کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5721999 1608104 2017 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Research paperPrevalence of depression: Comparisons of different depression definitions in population-based samples of older adults
ترجمه فارسی عنوان
شیوع افسردگی: مقایسه تعاریف مختلف افسردگی در نمونه های مبتنی بر جمعیت بزرگسالان سالمند
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی


- We explored to what extent depression prevalence varies when using different diagnostic criteria and rating scales in older adults.
- The point prevalence of any depression was similar across all definitions except for ICD-10, showing much lower figures.
- Depression prevalence was lower in the dementia-free sample as compared to the total population.
- Having poor physical function or not having a partner were independently associated with a higher prevalence of depression.

BackgroundDepression prevalence in older adults varies largely across studies, which probably reflects methodological rather than true differences. This study aims to explore whether and to what extent the prevalence of depression varies when using different diagnostic criteria and rating scales, and various samples of older adults.MethodsA population-based sample of 3353 individuals aged 60-104 years from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K) were examined in 2001-2004. Point prevalence of depression was estimated by: 1) diagnostic criteria, ICD-10 and DSM-IV-TR/DSM-5; 2) rating scales, MADRS and GDS-15; and 3) self-report. Depression prevalence in sub-samples by dementia status, living place, and socio-demographics were compared.ResultsThe prevalence of any depression (including all severity grades) was 4.2% (moderate/severe: 1.6%) for ICD‐10 and 9.3% (major: 2.1%) for DSM-IV-TR; 10.6% for MADRS and 9.2% for GDS-15; and 9.1% for self-report. Depression prevalence was lower in the dementia-free sample as compared to the total population. Furthermore, having poor physical function, or not having a partner were independently associated with higher depression prevalence, across most of the depression definitions.LimitationsThe response rate was 73.3% and this may have resulted in an underestimation of depression.ConclusionDepression prevalence was similar across all depression definitions except for ICD-10, showing much lower figures. However, independent of the definition used, depression prevalence varies greatly by dementia status, physical functioning, and marital status. These findings may be useful for clinicians when assessing depression in older adults and for researchers when exploring and comparing depression prevalence across studies.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 221, 15 October 2017, Pages 123-131
نویسندگان
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