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首页> 外文期刊>Archives of general psychiatry. >High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication.
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High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication.

机译：心境和焦虑障碍的发生率较高中老年人:国家发病率调查复制。

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CONTEXT: Little is known about prevalence rates of DSM-IV disorders across age strata of older adults, including common conditions such as individual and coexisting mood and anxiety disorders. OBJECTIVE: To determine nationally representative estimates of 12-month prevalence rates of mood, anxiety, and comorbid mood-anxiety disorders across young-old, mid-old, old-old, and oldest-old community-dwelling adults. DESIGN: The National Comorbidity Survey Replication (NCS-R) is a population-based probability sample of 9282 participants 18 years and older, conducted between February 2001 and April 2003. The NCS-R survey used the fully structured World Health Organization World Mental Health Survey version of the Composite International Diagnostic Interview. SETTING: Continental United States. PARTICIPANTS: We studied the 2575 participants 55 years and older who were part of NCS-R (43%, 55-64 years; 32%, 65-74 years; 20%, 75-84 years; 5%, >or=85 years). This included only noninstitutionalized adults, as all NCS-R participants resided in households within the community. MAIN OUTCOME MEASURES: Twelve-month prevalence of mood disorders (major depressive disorder, dysthymia, bipolar disorder), anxiety disorders (panic disorder, agoraphobia, specific phobia, social phobia, generalized anxiety disorder, posttraumatic stress disorder), and coexisting mood-anxiety disorder were assessed using DSM-IV criteria. Prevalence rates were weighted to adjust for the complex design to infer generalizability to the US population. RESULTS: The likelihood of having a mood, anxiety, or combined mood-anxiety disorder generally showed a pattern of decline with age (P < .05). Twelve-month disorders showed higher rates in women compared with men, a statistically significant trend with age. In addition, anxiety disorders were as high if not higher than mood disorders across age groups (overall 12-month rates: mood, 5% and anxiety, 12%). No differences were found between race/ethnicity groups. CONCLUSION: Prevalence rates of DSM-IV mood and anxiety disorders in late life tend to decline with age, but remain very common, especially in women. These results highlight the need for intervention and prevention strategies.
机译：背景:患病率是知之甚少的dsm - iv障碍跨越年龄老的地层成年人,包括常见的条件等个人和共存的情绪和焦虑障碍。代表12个月的流行率的估计的情绪、焦虑和共病心境焦虑在老当益壮的障碍,mid-old、老旧和长寿老人的社区成人。全国共病调查复制(NCS-R)以人群为基础的概率样本的9282参与者18岁及以上2001年2月到2003年4月。调查使用了完全结构化世界卫生组织世界精神卫生调查版本复合性国际诊断面试。参与者:我们研究了2575名参与者55岁及以上的人的一部分NCS-R (43%,55 - 64年;5%, > = 85年)。管控的成年人,因为所有NCS-R参与者居住在家庭中社区。情绪障碍的患病率(重度抑郁障碍,精神抑郁症、双相情感障碍),焦虑障碍(恐慌症,广场恐怖症、具体恐惧症,社交恐惧症,广泛性焦虑症障碍,创伤后应激障碍)共存的心境焦虑障碍进行评估使用dsm - iv标准。加权调整的复杂的设计推断出美国人口的润肤剂。结果:有一个情绪的可能性,焦虑,或结合心境焦虑障碍通常显示模式随着年龄下降(P< . 05)。在女性与男性相比,统计随着年龄的增长显著的趋势。如果不高于情绪障碍一样高障碍跨年龄组(12个月利率:情绪,5%和焦虑,12%)。被发现之间的种族群体。结论:患病率的dsm - iv和情绪焦虑症在后期生活往往会下降随着年龄的增长,但仍然很常见,特别是在女性。干预和预防策略。

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