Graham C, Arthur A, Howard R
South London & Maudsley NHS Trust, Beckenham, Kent, UK.
Aging Ment Health. 2002 May;6(2):149-52. doi: 10.1080/13607860220126772.
A cross-sectional survey of the social functioning of community dwelling older adults was undertaken. Older adults with no psychiatric morbidity, depressed older adults and older adults with schizophrenia were surveyed to see if there were differences in the level of social functioning of the three groups. The setting was two old age psychiatric services, one in an urban area of London and the other in a semi-rural area of Leicestershire. Participants consisted of depressed (n = 81) or normal (n = 101) older persons identified as part of a general practice over 75 years check and clients over 65 years with schizophrenia (n = 30) known to mental health teams for older adults. All participants were interviewed by one of two trained researchers and completed the Mini-Mental State Examination questionnaire, the 15-item Geriatric Depression Scale, a social functioning questionnaire, and the Schedules for Clinical Assessment in Neuropsychiatry or the Brief Psychiatric Rating Scale. In our sample population, community dwelling older persons without any psychiatric diagnosis were the least isolated from their local community, reported more private leisure activities, and had the least contact with professional community services. Clients with schizophrenia reported more isolation from their local community and fewer private leisure activities than clients with a diagnosis of depression.
开展了一项针对社区居住老年人社会功能的横断面调查。对无精神疾病的老年人、抑郁的老年人和患有精神分裂症的老年人进行了调查，以了解这三组人群在社会功能水平上是否存在差异。调查地点为两个老年精神科服务机构，一个位于伦敦市区，另一个位于莱斯特郡的半农村地区。参与者包括在75岁以上老人全科检查中确定的抑郁老人（n = 81）或正常老人（n = 101），以及65岁以上被老年心理健康团队所知的患有精神分裂症的老人（n = 30）。所有参与者均由两名经过培训的研究人员之一进行访谈，并完成简易精神状态检查表问卷、15项老年抑郁量表、一份社会功能问卷以及神经精神病临床评估表或简明精神病评定量表。在我们的样本人群中，未患有任何精神疾病诊断的社区居住老年人与当地社区的隔离程度最低，报告的私人休闲活动更多，与专业社区服务的接触也最少。与被诊断为抑郁的老年人相比，患有精神分裂症的老年人报告与当地社区的隔离程度更高，私人休闲活动更少。
