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马来西亚巴生谷地区华裔老年人单相重度抑郁症的社会人口学相关因素:一项流行病学研究

Sociodemographic correlates of unipolar major depression among the Chinese elderly in Klang Valley, Malaysia: an epidemiological study.

作者信息

Verma Rohit Kumar, Min Tan Hui, Chakravarthy Srikumar, Barua Ankur, Kar Nilamadhab

机构信息

Department of Pharmacy Practice, School of Pharmacy, International Medical University, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.

Department of Pathology, School of Medicine, International Medical University, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.

出版信息

ScientificWorldJournal. 2014;2014:812712. doi: 10.1155/2014/812712. Epub 2014 Dec 2.

Abstract

BACKGROUND

Depression, as one of the most disabling diseases around the world, had caught the global concern with its rising prevalence rate. There is a growing need of detecting depression, particularly in the old age population which is often left being overlooked.

METHODS

We conducted a cross-sectional community-based study which included 150 Chinese elderly aged 60 and above within Klang Valley area. We obtained the sociodemographic profiles and assessed the status of well-being, depression, and cognitive function of the participants with the help of instruments: WHO Five-Item Well-Being Index, Major (ICD-10) Depression Inventory, and 6-Item Cognitive Impairment Test.

RESULTS

We found that the prevalence of depression among the Chinese elderly within Klang Valley region was 10.7%. With multiple logistic regression, decision to consult doctor on depressed mood or memory problem and presence of cognitive impairment were shown to be significantly associated with unipolar major depression, whereas wellbeing status was also found to be statistically correlated with depression in univariate analysis.

CONCLUSION

The prevalence of unipolar depression among Chinese elderly within Klang Valley, Malaysia presented that there was an increased trend compared to the previous studies.

摘要

背景

抑郁症作为全球最具致残性的疾病之一,随着其患病率的上升已引起全球关注。检测抑郁症的需求日益增长,尤其是在常被忽视的老年人群体中。

方法

我们开展了一项基于社区的横断面研究,纳入了巴生谷地区150名60岁及以上的中国老年人。我们获取了社会人口学资料,并借助世界卫生组织五项幸福指数、主要(国际疾病分类第10版)抑郁量表和六项认知障碍测试工具评估了参与者的幸福状况、抑郁情况和认知功能。

结果

我们发现巴生谷地区中国老年人的抑郁症患病率为10.7%。通过多因素逻辑回归分析显示,因情绪低落或记忆问题而决定就医以及存在认知障碍与单相重度抑郁症显著相关,而在单因素分析中也发现幸福状况与抑郁症存在统计学关联。

结论

马来西亚巴生谷地区中国老年人单相抑郁症的患病率表明,与之前的研究相比呈上升趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1b/4269188/3f58c3119248/TSWJ2014-812712.001.jpg

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