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芬兰老年人口中抑郁症的患病率。

Prevalence of depression in an aged population in Finland.

作者信息

Pahkala K, Kesti E, Köngäs-Saviaro P, Laippala P, Kivelä S L

机构信息

Social Welfare and Health Department, Province of Vaasa, Finland.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1995 May;30(3):99-106. doi: 10.1007/BF00802037.

Abstract

The prevalence of depression by sex, age and certain sociodemographic variables was investigated among elderly Finns (65 years or over) living in the semi-industrialized town of Ahtäri (n = 1225). The prevalence of depression, determined using the DSM-III criteria, was 16.5% for the total population, 14.4% for the men and 17.9% for the women. Dysthymic disorder was the commonest category of depression in both sexes, with atypical depression the second most common category among the men and major depression among the women. A few cases of cyclothymic disorder were diagnosed in each sex, but no cases of bipolar depression. The occurrence of depression was not associated with sex, but it was related to older age, widowhood and lower educational level in the men, although not in the women. In both sexes, a high risk of depression was associated with being in long-term institutional care and receiving home nursing and/or a home help. The occurrence of depression was not related to earlier occupation.

摘要

在居住于半工业化城镇阿泰里(n = 1225)的65岁及以上芬兰老年人中,调查了按性别、年龄和某些社会人口统计学变量划分的抑郁症患病率。根据《精神疾病诊断与统计手册》第三版(DSM - III)标准确定的抑郁症患病率,总人口为16.5%,男性为14.4%,女性为17.9%。心境恶劣障碍是男女中最常见的抑郁症类型,非典型抑郁症在男性中是第二常见类型,而重度抑郁症在女性中是第二常见类型。在男女中均诊断出少数环性心境障碍病例,但未发现双相抑郁症病例。抑郁症的发生与性别无关,但在男性中与年龄较大、丧偶和教育水平较低有关,而在女性中则不然。在男女中,抑郁症的高风险都与长期机构护理以及接受家庭护理和/或家政服务有关。抑郁症的发生与以前的职业无关。

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