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首页> 外文期刊>Evidence-based mental health >Major depression is common in people over the age of 50, particularly in those at socioeconomic disadvantage, or with poor physical health and previous depressive symptoms
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Major depression is common in people over the age of 50, particularly in those at socioeconomic disadvantage, or with poor physical health and previous depressive symptoms

机译：重度抑郁症在50岁以上的人群中很常见，尤其是在那些处于社会经济劣势，身体健康状况较差且以前有抑郁症状的人群中

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This article reports results of an epidemiological study (US Health and Retirement Study (HRS)) regarding the prevalence of major depression and persistence of symptoms assessed in a nationally representative community sample of middle aged and older adults in 1996, 1998, and 2000. This ambitious longitudinal survey is relevant because the results suggest that the persistence of depressive symptoms seems to increase with age although, surprisingly, the prevalence of major depression seems to decline with age. Moreover, the results indicate that the persistence of significant depressive symptoms is associated with socioeconomic disadvantage, physical disease (particularly recent stroke and heart attack), and a certain symptom triad at baseline (anhedonia, feelings of worthlessness, thoughts of death). Thus, identification of these patients is most important because they may need intensive treatment and careful longitudinal monitoring. Unfortunately, the disease is frequently not recognised in these age groups in primary care.The report is impressive because the representative sample was large and the authors applied the Composite International Diagnostic Interview and the short form of the Center for Epidemiological Studies Depression Scale as suitable measures of major depressive episodes in the elderly. If we take the results seriously, they would suggest that it is necessary to concentrate more efforts on those middle aged and older people suffering from depression who, due to socioeconomic disadvantages, have difficulty obtaining an effective treatment for depression.The generalisability of this study is limited to middle aged and older adults in the general. population of the United States. Future research should also address institutionalised populations because the prevalence of the disease may be higher and the depressive disorder may be more severe in terms of symptoms and duration. In future research it would be advantageous to avoid some methodological issues of the HRS through more detailed analysis of the treatment, determining physical illness using clinician reported information and focusing on the subgroup of elderly patients (minimum age, 70 years) in order to obtain more reliable information about factors associated with the persistence of depression in this frequently neglected age group suffering from major depression.
机译：本文报告了一项流行病学研究（美国健康与退休研究（HRS））的结果，该研究在1996年，1998年和2000年的全国代表性社区样本中评估了严重抑郁的患病率和症状的持久性。进行雄心勃勃的纵向调查是有意义的，因为结果表明，抑郁症状的持续性似乎随着年龄的增长而增加，尽管令人惊讶的是，严重抑郁症的患病率似乎随着年龄的增长而下降。此外，结果表明，持续存在严重的抑郁症状与社会经济劣势，身体疾病（尤其是最近的中风和心脏病发作）以及基线时的某些症状三联症（快感缺乏症，无价值感，死亡念头）有关。因此，识别这些患者最重要，因为他们可能需要强化治疗和仔细的纵向监测。不幸的是，这种疾病在初级保健中经常在这些年龄组中未被发现。该报告之所以令人印象深刻，是因为代表性的样本量很大，并且作者使用《综合国际诊断访谈》和《流行病学研究中心抑郁量表》的缩写形式作为合适的措施。老年人的严重抑郁发作。如果我们认真对待结果，他们将建议有必要将更多的精力集中在患有抑郁症的中老年人和老年人中，由于社会经济方面的不利因素，他们难以获得有效的抑郁症治疗方法。一般只限于中老年人。美国的人口。未来的研究还应针对制度化人群，因为该疾病的患病率可能更高，而抑郁症的症状和病程可能更严重。在未来的研究中，通过对治疗进行更详细的分析，使用临床医生报告的信息确定身体疾病并关注老年患者（最小年龄，70岁）这一亚类，从而避免一些HRS的方法学问题，以获得更多信息，将是有利的。在这个经常被严重抑郁困扰的年龄组中，与抑郁症持续存在相关因素的可靠信息。

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