Tuesca-Molina Rafael, Fierro Herrera Norma, Molinares Sosa Alexandra, Oviedo Martínez Fernando, Polo Arjona Yesid, Polo Cueto José, Sierra Manrique Ivan
Departamento de Salud Familiar y Comunitaria, Programa de Medicina, Universidad del Norte, Barranquilla, Colombia.
Rev Esp Salud Publica. 2003 Sep-Oct;77(5):595-604.
The depression is a principal problem of public health. The principal aim of this study is to determine the role of the social groups as factor protective in elderly, to evaluate the agreement by American Psychiatric Association Criterions and Hamilton Depression test, and also to determine other socio-cultural risk factors associated with depressive syndrome in elderly.
Cross-sectional survey. The sample consisted of 602 elderly people (eligible subjects) were men (223) and women (379) between 60 and 94 years (males and females), residents in the south-west of Barranquilla, Colombia. A previously tested, self answer questionnaire was used, therefore, we needed a report consent. Risk measures: Odds Ratio (OR-95% Confidence intervalue), Kappa test to agreement by the nine criteria of the American Psychiatric Association and Hamilton test so, screening testing.
The participation in social groups was a protector factor. (Odds Ratio = 0.5; 95% CI 0.34-0.73, p = 0.001). The rate 29.9% was obtained with prevalence of depression in elderly (21.4%-39.4%) affecting principally males (32.7%). The agreement by Kappa test = 0.63 was very important or good. Sensibility = 56.1% (48.5%-63.4%) Specificity = 0.93% (97.8%-99.8%) and Predictive Positive Value = 97.1% (91.2%-99.3%).
This survey was to determine risk factors related to depression in elderly in anyway can be potentially modifiable. The familiar disfunction by moderate and serious, the lack as blindness and deafness, the loneliness, the housingness and low incomes were obtained with risk factors associated to depression. The participation in a social group is a protective factor to depression syndrome in elders. The nine criteria of the American Psychiatric Association to allow the depressed patient exactly as sick even though is not necessary to screening because this test is low sensibility for used in a population elderly.
抑郁症是一个主要的公共卫生问题。本研究的主要目的是确定社会群体作为老年人保护因素的作用，评估美国精神病学协会标准和汉密尔顿抑郁测试的一致性，并确定与老年抑郁综合征相关的其他社会文化风险因素。
横断面调查。样本由602名老年人（符合条件的受试者）组成，其中男性223名，女性379名，年龄在60至94岁之间（男女均有），居住在哥伦比亚巴兰基亚西南部。使用了一份预先测试过的自填问卷，因此，我们需要一份报告同意书。风险测量：优势比（OR-95%置信区间）、卡方检验以评估美国精神病学协会的九条标准和汉密尔顿测试的一致性，即筛查测试。
参与社会群体是一个保护因素。（优势比=0.5；95%置信区间0.34-0.73，p=0.001）。老年人抑郁症患病率为29.9%（21.4%-39.4%），主要影响男性（32.7%）。卡方检验的一致性=0.63，非常重要或良好。敏感性=56.1%（48.5%-63.4%），特异性=0.93%（97.8%-99.8%），预测阳性值=97.1%（91.2%-99.3%）。
本次调查旨在确定与老年人抑郁症相关的风险因素，无论如何这些因素都可能是潜在可改变的。中度和重度家庭功能障碍、失明和失聪等残疾、孤独、住房问题和低收入是与抑郁症相关的风险因素。参与社会群体是老年人抑郁综合征的一个保护因素。美国精神病学协会的九条标准可准确诊断抑郁症患者，但由于该测试在老年人群体中敏感性较低，因此不一定用于筛查。
