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在社区居住的老年人中抑郁症的发生率:系统性审查
L E E Brasileiro1,2, Amanda Almeida Gomes Dantas3,4, Dorothy Bezerra Linhares2
1Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
概括
抑郁和抑郁症状 (DDS) 在全球社区居住的老年人中很常见. 这次系统审查发现了一个频繁发生的情况,强调了早期干预和初级医疗保健重点的必要性.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 抑郁症和抑郁症状 (DDS) 是一个重要的公共卫生问题,特别是在全球老龄化人口中.
- 居住在社区的老年人是脆弱的人群,需要集中研究心理健康发病率.
研究的目的:
- 综合全球关于社区老年人抑郁症和抑郁症状发病率的数据.
- 为了提供一个概述的流行率,并确定在这个人群中DDS的趋势.
主要方法:
- 对评估60岁及以上成年人DDS发病率的队列研究的系统综述.
- 搜索了六个主要的数据库 (Web of Science,PubMed,Scopus,LILACS,SciELO,Cochrane) 进行了搜索.
- 根据DDS评估工具 (老年抑郁症尺度,CES-D,各种尺度,诊断访谈) 和计算的年度累积发病率 (AcI) 分类研究.
主要成果:
- 分析了46篇文章,其中42篇使用DDS评估尺度,产生了大约4.5%的整体ACI估计.
- 对绝对抑郁症的评估显示ACI在0.2%至7.0%之间.
- 使用老年抑郁量表的研究报告了最广泛的ACI范围 (1.3%至26.6%).
结论:
- 在全球范围内,在社区居住的老年人中发现了DDS的频繁发生.
- 研究的地理分布显示亚洲占主导地位 (52.2%),其次是欧洲 (30.4%),美洲 (13%),大洋洲 (4.4%).
- 调查结果强调了加强预防策略和早期针对性护理在老年人初级医疗保健机构中的关键需求.
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