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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Tinnitus preceded depressive symptoms in community-dwelling older Japanese: A prospective cohort study
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Tinnitus preceded depressive symptoms in community-dwelling older Japanese: A prospective cohort study

机译：一项前瞻性队列研究表明，在居住在社区的老年人中，耳鸣先于抑郁症状

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Objective: Most studies of the association between tinnitus and depression have been cross-sectional, making it difficult to draw any conclusions about the directionality of the association. This study aimed to clarify whether tinnitus precedes the development of depressive symptoms in a general older population. Methods: Residents of Kurabuchi Town, Gunma Prefecture, Japan (239 men, 296 women: ≥. 65. years) without depressive symptoms were given health examinations in 2005-2006. Information on tinnitus was obtained via a questionnaire. Depressive symptoms were then assessed in a face-to-face home visit interviews carried out once in 2007 and once in 2008 according to the Geriatric Depression Scale 15-item version (GDS15). Results: Among the men, the 2.5-year incidence of depressive symptoms (GDS15. ≥. 6) was higher in those with tinnitus than in those without (20.5% vs. 9.5%). In the multi-adjusted model, tinnitus was significantly associated with an increased risk of depressive symptoms (relative risk. =. 2.07; 95% confidence interval. =. 1.01-4.25). Among the women, no associations were found. Conclusion: In the present study, tinnitus was independently associated with the risk of depressive symptoms developing in men, but not in women. We believe primary care providers and public health staff should recognize tinnitus as a risk factor for depressive symptoms.
机译：目的：大多数关于耳鸣与抑郁症之间关系的研究都是横断面的，因此很难得出关于这种关系的方向性的任何结论。这项研究的目的是弄清一般老年人群中耳鸣是否先于抑郁症状的发展。方法：2005-2006年，对日本群马县仓敷町市居民（无抑郁症状）（男性239名，女性296名：≥。65.岁）进行了健康检查。耳鸣的信息是通过问卷获得的。然后，根据老年抑郁量表15个项目版本（GDS15），在2007年和2008年进行了一次面对面的家访，评估了抑郁症状。结果：在男性中，有耳鸣者的2.5年抑郁症状发生率（GDS15。≥。6）高于无耳鸣者（20.5％对9.5％）。在多次调整模型中，耳鸣与抑郁症状的风险增加显着相关（相对风险= 2.07; 95％置信区间= 1.01-4.25）。在这些妇女中，没有发现任何关联。结论：在本研究中，耳鸣与男性产生抑郁症状的风险独立相关，但与女性无关。我们相信初级保健提供者和公共卫生人员应将耳鸣视为抑郁症状的危险因素。

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