文章摘要
李春波,何燕玲,张明园.抑郁症状对社区亚老龄及老龄人群心身健康结局影响的随访研究[J].中华流行病学杂志,2002,23(5):341-344
抑郁症状对社区亚老龄及老龄人群心身健康结局影响的随访研究
The impact of depressive symptoms on psychological and physical outcomes: a 5-year follow-up study of elderly at the community level
收稿日期:2002-03-10  出版日期:2014-09-18
DOI:
中文关键词: 社区  抑郁症状  健康结局  随访研究
英文关键词: Community  Depressive symptoms  Health outcome  Follow up study
基金项目:上海市医学领先专业老年精神医学重点学科建设基金资助项目 (993030 )
作者单位
李春波 200065 上海, 同济大学附属同济医院心身科 
何燕玲 上海市精神卫生中心 
张明园 上海市精神卫生中心 
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中文摘要:
      目的探索抑郁症状对社区老年人群健康结局的影响。方法对上海市静安区同一批非痴呆55岁以上人群应用中文版流行病学调查用抑郁自评量表(CES-D)等调查工具,进行5年随访。按当年抑郁症状的严重程度,对5年后多项心理和躯体健康结局指标进行多因素分析。结果(1)2次面访者2927名。按照首次CES-D得分将有无抑郁症状分为4个等级,基线分布除年龄外,性别、教育程度、中文版简易智能状态检查(MMSE)、日常生活活动能力量表(ADL)差异均存在显著性。(2)以首次CES-D分数、年龄、性别、教育程度、MMSE、ADL为自变量,进行多元回归分析发现,CES-D得分与5年后MMSE、ADL、生活满意度指数A(LSIA)得分无显著性相关。(3)在控制基线变量后,首次CES-D得分与5年后自我健康评价、记忆力自我评价呈显著性正相关。(4)分别以5年后躯体疾病指数、是否死亡为因变量,以首次CES-D得分等级、年龄、性别、教育程度、MMSE、ADL为自变量,进行多元logistic回归分析。在躯体疾病影响指数和死亡的风险预测中,5年前抑郁症状影响最大,其OR值分别为1.52(95%CI:1.19~1.95)和2.68(95%CI:1.41~5.06)。结论抑郁症状是影响社区老人心身健康结局的主要因素之一。
英文摘要:
      Objective To explore the impact of depressive symptoms on psychological and physical outcomes among elderly living in the residential areas. Methods A five years follow up survey of health outcome was carried out among people aged 55 years or above in community without dementia. The outcome measurements included CES D (center for epidemiological survey, depression scale), MMSE (mini mental state examination), ADL (activity of daily living), LSIA (life satisfaction index A), index of physical disease and self rated health questionnaire. A multiple regression analysis was administered to explore the correlation between depressive symptoms and indices of psychological and physical outcomes. Results (1)Data from 2 927 subjects having completed two surveys were analyzed. Baseline data showed significant distribution difference of MMSE, ADL, gender and education among the four CES D score levels. (2)No significant correlation between CES D score at baseline and MMSE, ADL, LSIA score at five year follow up was found after controlling the age, gender, educational level and baseline score of MMSE and ADL. (3)Self rated general health and memory change were significantly correlated to baseline CESD score under controlling the effects of other baseline variables. (4)The score of CESD was found to be a significant predictor for risks of physical disease and mortality by logistic regression model. The odds ratios were 1.52 (95% CI : 1.19 1.95 ) and 2.68 (95% CI : 1.41 5.06 ) respectively. Conclusion Depressive symptoms play an important role on both psychological and physical health outcomes among elderly living in the community.
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