van Marwijk H, Hoeksema H L, Hermans J, Kaptein A A, Mulder J D
Department of General Practice, Leiden University, The Netherlands.
Fam Pract. 1994 Mar;11(1):80-4. doi: 10.1093/fampra/11.1.80.
The aim of this study was to estimate the prevalence of depressive symptoms and depressive disorder (ICHPPC-2-defined) in patients over 65 years of age. A cross-sectional, partly two-phased, study was performed in general practices in The Netherlands. A total of 384 consecutive patients aged 65 and above, 116 men and 268 women were included, both during practice visits and home visits. Depressive symptoms were recorded with the Zung Self-rating Depression Scale, the Geriatric Depression Scale, and with physician ratings. Assessments of depressive disorder were based on an adaptation of interview ratings with the Montgomery Asberg Depression Rating Scale. The proportion of patients considered to have depressive symptoms ranged from 11 to 29% of patients, depending on the self-report instrument and the cut-off point. According to interviews a depressive disorder was estimated to be present in 17%. The high prevalence of depressive symptoms and depressive disorder suggest a higher index of suspicion of depression in elderly general practice patients.
本研究旨在评估65岁以上患者中抑郁症状及抑郁障碍（国际初级保健分类第2版定义）的患病率。在荷兰的普通医疗实践中开展了一项横断面、部分分两阶段的研究。总共纳入了384例连续的65岁及以上患者，包括116名男性和268名女性，评估在诊疗室就诊及家访期间进行。使用zung自评抑郁量表、老年抑郁量表及医生评定记录抑郁症状。基于蒙哥马利-艾斯伯格抑郁评定量表访谈评定的改编版对抑郁障碍进行评估。根据自我报告工具及临界值的不同，被认为有抑郁症状的患者比例在11%至29%之间。根据访谈，估计有17%的患者存在抑郁障碍。抑郁症状和抑郁障碍的高患病率表明老年普通医疗患者中对抑郁症的怀疑指数更高。
