Imran A, Azidah A K, Asrenee A R, Rosediani M
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, 16150 Kelantan, Malaysia.
Med J Malaysia. 2009 Jun;64(2):134-9.
Depression among elderly primary care patients is a serious problem with significant morbidity and mortality. This is a cross sectional study to determine the prevalence of depression and its associated factors among the elderly patients attending the outpatient clinic, Universiti Sains Malaysia Hospital. This study utilized Malay version Geriatric Depression Scale 14 (M-GDS 14) to screen for elderly depression among Malaysian population. It also looked into associated risk factors for elderly depression using sociodemographic, family dynamics, and medically related questionnaires. Out of 244 subjects, 34 or 13.9% were found to have depression. Three variables were found to be significantly associated with depression. Elderly patient with any illness that limits the patient's activity or mobility has more risk of developing depression (OR 2.68 CI 1.15 - 6.24). Elderly patients who were satisfied with their personal incomes (OR 0.29 CI 0.10 - 0.85), and who had children or son/daughter-in-law to take care of them when they are sick (OR 0.10 CI 0.01 - 0.83) have a lower chance of having depression. Screening the elderly for depression, would help in diagnosing the elderly depression better and offer them the treatment needed.
老年初级保健患者的抑郁症是一个严重问题，具有显著的发病率和死亡率。这是一项横断面研究，旨在确定马来西亚理科大学医院门诊老年患者中抑郁症的患病率及其相关因素。本研究采用马来语版老年抑郁量表14（M-GDS 14）对马来西亚人群中的老年抑郁症进行筛查。它还使用社会人口统计学、家庭动态和医学相关问卷来研究老年抑郁症的相关危险因素。在244名受试者中，发现34名（13.9%）患有抑郁症。发现有三个变量与抑郁症显著相关。患有任何限制其活动或行动能力疾病的老年患者患抑郁症的风险更高（比值比2.68，置信区间1.15 - 6.24）。对个人收入满意的老年患者（比值比0.29，置信区间0.10 - 0.85），以及生病时有子女或儿媳/女婿照顾的老年患者（比值比0.10，置信区间0.01 - 0.83）患抑郁症的几率较低。对老年人进行抑郁症筛查，将有助于更好地诊断老年抑郁症，并为他们提供所需的治疗。
