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老年人抑郁症的患病率:系统评价和荟萃分析。

Prevalence of depression in older adults: A systematic review and meta-analysis.

机构信息

School of Nursing, Hubei University of Chinese Medicine, China.

College of Humanities and Development Studies, China Agricultural University, China.

出版信息

Psychiatry Res. 2022 May;311:114511. doi: 10.1016/j.psychres.2022.114511. Epub 2022 Mar 16.

Abstract

Depression is a prevalent mental disorder in older adults, but the prevalence in older adults varies largely across studies due to differences in regional cultures and screening tools. The objective of this review is to systematically evaluate the global prevalence of depression in older adults. PubMed, Embase, Web of Science and Cochran Library databases were searched independently from 2000 to 2021. Subgroups, sensitivity, and meta-regression analyses were performed to address heterogeneity. Publication bias was evaluated using Egger's test. Forty-eight eligible studies were included in this review. The global prevalence of depression in older adults was 28.4%, with high between-study heterogeneity. The meta-analysis showed that the prevalence of depression in older adults is high although it varied with geographic regions, screening tools, sample sizes and representativeness, and study quality. Therefore, it is necessary to carefully consider appropriate screening tools to estimate the prevalence in different regions of a population.

摘要

抑郁症是老年人中常见的精神障碍,但由于地域文化和筛查工具的差异,老年人中抑郁症的患病率在不同研究中差异很大。本综述的目的是系统评估全球老年人抑郁症的患病率。我们独立检索了 2000 年至 2021 年的 PubMed、Embase、Web of Science 和 Cochran 图书馆数据库。进行亚组分析、敏感性分析和荟萃回归分析以解决异质性。使用 Egger 检验评估发表偏倚。本综述纳入了 48 项符合条件的研究。全球老年人抑郁症的患病率为 28.4%,研究间存在高度异质性。荟萃分析表明,尽管老年人中抑郁症的患病率存在地域差异,但仍较高,这与筛查工具、样本量和代表性以及研究质量有关。因此,有必要仔细考虑适当的筛查工具,以评估不同人群区域的患病率。

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