老年全科医疗患者中的情感障碍。意大利布雷西亚的一项两阶段调查。
Affective disorders among elderly general practice patients. A two-phase survey in Brescia, Italy.
作者信息
Turrina C, Caruso R, Este R, Lucchi F, Fazzari G, Dewey M E, Ermentini A
机构信息
Dipartimento Materno-Infantile, Università di Brescia, Italy.
出版信息
Br J Psychiatry. 1994 Oct;165(4):533-7. doi: 10.1192/bjp.165.4.533.
BACKGROUND
We investigated the prevalence of depression among 255 elderly general practice patients and the practitioners' performance in identifying depression.
METHOD
Elderly patients attending 14 general practices entered a screening phase with GHQ-12 and MMSE. Those positive were then interviewed with GMS and HAS.
RESULTS
DSM-III-R major depression affected 22.4%, dysthymic disorder 6.3%, not otherwise specified (n.o.s.) depression 7.1%. General practitioners performed fairly well: identification index 88.4%, accuracy 0.49, bias 1.85.
CONCLUSIONS
Depression was markedly high. A selective progression of depressed elderly from the community to general practitioners is implied.
背景
我们调查了255名老年全科门诊患者中抑郁症的患病率以及医生识别抑郁症的表现。
方法
14家全科诊所的老年患者进入使用GHQ-12和MMSE的筛查阶段。筛查呈阳性的患者随后接受GMS和HAS访谈。
结果
DSM-III-R重度抑郁症患者占22.4%，心境恶劣障碍患者占6.3%，未另行规定的（n.o.s.）抑郁症患者占7.1%。全科医生的表现相当不错：识别指数为88.4%，准确性为0.49，偏差为1.85。
结论
抑郁症患病率明显很高。这意味着社区中抑郁的老年人有选择地转诊至全科医生处。
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