Zietemann V, Zietemann P, Weitkunat R, Kwetkat A
IBE - Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie, München.
Nervenarzt. 2007 Jun;78(6):657-64. doi: 10.1007/s00115-006-2106-y.
The higher prevalence of depression in specific diseases and older persons is discussed. This prevalence varies greatly according to the method used to collect data. A risk group can only be defined if information on diseases and other influencing factors are collected uniformly. The target diagnoses Parkinson's disease, stroke, myocardial infarction, cancer, diabetes mellitus, chronic pain, multiple infarct syndrome, Alzheimer's and other dementia were recorded from 1208 geriatric patients of the ZAGF municipal hospital in Munich, Germany. Logistic regression was used to identify chronic pain as the main cofactor for an association with depression (clinical diagnoses by ICD-10) and depressive symptoms (via GDS [Geriatric Depression Scale]). This association was also found for multimorbid patients with chronic pain. Impairment of the activities of daily living and the clinical setting were important additional cofactors. Pain patients are therefore at higher risk for depression.
文中讨论了特定疾病和老年人中抑郁症的较高患病率。根据收集数据所使用的方法，这种患病率差异很大。只有在统一收集疾病及其他影响因素的信息时，才能确定风险群体。从德国慕尼黑ZAGF市立医院的1208名老年患者中记录了目标诊断疾病，包括帕金森病、中风、心肌梗死、癌症、糖尿病、慢性疼痛、多发梗死综合征、阿尔茨海默病及其他痴呆症。采用逻辑回归分析确定慢性疼痛是与抑郁症（根据国际疾病分类第10版进行临床诊断）和抑郁症状（通过老年抑郁量表[GDS]）相关的主要辅助因素。在患有慢性疼痛的多病共存患者中也发现了这种关联。日常生活活动能力受损和临床环境是重要的其他辅助因素。因此，疼痛患者患抑郁症的风险更高。
