接近百岁和百岁的人的抑郁症状和功能依赖:一个范围审查
Carla Gomes da Rocha1,2,3, Armin von Gunten4, Joëlle Rosselet Amoussou5
1School of Health Sciences, HES-SO Valais-Wallis, Sion, Switzerland. carla.gomesdarocha@hevs.ch.
BMC geriatrics
|February 5, 2026
概括
这份综述强调了百岁老人中抑郁症状和功能依赖的普遍性. 研究表明,这些情况之间存在着显著的关系,强调了针对老龄化人口的有针对性的干预措施的必要性.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 百岁以上的人口正在迅速增长,这带来了独特的健康挑战.
- 抑郁症状和功能依赖的同时出现需要在这个人口群体中进行彻底的调查.
研究的目的:
- 系统地审查和总结现有的关于95岁及以上个体抑郁症状和功能依赖的文献.
- 分析患病率,查工具以及近百岁和百岁之间这些疾病之间的相互关系.
主要方法:
- 在2023年8月,在多个数据库 (Embase,Medline,CINAHL,PsycInfo,Web of Science,Cochrane) 进行了全面的文献搜索.
- 该审查遵循JBI"范围审查手册"和PRISMA-ScR标准,包括灰色文献和引用跟踪.
- 包括1994年至2023年间发表的53项定量,横截面研究.
主要成果:
- 抑郁症状的患病率差异很大 (10.5%73%),老年抑郁症尺度15项 (GDS-15) 是最常见的查工具.
- 功能依赖率很大:日常生活活动 (ADL) 的20.8%30.3%,日常生活工具活动 (IADL) 的27.5%63%.
- 只有30.2%的研究研究了抑郁症状和功能依赖之间的联系,其中56.3%报告了显著的关联.
结论:
- 有显著的地理研究差异存在,需要不同的方法来全面了解百岁老人的健康.
- 百岁老人可能表现出弹性,不一定比年轻的老年人有更高的抑郁症状.
- 抑郁症状和功能依赖之间的双向关系增加了不良健康结果的风险,需要多方面的干预措施.
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