Melo Daniela, Midão Luís, Mimoso Inês, Alcântara Leovaldo, Figueiredo Teodora, Carrilho Joana, Costa Elísio
RISE-Health, Competence Centre for Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, Rua Jorge de Viterbo Ferreira 228, 4050-313 Porto, Portugal.
School of Medicine and Biomedical Sciences, University of Porto, Rua Jorge de Viterbo Ferreira 228, 4050-313 Porto, Portugal.
J Clin Med. 2025 Jul 29;14(15):5340. doi: 10.3390/jcm14155340.
: The rapid ageing of the European population presents growing challenges for mental health, highlighting the need to identify factors that can prevent or delay psychological decline and promote a higher quality of life in later life. This study aims to provide an updated and comprehensive overview of mental health among older adults in Europe by examining the prevalence of depressive symptoms and identifying key associated factors. : We analysed data from individuals ( = 45,601) aged 65 years and older across 27 European countries and Israel who participated in Wave 9 of the Survey of Health, Ageing and Retirement in Europe (SHARE). This study assessed the prevalence of depressive symptoms, which were evaluated using the EURO-D scale (score range: 0-12), with a cut-off of ≥4 indicating clinically relevant symptoms. It also explored associations with sociodemographic characteristics, physical health, behavioural factors, social participation, internet skills and living conditions. : Our findings confirm that depressive symptoms remain highly prevalent among older adults in Europe, with 35.1% of women and 21.5% of men affected, reflecting persistent gender disparities in mental health. Depression in later life was significantly associated with poor physical health, loneliness and lower quality of life. Conversely, moderate involvement in grandchild care and in social participation emerged as potential protective factors. : Late-life depression has substantial implications for both mental and physical well-being. Our findings suggest that social integration, gender related factors and physical health are closely associated with depressive symptoms in older adults. These associations highlight the importance of considering these domains when designing interventions and policies aimed at promoting mental health in ageing populations.
欧洲人口的快速老龄化给心理健康带来了日益严峻的挑战,凸显了识别能够预防或延缓心理衰退并提升晚年生活质量的因素的必要性。本研究旨在通过考察抑郁症状的患病率并确定关键相关因素,对欧洲老年人的心理健康状况提供一份最新且全面的概述。
我们分析了来自27个欧洲国家和以色列的45601名65岁及以上老年人的数据,这些人参与了欧洲健康、老龄化与退休调查(SHARE)的第9轮调查。本研究评估了抑郁症状的患病率,使用欧洲抑郁量表(EURO-D)进行评估(得分范围:0 - 12),临界值≥4表明存在临床相关症状。研究还探讨了与社会人口学特征、身体健康、行为因素、社会参与、互联网技能和生活条件之间的关联。
我们的研究结果证实,抑郁症状在欧洲老年人中仍然非常普遍,35.1%的女性和21.5% 的男性受到影响,这反映出心理健康方面持续存在的性别差异。晚年抑郁与身体健康不佳、孤独感和较低的生活质量显著相关。相反,适度参与孙辈照料和社会参与成为潜在的保护因素。
晚年抑郁对身心健康都有重大影响。我们的研究结果表明,社会融合、性别相关因素和身体健康与老年人的抑郁症状密切相关。这些关联凸显了在设计旨在促进老年人口心理健康的干预措施和政策时考虑这些领域的重要性。