[老年人的焦虑与抑郁——患病率及其与医疗保健的关联]

[Anxiety and depression in elderly - prevalence and association with health care].

作者信息

Vadla Drazenka, Bozikov Jadranka, Blazeković-Milaković Sanja, Kovacić Luka

机构信息

Zavod za javno zdravstvo Koprivnirko-kriievarke zupanije.

出版信息

Lijec Vjesn. 2013 May-Jun;135(5-6):134-8.

PMID:23898693

Abstract

OBJECTIVE

To investigate the prevalence of anxiety and depression in the elderly inhabiting Koprivnica-Kri evci, Istria and Dubrovnik-Neretva Counties and their association with socio-demographic characteristics and healthcare utilisation.

METHODS

A cross-sectional cluster survey carried out in 2006, encompassing a total of 1,469 examinees aged 70+. The Hospital Anxiety and Depression (HAD) Scale was used to screen for self-reported symptoms of anxiety and depression, which were further associated with socio-demographic characteristics and healthcare utilisation.

RESULTS

The elderly have shown a high prevalence of borderline and probable anxiety (43%) and depression (53%), and regional differences (p<0.001). The level of anxiety was higher in women than men (p<0.001); as for depression, no statistically significant gender-based differences were found. The prevalence of probable depression increases (p=0.034) and that of probable anxiety decreases (p=0.028) with age. Anxiety and depression are associated with increased use of specialist health care and more frequent hospitalizations.

CONCLUSION

High prevalence of anxiety and depression in elderly is associated with sociodemographic characteristics and frequent use of health care.

摘要

目的

调查居住在科普里夫尼察-克里热夫齐、伊斯特拉和杜布罗夫尼克-内雷特瓦县的老年人焦虑和抑郁的患病率及其与社会人口学特征和医疗保健利用情况的关联。

方法

2006年进行了一项横断面整群调查，共有1469名70岁以上的受试者。采用医院焦虑抑郁量表（HAD）筛查自我报告的焦虑和抑郁症状，并将其与社会人口学特征和医疗保健利用情况进一步关联。

结果

老年人中边缘性和可能的焦虑患病率较高（43%），抑郁患病率较高（53%），且存在地区差异（p<0.001）。女性的焦虑水平高于男性（p<0.001）；至于抑郁，未发现基于性别的统计学显著差异。随着年龄的增长，可能的抑郁患病率增加（p=0.034），可能的焦虑患病率降低（p=0.028）。焦虑和抑郁与专科医疗保健使用增加和住院频率增加有关。