全球老年人群体中抑郁、焦虑和压力的患病率：系统评价和荟萃分析。

Global prevalence of depression, anxiety, and stress in the elderly population: a systematic review and meta-analysis.

机构信息

Department of Medical Education, Virtue University of Medical Sciences, Tehran, Iran.

Cardiovascular Research Center, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

BMC Geriatr. 2024 Oct 4;24(1):809. doi: 10.1186/s12877-024-05311-8.

BACKGROUND

Several preliminary studies have been conducted in the field of the prevalence of depression, anxiety, and stress in the elderly population. These studies have examined the prevalence in limited geographic areas with small sample sizes. Also, there are many limitations in the meta-analysis studies. The objective of the present study was to synthesize the global prevalence statistics of depression, anxiety, and stress in the elderly population through a systematic review and meta-analysis.

METHODS

The present systematic review included retrieval of primary studies from the oldest relevant study up to 2023. To find the relevant studies, international databases such as Scopus, Embase, PubMed, and Web of Science (WoS) were systematically searched. Also, a manual search was performed through the Google Scholar search engine and a review of the sources of related articles. The qualitative assessment of the studies was conducted using the Joanna Briggs Institute (JBI) checklist. Due to a high heterogeneity among the study results, a Random Effects model was chosen.

RESULTS

A total of 42 articles on depression, 47 articles on anxiety and 13 articles on stress were included in the meta-analysis. The overall estimates for prevalence based on a random-effects model were as follows: depression, 19.2% (95% CI: 13.0 - 27.5%); anxiety, 16.5% (95% CI: 11.1 - 22.8%); and stress, 13.9% (95% CI: 5.5 - 30.9%). The highest prevalence of depression and anxiety was recorded in Africa. The prevalence of depression was higher in nursing homes, and stress was more prevalent in individuals with COVID-19 compared to other populations.

CONCLUSION

The findings revealed a high prevalence of depression, anxiety, and stress in the elderly population. Therefore, it is recommended that healthcare professionals and policymakers pay more attention to the prevention and management of these disorders in the elderly population.

背景

已有一些初步研究关注了老年人群体中抑郁、焦虑和压力的流行情况。这些研究仅在有限的地理区域内，以小样本量进行了调查。此外，荟萃分析研究也存在许多局限性。本研究旨在通过系统评价和荟萃分析综合全球老年人群体中抑郁、焦虑和压力的流行统计数据。

方法

本系统评价纳入了从最早的相关研究到 2023 年的原始研究。为了找到相关研究，我们系统地检索了 Scopus、Embase、PubMed 和 Web of Science（WoS）等国际数据库。此外，还通过 Google Scholar 搜索引擎进行了手动搜索，并查阅了相关文章的来源。使用 Joanna Briggs 研究所（JBI）清单对研究进行定性评估。由于研究结果存在高度异质性，因此选择了随机效应模型。

结果

荟萃分析共纳入了 42 篇关于抑郁的文章、47 篇关于焦虑的文章和 13 篇关于压力的文章。基于随机效应模型的总体患病率估计如下：抑郁，19.2%（95%CI：13.0-27.5%）；焦虑，16.5%（95%CI：11.1-22.8%）；压力，13.9%（95%CI：5.5-30.9%）。非洲地区的抑郁和焦虑患病率最高。在养老院中，抑郁的患病率更高，而在 COVID-19 患者中，压力的患病率高于其他人群。