Miyaji N T, Higashi A, Ozasa K, Watanabe Y, Aoike A, Kawai K
Department of Preventive Medicine, Kyoto Prefectural University of Medicine.
Nihon Koshu Eisei Zasshi. 1994 May;41(5):452-60.
A survey was conducted to examine the prevalence of depressive symptomatology among residents of a rural community using the Center for Epidemiologic Studies Depression (CES-D) Scale. Subjects were 220 men and 319 women aged between 30 and 69 who participated in annual community health examinations. The relation of depressive symptomatology to the results of physical examination, self-rated health status, subjective symptoms and lifestyles were also examined. The results are as follows. 1) Of the subjects, 13.2% of the men and 16.3% of the women had depressive symptomatology (CES-D score > or = 16), with 4.5% of the men and 9.4% of the women having moderate or severe depressive symptomatology (CES-D score > or = 20). Prevalence was higher for younger men and for women in their forties, but these differences were not statistically significant. 2) There was a weak correlation between depressive symptomatology and the results of physical examination. Self-rated health status was more significantly correlated with depressive symptomatology. Self-rated health status and depressive symptomatology each correlated independently with the number of symptoms experienced by the subjects over the past year. The subjective symptoms that were correlated with depressive symptomatology were different from those correlated to self-rated health status. Men and women also had differences in links between depressive symptomatology, self-rated health status and symptoms experienced. 3) Lifestyles of those who had depressive symptomatology were worse than those who did not. But only duration of sleep and food intake had statistically significant relation to depressive symptomatology. Only weak correlations between lifestyles and self-rated health status were observed.(ABSTRACT TRUNCATED AT 250 WORDS)
采用流行病学研究中心抑郁量表（CES-D）对一个农村社区居民的抑郁症状患病率进行了调查。研究对象为220名年龄在30至69岁之间的男性和319名女性，他们参加了年度社区健康检查。同时还研究了抑郁症状与体格检查结果、自我评估健康状况、主观症状及生活方式之间的关系。结果如下：1）在研究对象中，13.2%的男性和16.3%的女性有抑郁症状（CES-D评分≥16），其中4.5%的男性和9.4%的女性有中度或重度抑郁症状（CES-D评分≥20）。年轻男性和40多岁女性的患病率较高，但这些差异无统计学意义。2）抑郁症状与体格检查结果之间存在弱相关性。自我评估健康状况与抑郁症状的相关性更显著。自我评估健康状况和抑郁症状各自与研究对象在过去一年中经历的症状数量独立相关。与抑郁症状相关的主观症状与那些与自我评估健康状况相关的主观症状不同。男性和女性在抑郁症状、自我评估健康状况和经历的症状之间的联系上也存在差异。3）有抑郁症状者的生活方式比无抑郁症状者差。但只有睡眠时间和食物摄入量与抑郁症状有统计学意义上的关联。生活方式与自我评估健康状况之间仅观察到弱相关性。（摘要截选至250词）
