上海市社区老年抑郁症患病率调查

The prevalence of depression of the elderly in Shanghai community

目的:了解上海市社区老年抑郁症的患病率及其影响因素,为社区老年抑郁症的防治工作提供科学依据。方法:按照整群随机抽样方法,从上海市徐家汇街道随机抽取2个社区,对其中60岁以上的1 756名老年人进行调查,调查分为筛查和复诊两个阶段。筛查用自行编制的一般情况调查表、病人健康状况问卷-9(PHQ-9)、简易精神状态检查表(MMSE)、日常生活功能量表(ADL)、体格检查及神经系统检查表,复查诊断使用DSM-Ⅳ的重症抑郁障碍的诊断标准。结果:重症抑郁障碍的患病率为2.8%,其中,男性患病率1.9%,女性患病率3.5%。结论:重症老年抑郁症的患病率有增高趋势。

Objective： To explore the prevalence and the relevant factors of depression of the elderly in the community in Shanghai and set up basic data so as to provide scientific rationale for the community intervention and preventive measures. Methods： 1 756 residents aged 60 years or above were selected from 2 communities of Xuhui District by random sampling. The study design consisted of a screening stage in which mini- mental state examination （MMSE）, activity of daily living scale （ADL） and patient health questionnaire depression module（PHQ - 9） were used, and a clinical interview stage in which DSM- Ⅳ was used. Results： The prevalence of the major depression of the elderly was 2.8 % （1.9% in man and 3.5 % in women）. Conclusion：The prevalence of major depression in elderly shows an increasing tendency.