湖南某农村老年人孤独感与抑郁状态的关系

摘要

Objective:To investigate association between loneliness and depressive episode among rural older people.Methods:A total of 839 rural adults (aged over 60 years) from Liuyang in Hunan were enrolled by using multi-stage cluster sampling method.The Short-form of the UCLA Loneliness Scale,the Social Support Rating Scale,the Life Events Scale for the Elderly,Quality of Life Scale,and the Activity of Daily Living Scale were used to assess loneliness,the social support condition,the stimulating quantity of negative life events,the quality of life,and the abilities of daily life activities,respectively.The Structured Clinical Interview for DSM-Ⅳ-TR Axis I Disorders questionnaire survey was performed by a face-to-face interview.Results:The prevalence rate of depressive episode among the rural older people was 6.8％.Multivariable analysis showed that the elderly who were with stronger loneliness were the risk factor of depression (OR=1.126,95％CI 1.038 to 1.221).Conclusion:Loneliness is positively associated with an increased risk of depressive episode.%目的:了解农村老年人孤独感与抑郁发作的相关性.方法:采用多阶段整群抽样方法,调查839名≥60岁的湖南某农村常住居民.采用孤独感量表、社会支持评定量表、老年人生活事件量表、生活质量量表、日常生活活动能力量表及选取《DSM-Ⅳ-TR轴Ⅰ障碍临床定式检查》翻译版中的抑郁发作章节对老年人进行面对面的问卷调查.结果:抑郁发作的患病率为6.8％.多因素分析显示在控制了社会人口学变量、躯体疾病、生活事件、社会支持、日常生活活动能力以后,农村老年人孤独感强烈是老年人抑郁发作的危险因素(OR=1.126,95％CI:1.038～1.221).结论:孤独感与老年人抑郁发作显著相关.