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題名：南部社區老人憂鬱症狀盛行率及相關因素研究
書刊名：中華公共衛生雜誌
作者：呂淑妤／林宗義
作者(外文)：Lyu, Shu-yu／Lin, Tsung-yi
出版日期：2000
卷期：19:1
頁次：頁50-60
主題關鍵詞：老人；憂鬱症狀；家庭支持；The elderly；Depressive symptoms；Family support
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(25) 博士論文(0) 專書(0) 專書論文(2)
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  • 點閱點閱:127
　　　　　目標：憂鬱為老人常見之心理衛生問題。本研究之目的在於調查南部社區老人之憂鬱症狀盛行率及相關因素。方法：研究對象係從1994年高雄市某一社區長期照護研究[1]之樣本群(N=1,221)中，依樣本之心理衛生狀況良好與否，分層隨機抽樣210位老人(n1=n2=105)進行面對面之問卷訪視；研究期間為1995年1月至3月。憂鬱症狀之測量主要依據美國流行病學研究中心之憂鬱量表(Center for Epidemiologic Studies Depression Scale, CES-D)。結果：研究結果顯示，如以CES-D量表得分大於或等於16做為具有憂鬱症狀之標準，則樣本之憂鬱症狀盛行率為31.3%，CES-D量表平均得 分為13.21，標準差10.74。在男性和女性方面的盛行率分別為22.0%與39.6%；而在心理衛生狀況較佳及較差的兩組樣本，其盛行率分別為23.0%與65.3%。另依據邏輯迴歸分析的結果，憂鬱症狀之相關因素包括：年齡、性別、受訪前一年心理衛生狀況、身體健康狀況，以及家庭支持。結論：本研究確認人口學因素、社會因素與身體健康狀況都是影響憂鬱症狀的相關因素。
　　　　　Objectives: Depression is recognized as one of the major mental health problems among the elderly. The purpose of this study was to investigate the prevalence and correlates of depressive symptoms among community-dwelling elderly in southern Taiwan. Methods: This study involved selecting subjects from a group of elderly who participated in a long-term care survey (N=1,221) in 1994[1]. In total, 210 subjects (n1=n2=105) were recruited according to their mental health status. Data for this study were collect ed by face-to-face interviews between January and March 1995. The symptoms of depression were measured by the Center for Epidemiologic Studies Depression Scale (CES-D). Results: The mean score of the CES-D was 13.21 with a standard deviation 10.74. Using a cut-off point of greater than or equal to 16 on the CES-D score yielded a depression rate of 39.6% for women and 22.0% for men, with an overall depression rate in this study population of 31.3%. The prevalence of depressive symptoms was 23.0% from the gr oup with "good" mental health status, and 65.3% from those with "poor" mental health status. Results of the logistic regression analysis showed that age, gender, prior mental health status, physical health status, and family support were significant correlates for depressive symptoms. Conclusions: This study confirmed that demographic factors, social factors, and physical health were correlated with depression.
