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[老年长期失业者中的精神障碍患病率。KompAQT项目结果与德国国民健康访谈与检查调查结果的比较]

[Prevalence of mental disorders in the elderly long-term unemployed. Comparison of results of the project KompAQT and the German National Health Interview and Examination Survey].

作者信息

Liwowsky Iris, Mergl Roland, Allgaier Antje-Kathrin, Hegerl Ulrich

机构信息

Dipl. Psych. Dipl. Soz.Päd. Iris Liwowsky, Klinik und Poliklinik für Psychiatrie und Psychotherapie der Ludwig-Maximilians-Universität München,

出版信息

Neuropsychiatr. 2011;25(1):36-43.

Abstract

OBJECTIVE

Unemployed persons have a higher risk for mental disorders. There is some evidence that this risk is even greater for the elderly longterm unemployed. This study assesses the prevalence of mental disorders in this group.

METHODS

This pilot study was conducted within a programme for assisting long-term unemployed subjects to re-enter the workforce. 12-month prevalences for mental disorders according to ICD-10 were calculated using the DIA-X Structured Clinical Interview. Prevalence rates were compared to those of the German National Health Interview and Examination Survey, Mental Health Supplement in the community. Prevalence rates were adjusted concerning sex, age and family status.

RESULTS

Compared to the prevalence rate in the general population, prevalence rates for the elderly long-term unemployed were elevated only for mood disorders. 12-month prevalence rates were 32.18% for depressive disorders and 37.58% for dysthymia. There are some methodological limitations like selectivity of the sample that may influence the validity of the results.

CONCLUSIONS

The risk for depressive disorder in elderly long-term unemployed persons should be investigated with adequate methods in a larger representative sample.

摘要

目的

失业者患精神障碍的风险更高。有证据表明,老年长期失业者的这种风险甚至更大。本研究评估了该群体中精神障碍的患病率。

方法

这项试点研究是在一个帮助长期失业者重新进入劳动力市场的项目中进行的。使用DIA-X结构化临床访谈计算了根据国际疾病分类第10版(ICD-10)的精神障碍12个月患病率。将患病率与德国国民健康访谈与检查调查社区心理健康补充调查的患病率进行了比较。对患病率按性别、年龄和家庭状况进行了调整。

结果

与普通人群的患病率相比,老年长期失业者仅在情绪障碍方面患病率升高。抑郁症的12个月患病率为32.18%,心境恶劣为37.58%。存在一些方法学上的局限性,如样本的选择性,这可能会影响结果的有效性。

结论

应采用适当方法在更大的代表性样本中调查老年长期失业者患抑郁症的风险。

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