Rathod Mamta S, Dixit Jagannath V, Goel Akhil D, Yadav Vikas
Department of Community Medicine, Shree Bhausaheb Hire Government Medical College, Dhule, Maharashtra, India.
Department of Community Medicine, Government Medical College, Latur, Maharashtra, India.
Indian J Psychol Med. 2019 Jan-Feb;41(1):32-37. doi: 10.4103/IJPSYM.IJPSYM_234_18.
Depression is a common problem in the elderly but is often undetected and ignored as a medical problem, leading to poor quality of life. This community-based study was conducted to know the burden and risk factors of depression among the elderly.
The survey was done in 2015 in Maharashtra, India as a part of an initiative addressing community mental health needs of the elderly. Total 400 elderly, aged 60 years and above, were selected through a house-to-house survey, using probability proportional to size method, and interviewed for depression using Major Depression Inventory Scale (MDI Scale), and other potential risk factors using a pretested questionnaire.
A total of 16.75% elderly had depression. Increasing age (Spearman's rho = 0.112, = 0.026), illiteracy (OR = 2.23; 95% confidence interval, CI 1.22-4.07), lack of sleep (OR = 2.97; 95% CI 1.73-5.09), and leisure time spending alone (OR = 0.57, 95% CI 0.34-0.98) were found to be associated with depression. However, on multivariate analysis, only sleep duration <6 h was found to be associated [AOR = 2.6; 95% CI 1.4-4.6].
There is a considerable burden of depression in the elderly, reemphasizing the need for regular screening for this disorder and its risk factors.
抑郁症在老年人中是一个常见问题，但往往未被察觉且被忽视作为一个医学问题，导致生活质量低下。这项基于社区的研究旨在了解老年人抑郁症的负担和风险因素。
该调查于2015年在印度马哈拉施特拉邦进行，作为满足老年人社区心理健康需求倡议的一部分。通过逐户调查，采用规模比例概率抽样法，共选取了400名60岁及以上的老年人，使用重度抑郁量表（MDI量表）对其进行抑郁症访谈，并使用经过预测试的问卷对其他潜在风险因素进行调查。
共有16.75%的老年人患有抑郁症。年龄增长（斯皮尔曼等级相关系数=0.112，P=0.026）、文盲（比值比=2.23；95%置信区间，CI 1.22 - 4.07）、睡眠不足（比值比=2.97；95%CI 1.73 - 5.09）以及独自度过休闲时间（比值比=0.57，95%CI 0.34 - 0.98）被发现与抑郁症有关。然而，在多变量分析中，仅发现睡眠时间<6小时与之相关[AOR = 2.6；95%CI 1.4 - 4.6]。
老年人抑郁症负担相当大，再次强调了对这种疾病及其风险因素进行定期筛查的必要性。
