老年男性精神障碍的患病率：一项系统评价与荟萃分析
Prevalence of mental disorders among elderly men: a systematic review and meta-analysis.
作者信息
Ribeiro Genef Caroline Andrade, Vieira Walbert de Andrade, Herval Álex Moreira, Rodrigues Renata Prata Cunha Bernardes, Agostini Bernardo Antonio, Flores-Mir Carlos, Repeke Carlos Eduardo Palanch, Paranhos Luiz Renato
机构信息
Speech Therapy Department, Universidade Federal de Sergipe, Lagarto, SE, Brazil.
Endodontics Division, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil.
出版信息
Sao Paulo Med J. 2020 Jun;138(3):190-200. doi: 10.1590/1516-3180.2019.0454.r1.16012020. Epub 2020 Jun 1.
BACKGROUND
Elderly men have been characterized as a group vulnerable to suicide, motivated by loneliness, loss of loved ones and feelings of uselessness to family members.
OBJECTIVES
To ascertain the prevalence of different mental disorders among elderly men who attempted suicide.
DESIGN AND SETTING
Systematic review of observational studies developed as a result of a partnership between two postgraduate schools (Lagarto and Uberlândia).
METHODS
An electronic search was performed in eight electronic databases, including "grey literature", in January 2019. Observational studies that assessed mental disorders among men older than 60 years who attempted suicide were eligible for inclusion.
RESULTS
Among the disorders evaluated, mood disorders had the highest prevalence (42.0%; 95% confidence interval, CI: 31.0-74.0%; I2: 0.0%; P = 0.763), followed by substance use-related disorders (41.0%; 95% CI: 8.0-74.0%; I2: 96.4; P < 0.001) and, lastly, schizophrenic disorders (5.0%; 95% CI: 0.0%-14.0%; I2: 80.3%; P = 0.024).
CONCLUSIONS
It seems that mood disorders and substance use-related disorders are quite prevalent among elderly men with mental disorders who attempted suicide. It is important to consider the role of healthcare services in making early diagnoses of mental disorders among elderly men, in order to diminish the chances of suicide attempts among them.
SYSTEMATIC REVIEW REGISTRATION
CRD42018105981.
背景
老年男性被视为一个易受自杀影响的群体，其自杀动机包括孤独、失去亲人以及对家庭成员无用的感觉。
目的
确定自杀未遂老年男性中不同精神障碍的患病率。
设计与背景
由两所研究生院校（拉戈托和乌贝兰迪亚）合作开展的观察性研究的系统评价。
方法
2019年1月在八个电子数据库（包括“灰色文献”）中进行了电子检索。评估60岁以上自杀未遂男性精神障碍的观察性研究符合纳入标准。
结果
在所评估的障碍中，情绪障碍患病率最高（42.0%；95%置信区间，CI：31.0 - 74.0%；I²：0.0%；P = 0.763），其次是物质使用相关障碍（41.0%；95% CI：8.0 - 74.0%；I²：96.4；P < 0.001），最后是精神分裂症障碍（5.0%；95% CI：0.0% - 14.0%；I²：80.3%；P = 0.024）。
结论
在有精神障碍的自杀未遂老年男性中，情绪障碍和物质使用相关障碍似乎相当普遍。重要的是要考虑医疗服务在对老年男性精神障碍进行早期诊断中的作用，以减少他们自杀未遂的几率。
系统评价注册号
CRD42018105981。
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