Sarokhani Diana, Parvareh Masoumeh, Hasanpour Dehkordi Ali, Sayehmiri Kourosh, Moghimbeigi Abbas
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Iran J Psychiatry. 2018 Jan;13(1):55-64.
depression is one of the most serious and prevalent mood disorders. Aging population is an important economic, social, and health challenge of the 21 century. The present study aimed at estimating the prevalence of depression among the Iranian elderly through meta-analysis method. Studies were searched in ISI, Scopus, Pub Med, Google Scholar, and in Iranian databases including Iran Medex, Magiran, SID, and Med Lib using the following keywords: "depression", "prevalence", and "elderly". Data were analyzed using meta-analysis (random effects model). Heterogeneity among the results of the studies was examined by "I" index. Beck, DASS-21, GHQ-28, and G DS questionnaires were used in this study, and analyses were performed using STATA Ver.11. A total of 26 studies in Iran with a sample size of 5781 individuals had been found during 2001 and 2015. Prevalence of depression among Iranian elderly was estimated to be 43% (95% confidence interval (CI):30% - 55%). The findings showed that the prevalence of depression among Iranians were49% in women, 48% in men, 37% in unmarried, and 45%in the married. In addition, the prevalence of very severe, severe, moderate, and mild depression levels were estimated to be 5%, 19%, 33%, and 38% of the participants, respectively. No significant difference was observed between married and unmarried individuals. Most of Iranian elderly suffered from mild depression. There was high level of depression prevalence among Iranian elderly, and women were more depressed than men. So, policy makers must design and run mental health programs to decrease the prevalence of depression among Iranian elderly.
抑郁症是最严重且最普遍的情绪障碍之一。人口老龄化是21世纪一项重要的经济、社会和健康挑战。本研究旨在通过荟萃分析方法评估伊朗老年人中抑郁症的患病率。使用以下关键词在ISI、Scopus、PubMed、谷歌学术以及包括Iran Medex、Magiran、SID和Med Lib在内的伊朗数据库中检索研究:“抑郁症”、“患病率”和“老年人”。采用荟萃分析(随机效应模型)对数据进行分析。通过“I”指数检验研究结果之间的异质性。本研究使用了贝克、抑郁焦虑压力量表-21、一般健康问卷-28和老年抑郁量表问卷,并使用STATA 11版进行分析。在2001年至2015年期间,共发现伊朗的26项研究,样本量为5781人。伊朗老年人中抑郁症的患病率估计为43%(95%置信区间(CI):30% - 55%)。研究结果表明,伊朗人中抑郁症的患病率女性为49%,男性为48%,未婚者为37%,已婚者为45%。此外,非常严重、严重、中度和轻度抑郁水平的患病率估计分别占参与者的5%、19%、33%和38%。已婚和未婚个体之间未观察到显著差异。大多数伊朗老年人患有轻度抑郁症。伊朗老年人中抑郁症患病率较高,且女性比男性更易抑郁。因此,政策制定者必须设计并实施心理健康项目,以降低伊朗老年人中抑郁症的患病率。
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