Other
1.Woo, J. ; Ho, S. C. ; Lau, J. et al.(1994)。The prevalence of depressive symptoms and predisposing factors in an elderly Chinese population。  new window
期刊論文
1.Krause, N.(1987)。Chronic financial strain, social support, and depression symptoms among older adults。Psychology and Aging，2，185-192。  new window
2.鄭惠信、史麗珠、謝瀛華、盧成皆(19950600)。老年人憂鬱因子之相關研究。內科學誌，6(2)，125-134。  延伸查詢new window
3.邱裕峰、張智仁、葉宗烈(19910900)。北門鄉老人認知障礙和憂鬱症狀的盛行率：問卷調查。中華精神醫學，5(3)，123-131。  延伸查詢new window
4.傅振宗、曾良達、李志成(19880300)。Correlates of CES-D Depressive Scores in the Elderly of a Rural Community。臺灣醫學會雜誌，87(3)，365-368。  延伸查詢new window
5.Palsson, R. J.、Skoog, I.(1997)。The epidemiology of affective disorders in the elderly: A review。International Clinical Psychopharmacology，12(Suppl 7)，S3-S13。  new window
6.Blazer, D.、Burchett, B.、Service, C.、George, L. K.(1991)。The association of age and depression among the elderly: an epidemiologic exploration。J Gerontol Med Sci，46(6)，M210-M215。  new window
7.Radloff, Lenore Sawyer(1977)。The CES-D Scale: A self-report depression scale for research in the general population。Applied Psychological Measurement，1(3)，385-401。  new window
8.曾譯令、李淑杏、李孟智(19950100)。偏遠地區與城市地區老人健康狀況之比較。中山醫學雜誌，6(1)，65-87。  延伸查詢new window
學位論文
1.黃繼慶(1994)。社會支持系統對社區老人心理健康的影響(碩士論文)。國立臺灣大學。  延伸查詢new window
2.許毅貞(1993)。鹿港地區65至74歲社區老人之老人態度、社會支持、健康狀態與憂鬱程度之關係研究(碩士論文)。國立臺灣師範大學，臺北市。  延伸查詢new window
圖書
1.內政部(1997)。中華民國八十五年老人狀況調查報告。台北：內政部。  延伸查詢new window
2.主計處、內政部(1994)。中華民國台灣地區老人狀況調查報告。台北：主計處。  延伸查詢new window
其他
1.蔡瑞雄、林宗義、文榮光等(1994)。高雄醫學院老人醫療保健研究室。  延伸查詢new window
2.內政部(1999)。表8台灣地區年齡結構及扶養比。  延伸查詢new window
3.石曜堂、楊漢湶、蔡素玲、李孟芬(1996)。老年醫療照護與全民健康保險。  延伸查詢new window
4.Hooyman, N. R. ; Kiyak, H. A.(1993)。Mental disorders and the use of mental health services，Boston：Allyn and Bacon。  new window
5.林信男、陳珠璋、李明濱、林憲(1984)。老人院居民精神疾病盛行率及兩年自然病程之研究。  延伸查詢new window
6.Yeh, E. K. ; Hwu, H. G. ; Chang, L. Y. ; Yeh, Y. L.(1994)。Mental disorders and cognitive impairment among the elderly community population in Taiwan，New York：John Wiley & Sons Ltd.。  new window
7.吳淑瓊、張明正編(1997)。台灣老人健康照護之現況分析。  延伸查詢new window
8.林正介、李燕鳴、劉樹泉(1995)。影響新店社區老人憂鬱情緒之因素。  延伸查詢new window
9.謝瀛華、鄭惠信、林章賢、林英欽、洪清霖(1995)。台北市某社區六十五歲以上老人日常生活依賴程度之研究。  延伸查詢new window
10.Liu, C. Y. ; Wang, S. J. ; Teng, E. L. et al.(1997)。Depressive disorders among older residents in a Chinese rural community。  new window
11.Blazer, D. ; Huges, D. C. ; George, L. K.(1987)。The epidemiology of depression in an elderly community population。  new window
12.Henderson, A. S.(1989)。Psychiatric epidemiology and the elderly。  new window
13.Clayton, P. J.(1987)。Preventing depression: The symptoms, the syndrome, or the disorder?，Washington, D.C.：Hemisphere。  new window
14.Muñoz, R. F. ; Ying, Y. W.(1993)。The Prevention of Depression，Baltimore & London：The Johns Hopkins University Press。  new window
15.謝瀛華、鄭惠信、張利中(1992)。六十五歲以上健診老人之家庭支持與其憂鬱及痴呆傾向之相關研究。  延伸查詢new window
16.O’Hara, M. W. ; Kohout, F. J. ; Wallace, R. B.(1985)。Depression among the rural elderly: a study of prevalence and correlates。  new window
17.Krause, N.(1986)。Stress and sex differences in depressive symptoms among older adults。  new window
18.Palinkas, L. A. ; Wingard, D. L. ; Barrett-Connor, E.(1990)。Chronic illness and depressive symptoms in the elderly: a population-based study。  new window
19.Stallones, L. ; Marx, M. B. ; Garrity, T. F.(1990)。Prevalence and correlates of depressive symptoms among older U.S. adults。  new window
