Roman Marian W, Callen Bonnie L
College of Nursing, University of Tennessee, Knoxville, Tennessee, USA.
Issues Ment Health Nurs. 2008 Sep;29(9):924-41. doi: 10.1080/01612840802274578.
The prevalence of clinically significant depressive disorders in persons 65 years of age or older in the United States has been estimated to be approximately 15%, increasing the risk for functional decline, morbidity, and mortality. Utilization of a well-chosen screening instrument has been shown to improve the rates of recognition of depressive disorders in older adults. This paper presents a targeted review of the most commonly accepted tools for case-finding of depressive disorders in older adults. After a review of the benefits and shortcomings of screening tools, the strengths, weaknesses, and utility of selected depression scales in geriatric clinical settings are discussed.
据估计，美国65岁及以上人群中具有临床意义的抑郁症患病率约为15%，这增加了功能衰退、发病和死亡的风险。使用精心挑选的筛查工具已被证明可提高老年人抑郁症的识别率。本文对老年人抑郁症病例发现中最常用的工具进行了有针对性的综述。在回顾了筛查工具的优缺点后，讨论了老年临床环境中所选抑郁量表的优点、缺点和实用性。
