北京社区中老年慢性病居民焦虑抑郁情况调查

A community-based survey on prevalence of anxiety-depression disorder in elderly inhibitants with chronic diseases

目的调查北京社区中老年人慢性病发病情况及焦虑抑郁合并情况。方法以北京东四社区4个居委会常住2235名中老年人为研究对象,调查慢性病(包括高血压、心脏病、糖尿病、骨关节病等社区常见病)患病情况,并使用焦虑自评量表和抑郁自评量表对该群体居民进行焦虑抑郁情况调查。结果北京东四社区最常见慢性病是高血压病,其次是心脏病、糖尿病和骨关节病。与未患慢性病中老年人比较,患慢性病者焦虑抑郁合并情况显著增多,而且随着慢性病数目增加,焦虑抑郁合并情况呈显著增加。结论患各种慢性病是导致社区中老年人焦虑抑郁的重要因素之一,各种慢性病与焦虑抑郁可以互为因果。

Objective To investigate the prevalence of chronic diseases and accompanied anxiety-depression disorders in elderly inhabitants in communities in Beijing. Methods A total of 2235 Beijing Dongsi community-dewelling subjects were randomly selected （age ≥50 years）.The prevalence of common community-onset diseases were investigated,such as hypertension,heart disease,diabetes,and osteoarthrosis,etc. The level of anxiety-depression disorder was evaluated using Self-Rating Depression Scale （SDS） and Self-Rating Anxiety Scale （SAS）. Results The most common chronic diseases in Dongsi community were essntial hypertension,heart diseases,diabetes,and osteoarthrosis. Compared with the subjects suffering no chronic diseases,the ones with chronic diseases had a significantly higher prevalence of anxiety-depression disorder. The prevalence of anxiety-depression disorder rose significantly with the increased number of chronic diseases. Conclusion The elderly community-dewellings who already suffer from chronic diseases are more likely to have anxiety-depression disorder. There may be a mutual relationship between chronic diseases and anxiety-depression disorder.