Department of Family Medicine, School of Medicine University of Banja Luka, Banja Luka, Bosnia and Herzegovina.
Department of Internal Medicine; School of Medicine University of Banja Luka, Banja Luka, Bosnia and Herzegovina.
Med Glas (Zenica). 2020 Feb 1;17(1):200-205. doi: 10.17392/1103-20.
Aim To examine the prevalence of undiagnosed depression among primary care elderly patients in the entity of the Republic of Srpska (Bosnia and Herzegovina) as well as the sociodemographic and clinical risk factors associated with depression. Methods A cross-sectional study was conducted between April and June 2019 in nine towns of the Republic of Srpska. The study sample included 1,198 primary care patients older than 65 years of age. Research instruments included a sociodemographic questionnaire and Geriatric Depression Scale - Short Form (GDS-SF). Results Positive screening test (GDS-SF score > 5), which indicates depression was found in 484 (40.4%) participants. Multivariate regression analysis showed that lower education levels [OR = 1.565, 95% CI (1.13-2.17)], divorced and widowed [OR = 1.366, 95% CI (1.16-1.62)], poor financial situation [OR = 1.690 , 95% CI (1.25-2.29)], non-home residents [OR = 2.200, 95% CI (1.41- 3.44)], non-hobby patients [OR = 2.115, 95% CI (1.54-2.91) ], non-friends [OR = 3.881, 95% CI (2.70-5.57)], patients suffering from chronic pain [OR = 2.414, 95% CI (1.72-3.39)], patients with daily life limitation activities [OR = 1.415, 95% CI (1.03-1.95)], patients with three or more chronic diseases [OR = 1.593, 95% CI (1.12-2.27)], patients using five or more drugs [OR = 1.425. 95% CI (1.00-2.03)], and patients with history of previous depression [OR = 2.858, 95% CI (1.94-4.21)] were at higher risk for depression. Conclusion The prevalence of undiagnosed depression in the elderly in Republic of Srpska is high. Future strategies are needed to strengthen screening of geriatric depression in primary health care.
检查在波黑塞族共和国（波黑）实体中，初级保健老年患者中未确诊抑郁症的流行情况，以及与抑郁症相关的社会人口学和临床危险因素。
2019 年 4 月至 6 月在塞族共和国的 9 个城镇进行了一项横断面研究。研究样本包括 1198 名年龄在 65 岁以上的初级保健患者。研究工具包括社会人口学问卷和老年抑郁量表-短式（GDS-SF）。
阳性筛查测试（GDS-SF 评分>5）表明，484 名（40.4%）参与者患有抑郁症。多变量回归分析显示，较低的教育水平[OR=1.565，95%CI（1.13-2.17）]、离婚和丧偶[OR=1.366，95%CI（1.16-1.62）]、经济状况不佳[OR=1.690，95%CI（1.25-2.29）]、非居住在家庭中的人[OR=2.200，95%CI（1.41-3.44）]、非业余爱好患者[OR=2.115，95%CI（1.54-2.91）]、没有朋友的人[OR=3.881，95%CI（2.70-5.57）]、患有慢性疼痛的患者[OR=2.414，95%CI（1.72-3.39）]、日常生活活动受限的患者[OR=1.415，95%CI（1.03-1.95）]、患有三种或更多种慢性疾病的患者[OR=1.593，95%CI（1.12-2.27）]、使用五种或更多种药物的患者[OR=1.425，95%CI（1.00-2.03）]和有既往抑郁症病史的患者[OR=2.858，95%CI（1.94-4.21）]患抑郁症的风险较高。
波黑塞族共和国老年人中未确诊抑郁症的患病率较高。未来需要制定策略，加强初级保健中老年人抑郁症的筛查。