20.Stephenson-Cino, P. ; Steiner, M. ; Krames, L. ; Ryan, E. B. ; Huxley, G.(1992)。Depression in elderly persons and its correlates in family practice: a Canadian study。  new window
21.Murrell, S. A. ; Himmelfarb, S. ; Wright, K.(1983)。Prevalence of depression and its correlates in older adults。  new window
22.Kennedy, G. J. ; Kelman, H. R. ; Thomas, C. ; Chen, J.(1996)。The relation of religious preference and practice to depressive symptoms among 1855 older adults。  new window
23.Williamson, G. M. ; Schulz, R.(1992)。Pain, activity restriction, and symptoms of depression among community-residing elderly adults。  new window
24.Berkman, L. F. ; Berkman, C. S. ; Kasl, S. et al.(1986)。Depressive symptoms in relation to physical health and functioning in the elderly。  new window
25.Bruce, M. L. ; Seeman, T. E. ; Merrill, S. S. ; Blazer, D. G.(1994)。The impact of depressive symptomatology on physical disability: MacArthur Studies of Successful Aging。  new window
26.Zeiss, A. M. ; Lewinsohn, P. M. ; Rohde, P. ; Seeley, J. R.(1996)。Relationship of physical disease and functional impairment to depression in older people。  new window
27.Murphy, E.(1982)。Social origins of depression in old age。  new window
28.van Ojen, R. ; Hooijer, C. ; Jonker, C. ; Lindeboom, J ; van Tilburg, W.(1995)。Late-life depressive disorder in the community, early onset and the decrease of vulnerability with increasing age。  new window
29.Krause, N.(1986)。Life stress as a correlate of depression among older adults.。  new window
30.Goldberg, E. L. ; Natta, P. V. ; Comstock, G. W.(1985)。Depressive symptoms, social networks and social support of elderly women。  new window
31.Palinkas, L. A. ; Wingard, D. L. ; Barrett-Connor E.(1990)。The biocultural context of social networks and depression among the elderly。  new window
32.Oxman, T. E. ; Berkman, L. F. ; Kasl, S. ; Freeman, Jr. D. H. ; Barrett, J.(1992)。Social support and depressive symptoms in the elderly。  new window
33.Williamson, G. M. ; Schulz, R.(1992)。Physical illness and symptoms of depression among elderly outpatients。  new window
34.Krause, N. ; Liang, J.(1993)。Stress, social support and psychological distress among the Chinese elderly。  new window
35.Fillenbaum, G. G.(1988)。Multidimensional Functional Assessment of Older Adults，Hillsdale, New Jersey, Hove and London：Lawrence Erlbaum Associates, Publishers。  new window
36.Radloff, L. S. ; Locke, B. Z.(1986)。The community mental health assessment survey and the CES-D scale，New Brunswick, NJ：Rutgers University Press。  new window
37.Chochinov, H. M. ; Wilson, K. G. ; Enns, M. ; Lander, S.(1997)。“Are you depressed?” screening for depression in the terminally ill。  new window
38.Mahoney, J. ; Drinka, T. J. K. ; Abler, R. ; Gunter-Hunt, G. ; Matthews, C. ; Gravenstein, S. ; Carnes, M.(1994)。Screening for depression: single question versus GDS。  new window
39.Lubben, J. E.(1988)。Assessing social networks among elderly populations。  new window
40.Cho, M. J. ; Nam, J. J. ; Suh, G. H.(1998)。Prevalence of symptoms of depression in a nationwide sample of Korean adults。  new window
41.Lyu, S. Y.(1996)。Predictors and correlates of depressive symptoms and help-seeking behavior among elder individuals in Taiwan。  new window
圖書論文
1.梁浙西、張明正、吳淑瓊(1993)。台灣地區老人健康狀況與醫療服務之利用。臺灣地區老人健康與生活研究論文集。臺中：臺灣省家庭計畫研究所。  延伸查詢new window
 
 
 
 
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