https://scholars.lib.ntu.edu.tw/handle/123456789/520476
標題: | Prevalence of and risk factors for minor and major depression among community-dwelling older adults in Taiwan | 作者: | CHI-SHIN WU Yu S.-H. Lee C.-Y. Tseng H.-Y. Chiu Y.-F. Hsiung C.A. |
關鍵字: | depression symptoms; late-life depression; mood module | 公開日期: | 2017 | 卷: | 29 | 期: | 7 | 起(迄)頁: | 1113-1121 | 來源出版物: | International Psychogeriatrics | 摘要: | Background: This study was conducted to estimate prevalence rates and risk factors for late-life depression in a large nationwide representative sample from Taiwan. Methods: A total of 5,664, randomly sampled individuals aged ?55 years were enrolled. Clinically, relevant depressive symptoms were classified using the Center for Epidemiological Studies Depression Scale (CES-D score ?16), and major depression was confirmed using the Primary Care Evaluation of Mental Disorders. Individuals with clinically relevant depressive symptoms, who did not meet the strict diagnostic criteria for major depression, were considered to have minor depression. Multinomial logistic regression analyses were conducted to identify risk factors for major and minor depression, including socio-demographic characteristics, medical conditions, lifestyle behaviors, social support network, and life events. Results: The prevalence rates of minor and major depression were 3.7% and 1.5%, respectively. Major depression was associated with personal vulnerability factors, such as poor social support, cognitive impairment, comorbid pain conditions, and sleep disturbance. However, minor depression was more likely to be related to adverse life events, including increased burden on families, changes in health status, or relationship problem. Approximately, 20.0% of individuals with major depression received antidepressant treatment. Conclusions: Late-life depression was less prevalent among community-dwelling older adults in Taiwan than among populations in other countries. Our findings may aid the early detection and treatment of late-life depression and provide a basis for future investigations. ? International Psychogeriatric Association 2017. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017443130&doi=10.1017%2fS1041610217000199&partnerID=40&md5=dbb125d5f4b0126ec5eef6a1cbc7f52e https://scholars.lib.ntu.edu.tw/handle/123456789/520476 |
ISSN: | 1041-6102 | DOI: | 10.1017/S1041610217000199 | SDG/關鍵字: | antidepressant agent; benzodiazepine; adult; aged; Article; Center for Epidemiological Studies Depression Scale; cognitive defect; comorbidity; controlled study; disease classification; drug use; educational status; female; human; independent living; life event; major clinical study; major depression; male; marriage; middle aged; minor depression; obesity; physical inactivity; prevalence; risk factor; sex difference; sleep disorder; social status; social support; Taiwan; unemployment; vulnerable population; aging; cross-sectional study; health status; lifestyle; major depression; psychological rating scale; psychology; risk factor; socioeconomics; statistical model; Aged; Aging; Antidepressive Agents; Cross-Sectional Studies; Depressive Disorder, Major; Female; Health Status; Humans; Independent Living; Life Style; Logistic Models; Male; Middle Aged; Psychiatric Status Rating Scales; Risk Factors; Social Support; Socioeconomic Factors; Taiwan |
顯示於: | 流行病學與預防醫學研究所 |
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