摘要
目的:探讨我国老年人抑郁症状合并躯体疼痛的患病情况及相关因素,为改善伴抑郁症状合并躯体疼痛老年人生活质量提供参考依据。方法:基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)的数据,选取其中所有有抑郁症状[简版流调中心抑郁量表(CESD-10)得分>10分]的老年人(年龄≥60岁)2370例,其中有1335例合并躯体疼痛(DP组,主诉至少存在一个部位的躯体疼痛)、1035例未合并躯体疼痛(NDP组)。采用逐步logistic回归分析探讨抑郁症状合并躯体疼痛的相关因素。结果:2370例有抑郁症状的老年人中,合并躯体疼痛的检出率为56.33%。Logistic回归分析结果显示,女性(OR=1.45,95%CI:1.22~1.72)、农村户口(OR=2.32,95%CI:1.83~2.95)、患慢性疾病(OR=2.35,95%CI:1.84~2.99)、健康自评越差(健康自评一般OR值为2.09,95%CI:1.69~2.60;健康自评差OR值为3.33,95%CI:2.64~4.20)是老年人抑郁症状合并躯体疼痛的危险因素;年龄≥75岁(OR=0.72,95%CI:0.57~0.92)是老年人抑郁症状合并躯体疼痛的保护性因素。结论:抑郁症状合并躯体疼痛是我国老年人常见症状之一。女性、年龄大、农村人口、患有其他慢性疾病和健康自评状况较差是抑郁症状合并躯体疼痛的相关因素。
Objective： To investigate the situation and related factors in Chinese elderly with depression symptoms and physical pain. Methods： All interviews were selected based on China Health and Retirement Longitudinal Study（ CHARLS） data,which included 1335 patients with depression symptoms and physical pain（ DP group who complained of at least one site of physical pain） and 1035 elderly patients with only depression symptoms（ NDP group）. Logistic regression analysis was used to study related factors in Chinese elderly patients with depression symptoms and physical pain. Results： The rate of physical pain in elderly with depression symptoms was 56. 33%.Logistic regression analysis showed that being female（ OR = 1. 45,95% Cl： 1. 22-1. 72）,rural registration（ OR =2. 32,95% Cl： 1. 83-2. 95）,with chronic disease（ OR = 2. 35,95% Cl： 1. 84-2. 99）,with poorer health self-evaluation（ OR of general health was 2. 09,95% Cl： 1. 69-2. 60; OR of poorer health was 3. 33,95% Cl： 2. 64-4. 20）were the risk factors of depression symptoms and physical pain in elderly,and ≥75 years of age was protective factor（ OR = 0. 72,95% Cl： 0. 57-0. 92）. Conclusion： Depression symptoms and physical pain are common symptoms in elderly. The depression and physical pain may be related to female gender,older age,rural registration,chronic disease and poorer health self-evaluation.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2017年第9期714-717,共4页
Chinese Mental Health Journal
关键词
老年人
抑郁症状
躯体疼痛
相关因素
elderly
depression symptoms
physical pain
related factors
