Almeida Osvaldo P, Pfaff Jon J
School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth.
Br J Gen Pract. 2005 Nov;55(520):864-6.
This study aimed to determine the prevalence of subjective sleep difficulties among general practice patients aged 60 years and over and to investigate their association with depression (CES-D>or=16). Sixty-three per cent of the 1029 participants reported experiencing sleep difficulties. Subjects who reported sleep problems were 3.7 times (95% confidence interval = 2.5 to 5.5) more likely to be depressed than those who did not (adjusted for age, sex, financial burden and perceived health). GPs should consider screening for the presence of depressive symptoms whenever older adults complain of sleep difficulties.
本研究旨在确定60岁及以上全科医疗患者中主观睡眠困难的患病率,并调查其与抑郁症(CES-D≥16)的关联。1029名参与者中有63%报告有睡眠困难。报告有睡眠问题的受试者患抑郁症的可能性是没有睡眠问题者的3.7倍(95%置信区间=2.5至5.5)(根据年龄、性别、经济负担和自我感知健康状况进行调整)。当老年人抱怨睡眠困难时,全科医生应考虑筛查是否存在抑郁症状。