在近百岁和百岁之间查抑郁症状的相关标准上建立共识:修改的e-Delphi研究
Carla Gomes da Rocha1,2,3, Armin von Gunten2, Pierre Vandel2
1School of Health Sciences, University of Applied Sciences and Arts Western Switzerland (HES-SO), Sion, Switzerland.
JMIR aging
|March 7, 2025
概括
百岁老人的抑郁症查需要定制的工具. 专家们确定了诸如绝望和兴趣丧失之类的关键症状,这些症状对于非常老的早期检测至关重要.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 心理健康 心理健康
背景情况:
- 全球百岁以上的人口迅速增加,给医疗保健带来了挑战.
- 抑郁症很常见,在老年人中诊断不足,治疗不足.
- 百岁老人未经治疗的抑郁症会给他们的健康带来重大风险.
研究的目的:
- 为了在95岁以上的个人中获得专家对抑郁症迹象和症状的共识.
- 为近百岁和百岁的人提供专门的抑郁症查仪器的开发信息.
- 为了改善这种独特的人口群体中抑郁症的识别和管理.
主要方法:
- 这是一项国际,跨学科的e-Delphi研究,涉及28名专家.
- 三轮基于网络的调查问卷对24个维度中的104个项目进行了评分.
- 共识定义为70%的同意项目相关性.
主要成果:
- 在关键的抑郁症维度和标准上达成高度共识 (80-100%).
- 大多数代表性症状包括缺乏希望,失去兴趣,缺乏反应能力,抑郁情绪和以前的抑郁病史.
- 专家强调要考虑症状的持续时间,频率和严重程度,以便进行准确的评估.
结论:
- 一个多维的方法对于有效的抑郁查在非常老的至关重要.
- 这项研究为近百岁和百岁的人士量身定制的抑郁症查工具提供了基础.
- 改善查可以导致更早的干预和更好的心理健康护理对这个老龄化人口.
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