Radebaugh T S, Hooper F J, Gruenberg E M
Geriatrics Branch, National Institute on Ageing, Bethesda, Maryland 20205.
Br J Psychiatry. 1987 Sep;151:341-6. doi: 10.1192/bjp.151.3.341.
A representative sample of elderly people residing in the community was examined to establish their psychiatric status. An interview with a close friend or relative, focusing on a one-week period in 1981, was used to investigate each subject's functional limitations and troublesome behaviour, these being the two components of the Social Breakdown Syndrome. The data from the sample were weighted to allow estimates of the characteristics of the general population. No cases of SBS at its most extreme were identified, and almost the entire population was found to be functioning at an adequate or near-adequate level: all cases of severe SBS were attributable to troublesome behaviour. Severe SBS was shown to increase with age and to be most common in non-white males. Persons with dementing disorders were more likely than their non-demented counterparts to show severe/moderate SBS, but in the majority of cases of SBS there was no mental disorder.
对居住在社区的老年人代表性样本进行了检查，以确定他们的精神状态。通过与亲密朋友或亲属进行访谈，重点关注1981年的一周时间，来调查每个受试者的功能受限情况和麻烦行为，这两者是社会功能衰退综合征的两个组成部分。对样本数据进行加权处理，以便对总体人群的特征进行估计。未发现最极端形式的社会功能衰退综合征病例，几乎整个人口被发现功能处于适当或接近适当水平：所有严重社会功能衰退综合征病例均归因于麻烦行为。结果显示，严重社会功能衰退综合征随年龄增长而增加，在非白人男性中最为常见。患有痴呆症的人比未患痴呆症的人更有可能表现出严重/中度社会功能衰退综合征，但在大多数社会功能衰退综合征病例中，并无精神障碍。
