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首页> 外文期刊>Nordic journal of psychiatry. >A comparison of depressive symptoms in elderly medical inpatients and the elderly in a population-based health study (the Nord-Trondelag Health Study 3)
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A comparison of depressive symptoms in elderly medical inpatients and the elderly in a population-based health study (the Nord-Trondelag Health Study 3)

机译：一项基于人群的健康研究（Nord-Trondelag健康研究3）比较老年医疗住院患者和老年人的抑郁症状

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Aim: To compare depression in a sample of the medically hospitalized elderly with elderly people participating in a population-based health study in Norway and further to study the odds for depression, controlling for demographic and health differences between the two samples. Method: This cross-sectional observational study evaluated 484 medical inpatients from rural areas and 10,765 drawn from the Nord-Trondelag Health Study 3 (HUNT-3 Study) including participants from rural and urban areas. All participants were elderly (≥65 years) with a mean (± standard deviation) age of 80.7 ± 7.4 and 73.3 ± 6.3 years, respectively. Symptoms of depression were screened by the Hospital Anxiety and Depression Scale (HAD). Results: The prevalence of symptoms indicating mild, moderate or more severe depression (depression score ≥8) was about the same in both groups. In regression analyses, adjusting demographic and health differences, the odds for depression was lower for the elderly in the hospital sample than in the HUNT-3 Study. Older age, male gender, perceiving general health as poor, having impaired ability to function in daily life, previous consultation or treatment for emotional problems and anxiety (anxiety score ≥8) were associated with increased odds for depression in the elderly independent of being hospitalized or not. Conclusion: Surprisingly, we found the odds for depression after controlling for demographic and health variables to be lower in the hospitalized elderly individuals than in the elderly participating in the population-based health study. The health variables that were most strongly associated with an increased risk of depression were poor physical health and anxiety.
机译：目的：比较挪威住院患者的样本中的抑郁症与参加基于人口的健康研究的老年人的抑郁症，并进一步研究抑郁症的可能性，控制这两个样本之间的人口统计学和健康差异。方法：这项横断面观察性研究评估了484名农村地区的住院患者和10,765名从Nord-Trondelag Health Study 3（HUNT-3研究）中抽取的住院患者，其中包括来自农村和城市地区的参与者。所有参与者均为老年人（≥65岁），平均年龄（±标准差）分别为80.7±7.4和73.3±6.3岁。通过医院焦虑和抑郁量表（HAD）筛选抑郁症的症状。结果：表明轻度，中度或重度抑郁（抑郁评分≥8）的症状患病率在两组中大致相同。在回归分析中，调整人口统计学和健康差异，医院样本中老年人抑郁的几率比HUNT-3研究中的低。老年人，男性，一般健康状况差，日常生活功能受损，对情绪问题和焦虑的先前咨询或治疗（焦虑评分≥8）与老年人独立于住院的抑郁几率增加相关或不。结论：令人惊讶的是，我们发现，控制了人口统计学和健康变量后，住院的老年个体患抑郁症的几率低于参加基于人口健康研究的老年人。与抑郁风险增加最密切相关的健康变量是身体健康和焦虑不佳。

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