Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: Results from the Korean Longitudinal Study on Health and Aging (KLoSHA)

被引：57

作者：

Park, Joon Hyuk ^{[2
]}

Lee, Jung Jae ^{[3
]}

Lee, Seok Bum ^{[4
]}

Huh, Yoonseok ^{[1
]}

Choi, Eun Ae ^{[5
]}

Youn, Jong Choul ^{[6
]}

Jhoo, Jin Hyeong ^{[7
]}

Kim, Jin Sun ^{[1
]}

Woo, Jong Inn ^{[8
,9
,10
]}

Kim, Ki Woong ^{[1
,10
]}

机构：

[1] Seoul Natl Univ, Bundang Hosp, Dept Neuropsychiat, Songnam 463707, Gyeonggido, South Korea

[2] Jeju Natl Univ Hosp, Dept Neuropsychiat, Jejudo, South Korea

[3] Kyungbook Natl Univ Hosp, Dept Psychiat, Taegu, South Korea

[4] Dankook Univ Hosp, Dept Psychiat, Chungcheongnamdo, South Korea

[5] Yesarang Hospital, Dept Psychiat, Chungcheongbukdo, South Korea

[6] Kyunggi Prov Hosp Elderly, Dept Neuropsychiat, Gyeonggido, South Korea

[7] Kangwon Natl Univ Hosp, Dept Neuropsychiat, Kangwondo, South Korea

[8] Seoul Natl Univ Hosp, Dept Neuropsychiat, Seoul 110744, South Korea

[9] Seoul Natl Univ Hosp, Clin Res Inst, Seoul 110744, South Korea

[10] Seoul Natl Univ, Coll Med, Dept Psychiat, Seoul, South Korea

来源：

JOURNAL OF AFFECTIVE DISORDERS | 2010年 / 125卷 / 1-3期

关键词：

Major depressive disorder; Minor depressive disorder; Prevalence; Quality of life; Elderly; LATE-ONSET DEPRESSION; LATER LIFE; ASSESSMENT BATTERY; OLD-AGE; COMMUNITY; EPIDEMIOLOGY; DISABILITY;

D O I：

10.1016/j.jad.2010.02.109

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: We investigated the prevalence, risk factors and impact of major depressive disorder (MDD) and minor depressive disorder (MnDD) in a randomly selected community-dwelling Korean elderly population. Method: This study was conducted as a part of the Korean Longitudinal Study on Health and Aging (KLoSHA). A study population of 1118 Korean elders was randomly sampled from residents of Seongnam, Korea aged 65 years or older. Standardized face-to-face interviews and neurological and physical examinations were conducted on 714 respondents using the Korean version of Mini International Neuropsychiatric Interview. MOD was diagnosed according to the DSM-IV criteria, and MnDD according to research criteria proposed in Appendix B of the DSM-IV criteria. Results: Age-, gender- and education-standardized prevalence rates in Korean elders aged 65 years or older were estimated as 5.37% (95% CI = 3.72-7.03) for MOD, 5.52% (95% CI = 3.84-7.19) for MnDD, and 10.89% (95% CI = 8.60-13.17) for overall late-life depression (LLD). A prior MOD episode (OR = 3.07,95% CI = 1.38-6.82 in MDD, OR = 3.44,95% CI = 1.49-7.94 in MnDD), female gender (OR = 3.55, 95% CI = 1.53-8.24 in MDD, OR = 2.68, 95% CI = 1.19-6.04 in MnDD) and history of stroke or TIA (OR = 3.45, 95% CI = 1.62-7.35 in MDD. OR = 2.95, 95% CI = 1.34-6.52 in MnDD) were associated with the risks of both MDD and MnDD. Lack of formal education (OR = 2.75, 95% CI = 1.30-5.85) and low income (OR = 2.83, 95% CI = 1.02-7.88) were associated with the risk of MDD only. Quality of life (QOL) of the MOD and MnDD patients was worse than that of non-depressed elders (P<0.001, ANOVA). Conclusion: MnDD was as prevalent as MOD in Korean elders and impacted QOL as MDD did. MnDD patients may increase in the future with accelerated population aging and westernization of lifestyle in Korea. (C) 2010 Elsevier B.V. All rights reserved.

引用

页码：234 / 240

页数：7

共 56 条

[1]

[Anonymous], 2007, Psychiatry Investig

[2]

[Anonymous], 1994, DIAGN STAT MAN MENT

[3]

[Anonymous], 2006, WORLD POP PROSP

[4]

[Anonymous], 2007, WORLD POP PROSP 2006