%0 Journal Article
%T 老年人抑郁的现状及其影响因素——以广东省为例<br>The Status of Depression and Its Related Factors among Eldly: Taking Guangdong Province as an Example
%A 侯永梅
%A 麦静雯
%J International Journal of Psychiatry and Neurology
%P 25-36
%@ 2166-580X
%D 2020
%I Hans Publishing
%R 10.12677/IJPN.2020.92004
%X 目的：了解老年人抑郁的现状，分析其主要的影响因素。方法：采用分层随机抽样法，选取广东省5个城市的1510名老年人(男性776名，女性734名)，使用老年抑郁量表(geriatric depression scale, GDS)、社会支持评定量表(social support rating scale, SSRS)、简明精神状态量表(mini-mental state examination, MMSE)、老年人一般个人情况和生活状况调查表为工具，对他们进行调查。结果：本组的GDS的总分为(10.20 ± 6.37)、SSRS的总分和客观支持、主观支持和社会支持的利用度的得分分别为(30.79 ± 5.51)、(9.24 ± 2.37)、(19.38 ± 4.95)和(9.22 ± 2.15)。多元二项Logistic回归分析结果显示，地区经济发达或经济落后、女性、高学历、未婚、丧偶、健康状况不良、每月退休金2500元以下、社会支持水平不够满意是老年抑郁的危险因素(OR = 1.067~20.224, P = 0.000~0.778)，经济水平中上的地区、有子女、与配偶或子女一起生活、退休金高于2500元、获得满意的社会支持、退休前从事公务员以外的其他职业等6项是老年抑郁的保护因素(OR = 0.035~0.849, P = 0.000~0.476)。结论：抑郁是老年人常见的心理障碍，社会支持、个人的经济状况和生活适应能力可能是老年人抑郁的影响因素。<br />
Objective: To explore the status of depression of eldly, and analyze its possible influencing factors. Method: Totally 1510 eldly (776 males, 734 females) from 5 cities in Guangdong Province were se-lected by stratified random sampling and conducted with geriatric depression scale (GDS), social support rating scale (SSRS), mini-mental state examination (MMSE) and a self-edited questionnaire on the general information and life condition of eldly. Results: The total score of GDS was 10.20 ± 6.37. The total score and the scores of the 3 dimensions of objective support, subject support, the use of support in SSRS were 30.79 ± 5.51, 9.24 ± 2.37, 19.38 ± 4.95 and 9.22 ± 2.15, respectively. Multivariable binary Logistic regression showed that developed or backward regional economy, fe-male, high education level, unmarried, widowed, poor health, monthly pension less than 2500 Yuan, unsatisfactory social support were the risk factors on the depressive symptoms in the elderly (OR = 1.067 - 20.224, P = 0.000 - 0.778), and upper regional economy, having children, married, living with spouse or children, monthly pension more than 2500 Yuan and satisfactory social support, engaging in other professions rather than civil servants before retirement were the protective fac-tors on the depressive symptoms in the elderly (OR = 0.035 - 0.849, P = 0.000 - 0.476). Conclusion: It suggested that depression was one of the most common mental diseases among eldly. Social sop-port, personal economic ability and life adaptability may be related factors of the depression in eld-ly.
%K 老年人，抑郁，影响因素，多元二项Logistic回归<br>Eldly
%K Depression
%K Related Factors
%K Multivariable Binary Logistic Regression
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=35844