评估患有关节炎的老年人的抑郁状况：一项全国性健康状况调查。
Assessing Depression among Older Persons with Arthritis: A Nationwide Health Status Survey.
作者信息
Nayak Rajesh, Rajpura Jigar
机构信息
Department of Pharmacy Administration, College of Pharmacy and Health Sciences, St. John's University, 8000 Utopia Parkway, Jamaica, NY 11439, USA.
出版信息
ISRN Rheumatol. 2013 Jul 15;2013:968343. doi: 10.1155/2013/968343. eCollection 2013.
Objectives. This study aimed to assess the health status of a nationwide sample of elderly persons having arthritis and determine the prevalence of depressive symptomatology in this population. Methods. WebTV technology was utilized to administer health status and depression surveys to a nationally representative sample of 550 randomly selected older persons. Predetermined cutoff scores on Short Form-36 (SF-36) scale and Center for Epidemiological Scale for Depression (CES-D) were used to identify individuals with depressive mood. Results. Sixteen percent (n = 76) of the respondents were found to be at risk for depression. Key associations among health domains of SF-36 and CES-D variables were statistically significant and were in the expected direction. Discussion. The risk of depression among older adults who have arthritis is moderate. A significant decline in multiple domains of health of older persons is likely when depression coexists with arthritis. Early screening for depressive symptomatology and prompt treatment should be an essential part of arthritis management in primary care practice.
目的。本研究旨在评估全国范围内患有关节炎的老年人样本的健康状况，并确定该人群中抑郁症状的患病率。方法。利用网络电视技术对550名随机抽取的具有全国代表性的老年人样本进行健康状况和抑郁调查。采用简短健康调查问卷（SF - 36）量表和流行病学研究中心抑郁量表（CES - D）的预定临界值来识别有抑郁情绪者。结果。发现16%（n = 76）的受访者有抑郁风险。SF - 36健康领域与CES - D变量之间的关键关联具有统计学意义且符合预期方向。讨论。患有关节炎的老年人患抑郁症的风险为中等。当抑郁症与关节炎并存时，老年人多个健康领域可能会出现显著下降。在初级保健实践中，对抑郁症状进行早期筛查和及时治疗应成为关节炎管理不可或缺的一部分。
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