Mönking H S, Hornung W P
St. Rochus-Hospital Telgte.
Psychiatr Prax. 1998 Jul;25(4):183-5.
The investigation aimed at assessing the prevalence of depression among residents in a nursing home.
In a rural area of Germany a representative sample was examined by means of the "Brief Assessment Interview" (BAI).
17% had a depressive disorder without dementia, 9% had a mild dementia syndrome and a depressive disorder; a total of 47% suffered from symptoms of dementia without depression. Most of the patients were treated by general practitioners or internists. 11% of the patients with depression were treated with antidepressants, 19% with neuroleptics, 17% with minor tranquillizers, and 17% with hypnotics. Only 20% of the depressive patients had ever been examined by a psychiatrist, 4% underwent an actual psychiatric therapy.
Elderly patients with depressive disorders living in nursing homes need a more specific psychiatric treatment.
本调查旨在评估养老院居民中抑郁症的患病率。
在德国农村地区，通过“简短评估访谈”（BAI）对一个代表性样本进行了检查。
17%的人患有无痴呆的抑郁症，9%的人患有轻度痴呆综合征和抑郁症；共有47%的人患有无抑郁症的痴呆症状。大多数患者由全科医生或内科医生治疗。11%的抑郁症患者接受了抗抑郁药治疗，19%接受了抗精神病药治疗，17%接受了小剂量镇静剂治疗，17%接受了催眠药治疗。只有20%的抑郁症患者曾接受过精神科医生的检查，4%接受了实际的精神科治疗。
住在养老院的老年抑郁症患者需要更具针对性的精神科治疗。
