成都地区≥55岁人群抑郁障碍患病率调查

The prevalence of depressive disorder among residents aged 55 or over in Chengdu area

目的调查成都地区≥55岁人群抑郁障碍的患病率。方法采用分层随机整群抽样方法,从成都市所辖19个区、市、县抽取样本,调查分为筛查、复查诊断2个阶段。筛查用一般情况量表、中文版简易精神状态检查表(MMSE)、日常生活功能量表(ADL)、流调用抑郁自评量表(CESD)、体格检查及神经系统检查表,复查诊断用DSMⅢR定式临床检查患者版(SCIDP)。结果抑郁障碍总患病率为440%,女性高于男性。心境恶劣、抑郁症、躯体疾病伴抑郁、适应障碍是其主要类型,患病率分别为194%、087%、079%、051%。结论抑郁障碍患病率有增高趋势。

Objective To examine the prevalence of depressive disorder among residents aged 55 years or over in the urban and rural areas in Chengdu. Methods This study was conducted by stratified random sampling from 10 of 19 districts, cities and counties in Chengdu area. The study design consisted of a screening stage in which mini mental state examination(MMSE), activity of daily living scale(ADL) and center for epidemiological studies depression scale(CES D) were used, and a clinical interview stage in which structured clinical interview instrument for DSM III R(SCID P) was used. Results The prevalence of depressive disorders was 4.40% (3.48% in man and 5.28% in women). The prevalence of dysthymia, depression, depressive status related to systemic disease and adjustment disorders were 1.94%, 0.87%, 0.79% and 0.51%, respectively. Conclusions The prevalence of senile depressive disorder shows a increasing tendency.