认知障碍老年人中的抑郁症：患病率与检测
Depression among older people with cognitive impairment: prevalence and detection.
作者信息
McCabe Marita P, Davison Tanya, Mellor David, George Kuruvilla, Moore Kate, Ski Chantal
机构信息
Deakin University, Melbourne, Australia.
出版信息
Int J Geriatr Psychiatry. 2006 Jul;21(7):633-44. doi: 10.1002/gps.1538.
BACKGROUND
Past research has demonstrated that there is a high level of depression among older people, particularly for those with cognitive impairment and those in residential care. The current study was designed to determine the prevalence of depression among older people in hostels with cognitive impairment using a structured diagnostic interview. A further aim was to determine an appropriate screening instrument to detect depression within this population. It was also designed to evaluate the extent to which depression among these older people had previously been detected.
METHOD
Five commonly used depression scales were administered and compared to the results of the diagnostic interview.
RESULTS
The results demonstrated that 38.9% of older people were diagnosed with depression, but that only 50% of these people had been previously diagnosed with this disorder. All scales showed some level of validity to detect depression.
CONCLUSIONS
The implications of these findings for our understanding of depression among older people with cognitive impairment are discussed.
背景
以往研究表明，老年人中抑郁症的发病率很高，尤其是认知障碍患者和接受机构照料的老年人。本研究旨在通过结构化诊断访谈确定认知障碍老人院舍中老年人抑郁症的患病率。另一个目的是确定一种合适的筛查工具，以检测该人群中的抑郁症。本研究还旨在评估这些老年人中抑郁症此前被检测出的程度。
方法
使用了五种常用的抑郁量表，并将其结果与诊断访谈结果进行比较。
结果
结果表明，38.9%的老年人被诊断患有抑郁症，但其中只有50%的人此前被诊断患有这种疾病。所有量表在检测抑郁症方面都显示出一定程度的有效性。
结论
讨论了这些发现对我们理解认知障碍老年人抑郁症的意义。
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