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老年癌症患者抑郁症状的患病率及预测因素

Prevalence and predictors of depressive symptoms in older adults with cancer.

作者信息

Parajuli Jyotsana, Berish Diane, Valenti Korijna G, Jao Ying-Ling

机构信息

University of North Carolina at Charlotte, School of Nursing, 9201 University City Blvd, Charlotte, NC 28223, USA.

Pennsylvania State University, College of Nursing, 310 Nursing Science Building, University Park, PA 16802, USA.

出版信息

J Geriatr Oncol. 2021 May;12(4):618-622. doi: 10.1016/j.jgo.2020.12.009. Epub 2020 Dec 24.

Abstract

INTRODUCTION

Older adults with cancer are at risk of developing depressive symptoms. However, little is known about the prevalence and predictors of depressive symptoms in older adults with cancer.

MATERIALS AND METHODS

This study examined the prevalence and predictors of depressive symptoms among older adults with cancer in the United States using the data from the 2012 and 2014 wave of the Health and Retirement Study. This analysis included 1799 older adults aged 65 and over with a self-reported diagnosis of cancer. Multivariate regression analysis was used to examine the predictors of depressive symptoms. The main predictors included age, gender, race, education, marital status, chronic conditions, and functional limitations.

RESULTS

Results revealed that the prevalence of depressive symptoms in older adults with cancer was 14.9%. Results of Poisson regression revealed that greater age, belonging to a race other than White or African American, not being married, presence of more chronic conditions, and higher levels of functional limitations were associated with higher levels of depressive symptoms.

DISCUSSION

The prevalence of depressive symptoms is high in older adults with cancer and several factors predict depressive symptoms in this population. Individuals who are at high risk of developing depressive symptoms should be identified and appropriate timely interventions should be initiated to reduce the rates of depressive symptoms in older adults with cancer.

摘要

引言

患有癌症的老年人有出现抑郁症状的风险。然而,对于患有癌症的老年人中抑郁症状的患病率及预测因素知之甚少。

材料与方法

本研究利用2012年和2014年健康与退休研究的数据,调查了美国患有癌症的老年人中抑郁症状的患病率及预测因素。该分析纳入了1799名65岁及以上自我报告诊断患有癌症的老年人。采用多变量回归分析来研究抑郁症状的预测因素。主要预测因素包括年龄、性别、种族、教育程度、婚姻状况、慢性病和功能受限情况。

结果

结果显示,患有癌症的老年人中抑郁症状的患病率为14.9%。泊松回归结果显示,年龄较大、不属于白人或非裔美国人、未婚、患有更多慢性病以及功能受限程度较高与抑郁症状水平较高相关。

讨论

患有癌症的老年人中抑郁症状的患病率较高,且有几个因素可预测该人群的抑郁症状。应识别出有高风险出现抑郁症状的个体,并及时启动适当干预措施,以降低患有癌症的老年人中抑郁症状的发生率。

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