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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychological disorders and distress in older primary care patients: a comparison of older and younger samples.
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Psychological disorders and distress in older primary care patients: a comparison of older and younger samples.

机译：老年初级保健患者的心理障碍和困扰：老年和青年样本的比较。

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BACKGROUND: Community studies have documented prevalence rates of psychological disorders among older individuals. Further, a growing number of studies have examined depression in older medical patients. However, little is known about the prevalence of a broad range of psychological disorders and psychosocial stressors among older primary care patients. The purpose of the present study was to characterize psychological disorders and psychosocial stressors in older primary care patients and identify differences with younger patients. METHODS: Descriptive survey; criterion standard. Five hundred thirty-four patients 65 years and older and 2466 patients less than 65 years old recruited from eight primary care sites. The Patient Health Questionnaire (PHQ) was employed to assess major depressive disorder, other depressive disorder, panic disorder, other anxiety disorder, probable alcohol abuse/dependence, somatoform disorder, bulimia nervosa, and binge eating disorder. Common psychosocial stressors were also assessed. Patient-reported health status was measured by the Medical Outcomes Study Short Form 20 (SF-20). RESULTS: Older patients were much less likely than younger patients to have a psychological disorder (5% vs. 17%). Also, older patients had significantly less severe psychological symptom (4.7 vs. 8.0) and psychosocial stressor (2.3 vs. 4.7) scores. Worrying about health (10%), weight (9%), and a recent bad event (8%) were the most common stressors among the older group. Like younger patients, older patients who suffered from psychological symptoms and disorders experienced substantial functional impairment. CONCLUSIONS: Prevalence rates of psychological disorders and psychosocial stressors differ greatly between younger and older primary care patients and, somewhat contrary to clinical intuition, are lower among older patients.
机译：背景：社区研究已证明老年人中心理疾病的患病率。此外，越来越多的研究检查了老年医学患者的抑郁症。但是，对于老年初级保健患者中广泛的心理障碍和社会心理压力因素的患病率知之甚少。本研究的目的是表征老年初级保健患者的心理障碍和心理压力源，并确定与年轻患者的差异。方法：描述性调查;准则标准。从八个初级保健场所招募了543名65岁以上的患者和2466名65岁以下的患者。患者健康调查表（PH​​Q）用于评估重度抑郁症，其他抑郁症，恐慌症，其他焦虑症，可能的酒精滥用/依赖性，躯体形式障碍，神经性贪食症和暴饮暴食症。还评估了常见的社会心理压力源。通过医学成果研究简表20（SF-20）测量患者报告的健康状况。结果：老年患者比年轻患者发生心理障碍的可能性要低得多（5％对17％）。此外，老年患者的严重心理症状得分（4.7 vs. 8.0）和心理社会压力源（2.3 vs. 4.7）明显较轻。担心健康（10％），体重（9％）和最近的不良事件（8％）是老年人中最常见的压力源。像年轻患者一样，患有心理症状和疾病的老年患者会出现严重的功能障碍。结论：初级和初级保健患者之间心理障碍和心理压力源的患病率差异很大，并且与临床直觉有些相反，在老年患者中较低。

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