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在智利参加初级保健的老年人中,生活质量的主观评估与抑郁症状独立相关。

Subjective Assessments of Quality of Life Are Independently Associated with Depressive Symptoms among Older Adults Enrolled in Primary Care in Chile.

作者信息

Moreno Ximena, Sánchez Hugo, Huerta Martín, Cea Ximena, Márquez Carlos, Albala Cecilia

机构信息

Facultad de Psicología, Universidad San Sebastián, Santiago 7510157, Chile.

Institute of Nutrition and Food Technology, Universidad de Chile, Santiago 7810000, Chile.

出版信息

J Pers Med. 2022 Jun 29;12(7):1063. doi: 10.3390/jpm12071063.

Abstract

In Chile, depressive symptoms are highly prevalent among Chilean older adults, and research that examines the factors associated with them is scarce. This study aimed to determine if subjective assessments of quality of life are associated with positive screen for depressive symptoms among older adults enrolled in primary care in Chile. The participants of the study were people aged 70 years or more enrolled in primary care centers in three Chilean cities. The 15-item Geriatric Depression Scale was used to determine depressive symptoms. Multivariate logistic models were used to determine the associations. Overall, 17.28% men, and 26.47% women ( = 0.003) screened positive for depression. Subjective assessments of quality of life, including self-perceived health, memory, quality of life, and pain, were associated with a positive screen for depression. Only 17.65% of men and 43.55% of women who screened positive for depressive symptoms reported a diagnosis of depression. Assessments of quality of life in health checks of older adults in primary care could contribute to narrow the diagnosis and treatment gap by improving the ability to identify those who are more likely to experience depressive symptoms.

摘要

在智利,抑郁症状在智利老年人中极为普遍,但研究与之相关因素的却很少。本研究旨在确定生活质量的主观评估是否与智利参加初级保健的老年人抑郁症状筛查呈阳性相关。该研究的参与者是智利三个城市初级保健中心登记的70岁及以上的人群。采用15项老年抑郁量表来确定抑郁症状。使用多变量逻辑模型来确定相关性。总体而言,17.28%的男性和26.47%的女性(P = 0.003)抑郁筛查呈阳性。生活质量的主观评估,包括自我感知的健康、记忆力、生活质量和疼痛,与抑郁筛查呈阳性相关。抑郁症状筛查呈阳性的男性中只有17.65%,女性中只有43.55%报告曾被诊断为抑郁症。初级保健中对老年人健康检查的生活质量评估有助于通过提高识别那些更有可能出现抑郁症状者的能力来缩小诊断和治疗差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2b6/9322959/6d6eeb98ac5f/jpm-12-01063-g001.jpg

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