武汉地区老年人群抑郁症的患病率调查.doc

武汉地区老年人群抑郁症的患病率调查 刘修军歴避踵陈文材 华中科技大学同济医学院附属武汉精神卫生中心 目的:调查武汉地区老年人抑郁症(MDD)的患病率和危险因素。方法:多阶段随 机整群抽取武汉市30个社区的1572例60岁及以上老人进行简明国际神经精神 访谈评定，并丫解MDD老人的精祌卫生服务利用情况。结果:武汉地区老年人MDD 的调整患病率为5. 9%。多因素Logistic回归分析显示，女性、年龄彡80岁、农 村居住、有孤独感、罹患慢性病、身体移动困难、自我照料困难和与他人相处困 难是老年人MDD的危险因素(0R=l. 603. 90,均P彡0. 05)。MDD老人的精神卫生 服务利用率仅为3. 9%。结论:武汉地区老年人MDD患病率高，但精神卫生服务利 用率极低。提供心理社会支持以减轻孤独感、治疗躯体病及采取措施以减轻躯体 活动和円常生活能力受限的程度可能有助于预防老年人的抑郁症。 关键词： 老年人;抑郁症;患病率;危险因素;现况调查; 陈文材whmhpd@163. com 收稿曰期:2016-10-17 基金：武汉市卫生和计划生育委员会资助课题(WG14C24) A survey of major depression among elderly population in Wuhan LIU Xiu-Jun ZHOU Yang DONG Ling GUO Qian CHEN Wen—CaiDepartment ofPsychiatry, Affiliated Wuhan Mental Health Center， Tongji Medical College of Huazhong University of Science and Technology; Abstract： Objective: To knowabout the prevalence and related factors of major depressive disorder ( MDD) in older adults of Wuhan. Methods: A total of 1572 older adults from 30 communities were selected through multistage random cluster sampling and interviewed with the Chinese version of the Mini International Neuropsychiatric Interview. The older adults diagnosed with MDD were further interviewed for their mental health services use. Results: The overall adjusted prevalence of current MDD was 5. 9%. In multiple logistic regression, female, being 80 years or older, being rural residence， feeling lonely， having chronic illnesses， and having difficulties in mobility, self-care and getting along were risk factors for MDD of older adults ( OR = 1. 60-3. 90, P ^0. 047) . 0nly3. 9% of the depressed older adults had received professional help for their emotional problem. Conclusion: It suggests that the prevalence of MDD among older adults in Wuhan is higher, but the rate of mental health services use is extremely lower. Psychosocial supports such as reducing loneliness, treating physical illnesses, and reducing difficulties in activities and participation may be effective for MDD prevention. Keyword： older adult; major depression; prevalen