Beekman A T, Deeg D J, van Tilburg T, Smit J H, Hooijer C, van Tilburg W
Department of Psychiatry, Free University of Amsterdam, The Netherlands.
J Affect Disord. 1995 Dec 24;36(1-2):65-75. doi: 10.1016/0165-0327(95)00061-5.
In this paper, the results of a community-based study into the prevalence and risk factors associated with depression in the older (55-85 years) population of The Netherlands are presented. The prevalence of major depression was 2.02%, that of minor depression 12.9%, while 14.9% had clinically relevant levels of depressive symptoms. Associations with a comprehensive set of risk factors were not affected dramatically by age or sex. However, comparing major to minor depression, risks were substantially differently distributed. It appears that major depression is more often an exacerbation of a chronic mood disturbance, with roots in long-standing vulnerability factors; while minor depression is more often a reaction to the stresses commonly experienced in later life.
本文介绍了一项基于社区的研究结果，该研究针对荷兰55至85岁老年人群中抑郁症的患病率及相关风险因素展开。重度抑郁症的患病率为2.02%，轻度抑郁症为12.9%，而有临床相关抑郁症状水平的比例为14.9%。与一整套风险因素的关联并未因年龄或性别而受到显著影响。然而，比较重度抑郁症和轻度抑郁症，风险分布存在很大差异。似乎重度抑郁症更常是慢性情绪障碍的恶化，根源在于长期存在的易患因素；而轻度抑郁症更常是对晚年常见压力的反应。
