上海社区老人抑郁障碍患者3年随访调查

摘要

Objective:To survey the prevalence of community elderly depressive disorder,natural out-come and its risk factors. Method:The aged over 60 years old 3 579 residents of Shanghai pudong new area who were extracted and investigated by multi-level cluster random sampling method at 3 years ago were follow-up. By the diagnostic tool of the diagnostic and statistical manual of mental disorders fourth edition(DSM-Ⅳ) axis I disorders with clinical check box version(SCID-I/ P),the prevalence of depressive disorder,natural out-come and its risk factors of the respondents were analyzed. Results:The total 3 478(97. 17% )people comple-ted the follow-up. Point prevalence of depression was 12. 92%(446 cases). Three years later a new onset was 38 cases(1. 09% ),improvement and recovery was 26 cases(1. 05% ),aggravation was 21 cases(0. 60% ). The prevalence in female and people in poor marital status were higher(all P ﹤ 0. 05). Diabetes and heart dis-ease history were predisposing factors of depressive disorder. Diabetes and heart disease were the risk factors of depressive disorder. Conclusion:The prevalence of depressive disorder in elder residents is high in communi-ty,especially in female and people with poor marital status. Diabetes,heart disease is susceptible factors.%目的：调查社区老人抑郁障碍的患病率、自然转归及其危险因素。方法：对2011年采用多层次整群随机抽样法抽取的上海市浦东新区常住户籍≥60岁的3579名老年人进行3年后随访，以《美国精神障碍诊断与统计手册》第4版（DSM-Ⅳ）轴 I 障碍定式临床检查患者版（SCID-I/ P）为诊断工具，对入组者抑郁障碍的患病率、自然转归及其危险因素进行分析。结果：共调查3478（97.17%）人，抑郁障碍时点患病率为12.92%（446例）；3年后新发病38例（1.09%），好转和痊愈26例（1.05%），病情加重21例（0.60%）；女性、不良婚姻状况具更高的患病率（P 均﹤0.05）；糖尿病及心脏病是抑郁障碍的易感因素（P 均﹤0.01）。结论：社区老人抑郁障碍患病率高，女性、不良婚姻状况者多见；共患糖尿病、心脏病者是易感因素。