China;Affiliated Mental Health Center,Zhejiang University School of Medicine,Hangzhou Seventh People's Hospital,Hangzhou 310013,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]湖州市第三人民医院,浙江湖州313000 [3]浙江大学医学院附属精神卫生中心,杭州市第七人民医院,浙江杭州310013

出　　处：《四川精神卫生》2024年第6期576-582,共7页Sichuan Mental Health

基　　金：杭州市科技发展计划项目(项目名称:红外线全身热疗在抑郁障碍治疗有效性和安全性的随机双盲安慰剂平行对照临床试验研究,项目编号:20201203B192)。

摘　　要：背景 抑郁障碍是老年人较常见的精神疾病。目前关于老年人抑郁障碍患病率的荟萃分析纳入文献的资料主要依靠自评或他评抑郁症状筛查量表。目的 通过Meta分析考查中国老年人抑郁障碍患病率,以期为老年抑郁障碍患者的干预提供参考。方法 于2022年12月20日,计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Springer、Web of Science、Embase,收集关于中国老年人抑郁障碍患病率的文献。采用澳大利亚循证卫生保健中心(JBI)关于患病率研究的质量评价工具对纳入文献进行评价。采用R 4.2.2进行Meta分析。结果 最终纳入29篇文献,共包括2 341例老年抑郁障碍患者。中国老年人抑郁障碍患病率为3.90%(95%CI:0.030~0.049)。亚组分析显示,无配偶的老年人抑郁障碍患病率与有配偶者患病率比较,差异有统计学意义(χ^(2)=6.844,P<0.01)。结论 我国老年人抑郁障碍患病率较高,且无配偶者抑郁障碍患病率高于有配偶者。Background Depressive disorder is one of the most common mental disorders in the elderly and the existing meta-analyses on the prevalence of depressive disorder among the elderly have mainly summarized the findings from patient selfrating scales or examiner-rating scales.Objective To examine the prevalence of depressive disorder among elderly people in China using Meta-analysis,aiming to provide references for interventions targeting elderly patients with depressive disorder.Methods On December 20,2022,a computerized searches were conducted in databases including CNKI,Wanfang,VIP,SinoMed,PubMed,Springer,Web of Science and Embase to collect studies on the prevalence of depressive disorder among the elderly in China.The Joanna Briggs Institute(JBI) quality assessment tool was used to evaluate the included literature.A meta-analysis was conducted using the statistical software R version 4.2.2.Results A total of 29 studies involving 2 341 elderly patients with depressive disorder were included.The prevalence of depressive disorder among the elderly in China was 3.90%(95% CI:0.030~0.049).Subgroup analysis revealed that there was a statistical difference in the prevalence of depressive disorder between elderly people without spouses and those with spouses (χ^(2)=6.844,P<0.01).Conclusion The prevalence of depressive disorder among the elderly in China is relatively high,and the prevalence of depressive disorder among those without a spouse is higher than that of those with a spouse.

关 键 词：抑郁障碍 患病率 老年人 META分析 

分 类 号：R749.4[医药卫生—神经病学与精神病学]