Old Age Research Group (Proter), Institute of Psychiatry, School of Medicine, Universidade de São Paulo (USP), Sã Paulo, SP, Brazil.
Braz J Psychiatry. 2013 Apr-Jun;35(2):201-7. doi: 10.1590/1516-4446-2012-0905.
i) To investigate studies published between 1991 and 2010 on the prevalence of depressive morbidity (major depressive disorder [MDD], dysthymia and clinically significant depressive symptoms [CSDS]) among elderly Brazilians assisted at healthcare facilities; ii) to establish the prevalence of depression and identify its related factors; and iii) to conduct a meta-analysis to assess the prevalence of depressive syndrome among elderly individuals assisted or hospitalized at healthcare facilities.
Studies were selected from articles dated between January 1991 and June 2010 and extracted from the MEDLINE, LILACS, and SciELO databases.
The final analysis consisted of 15 studies, distributed as follows: i) four sampled hospitalized patients, totaling 299 individuals, and found a prevalence of CSDS varying between 20 and 57% [corrected]; ii) four sampled outpatients, totaling 1,454 individuals; the prevalence of CSDS varied between 28 and 45% [corrected], and the prevalence of MDD varied between 23 and 42%; and iii) seven sampled elderly individuals residing in long-term care facilities (LTCF), totaling 839 individuals, and the prevalence of CSDS varied between 11 and 65%.
The present review indicated a higher prevalence of both MDD and CSDS among elderly Brazilians assisted at healthcare facilities.
i）调查 1991 年至 2010 年间发表的关于巴西老年人在医疗保健机构就诊时抑郁发病率（重性抑郁障碍[MDD]、心境恶劣和临床显著抑郁症状[CSDS]）的研究；ii）确定抑郁的流行率并识别其相关因素；iii）进行荟萃分析以评估在医疗保健机构接受或住院治疗的老年人中抑郁综合征的流行率。
从 1991 年 1 月至 2010 年 6 月期间的文章中选择研究，并从 MEDLINE、LILACS 和 SciELO 数据库中提取。
最终分析包括 15 项研究，分布如下：i）4 项抽样住院患者，共 299 人，CSDS 的患病率在 20%至 57%之间变化[校正]；ii）4 项抽样门诊患者，共 1454 人；CSDS 的患病率在 28%至 45%之间变化[校正]，MDD 的患病率在 23%至 42%之间变化；iii）7 项抽样长期护理机构（LTCF）的老年患者，共 839 人，CSDS 的患病率在 11%至 65%之间变化。
本综述表明，在医疗保健机构就诊的巴西老年人中，MDD 和 CSDS 的患病率均较高。
