Koenig H G, Meador K G, Shelp F, Goli V, Cohen H J, Blazer D G
Geriatric Research Education and Clinical Center, VA Medical Center, Durham, NC 27705.
J Am Geriatr Soc. 1991 Sep;39(9):881-90. doi: 10.1111/j.1532-5415.1991.tb04455.x.
To study the epidemiology of depressive disorder in younger and older medical inpatients.
DESIGN, PATIENTS, & SETTING: Depressive disorders were examined using the Diagnostic Interview Schedule in 116 young and 332 elderly medically ill men hospitalized in a VA medical center.
Major depressive disorder was diagnosed in 22.4% of men under 40 and 13.3% of those age 70 or over; minor depression was found in 18.1% of young and 29.2% of older men. Besides age, other risk factors for major depression were impaired social support, severe medical illness or functional disability in older men, and history of psychiatric problems primarily in younger men; specific medical diagnosis was not a risk factor. Major depression was associated with more severe symptomatology in younger patients; in both age groups, however, symptoms were of prolonged duration and frequently included suicidal thoughts.
Depressive disorder in hospitalized male veterans is common, varies with age, severity of medical illness, degree of social support, and history of psychiatric problems and is associated with considerable psychological morbidity.
研究年轻和老年内科住院患者中抑郁症的流行病学情况。
设计、患者与研究地点：在一家退伍军人医疗中心住院的116名年轻男性和332名老年男性内科患者中，使用诊断性访谈程序对抑郁症进行检查。
40岁以下男性中22.4%被诊断为重度抑郁症，70岁及以上男性中13.3%被诊断为重度抑郁症；轻度抑郁症在年轻男性中占18.1%，在老年男性中占29.2%。除年龄外，老年男性重度抑郁症的其他危险因素包括社会支持受损、严重内科疾病或功能残疾，而年轻男性主要是有精神疾病史；特定的内科诊断不是危险因素。重度抑郁症在年轻患者中与更严重的症状相关；然而，在两个年龄组中，症状持续时间都很长，且经常包括自杀念头。
住院男性退伍军人中的抑郁症很常见，随年龄、内科疾病严重程度、社会支持程度和精神疾病史而变化，并与相当程度的心理发病率相关。
