Enzell K
Acta Psychiatr Scand. 1983 Jun;67(6):414-28. doi: 10.1111/j.1600-0447.1983.tb09722.x.
In a follow-up health control of 69-year-old persons in Stockholm, 589 were examined psychiatrically. Of these, 462 persons had responded affirmatively to symptoms indicating a depressive syndrome. Neurotic disorders were judged to be present in 258 persons, sleeping disturbances in 81, other types of psychiatric disorders in 10 whereas 113 persons were judged to be without psychiatric symptoms. In addition, 127 persons constituting a control group were examined. Of these 89 were judged to be without psychiatric symptoms while 38 had some form of psychiatric disturbance. The 258 persons in the group 'neurotic disorders' and the 81 in the group 'sleeping disturbances' were compared with the 89 persons in the control group judged to be without psychiatric symptoms. The comparisons included a number of variables of medical and social interest. Significantly more persons in the groups with neurotic disorders orders and sleeping disturbances than in the group without psychiatric symptoms reported impaired mobility and high blood pressure, worried about their health, took pain-killing pills daily and had financial worries. Median income was lower for the group with financial worries than for the groups without. Women in the group 'early onset neurosis' claimed significantly more often than women in the group without psychiatric symptoms that a member of their immediate family had suffered from mental disorder. The group 'late onset neurosis' did not differ in this respect from the group without psychiatric symptoms. Bereavement was significantly more often claimed by women in the group 'late onset neurosis' versus women in the group 'early onset neurosis'. Information on social group and level of education indicated that it was the better situated and better educated who took part in the health check-up.
在对斯德哥尔摩69岁人群的后续健康检查中，对589人进行了精神检查。其中，462人对表明抑郁综合征的症状给出了肯定答复。判定258人患有神经症性障碍，81人有睡眠障碍，10人患有其他类型的精神障碍，而113人被判定没有精神症状。此外，对127人组成的对照组进行了检查。其中89人被判定没有精神症状，而38人有某种形式的精神障碍。将“神经症性障碍”组中的258人和“睡眠障碍”组中的81人与对照组中被判定没有精神症状的89人进行了比较。比较包括一些具有医学和社会意义的变量。与没有精神症状的组相比，患有神经症性障碍和睡眠障碍的组中，报告行动不便和患有高血压、担心自己健康、每天服用止痛药以及有经济担忧的人明显更多。有经济担忧的组的收入中位数低于没有经济担忧的组。“早发性神经症”组中的女性比没有精神症状的组中的女性更频繁地声称其直系亲属患有精神障碍。“晚发性神经症”组在这方面与没有精神症状的组没有差异。“晚发性神经症”组中的女性比“早发性神经症”组中的女性更频繁地声称经历过丧亲之痛。关于社会群体和教育水平的信息表明，参与健康检查的是社会地位较高和受教育程度较高的人。
