上海市某城区人群抑郁障碍流行病学调查

Objective To examine the prevalence and the relevant factors of senile depressive disorders in an urban community residents sample. Methods Stratified random cluster sampling was used. Center for Epi-demiological Studies of Depression(CES-D) and structured clinical interview instrument for DSM-Ⅲ-R (SCID-P) were applied as screening and diagnosis instrument. Results The incidence of depressive symptoms ( CES-D ≥ 16) was 5.29 %. The overall prevalence of depression was 4.31%. The prevalence of dysthymia,depressive state related to physical disease and major depression were 1.78% ,0.16% and 2.37% respectively. The people with depressive disorder had significant higher score on LES total score, negative score and family problem score, and significant lower PSSS total score(t=4.91, P<0.01 ;t =5.25, P<0.01 ;t =5.60, P <0.01 ;t = 3.33, P< 0.01 ). The factors related to depressive symptoms included age, female gender,low income,low educational level, jobless,introversion,lack of hobby, physical diseases, previous depressive episodes and positive family history of psychosis(P<0.05). Conclusion Depression is a psychotic disorder with high prevalence,which is correlated to some socio-demographic factors,life events and social supports.

Epidemiological survey of depression among residents in a community of Shanghai