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中老年人群慢性病共病与抑郁症状的关联性分析

孙钰 郭杨子叶 牛四方 慕福芹 陈红光 刘燕 黄悦勤 刘宁

中国心理卫生杂志2025,Vol.39Issue(8):713-719,7.
中国心理卫生杂志2025,Vol.39Issue(8):713-719,7.DOI:10.3969/j.issn.1000-6729.2025.08.08

中老年人群慢性病共病与抑郁症状的关联性分析

Association analysis between comorbidity with chronic diseases and depressive symptoms in middle-aged and older population

孙钰 1郭杨子叶 1牛四方 2慕福芹 3陈红光 4刘燕 5黄悦勤 4刘宁6

作者信息

  • 1. 山东第一医科大学(山东省医学科学院)公共卫生与健康管理学院,济南 250117||济宁医学院公共卫生学院,山东济宁 272013
  • 2. 济宁医学院公共卫生学院,山东济宁 272013||滨州医学院公共卫生学院,山东烟台 264003
  • 3. 济宁医学院精神卫生学院,山东济宁 272013
  • 4. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
  • 5. 济宁医学院公共卫生学院,山东济宁 272013
  • 6. 济宁医学院基础医学院,山东济宁 272067
  • 折叠

摘要

Abstract

Objective:To investigate the comorbidity rate of chronic diseases and prevalence of depressive symptoms among the middle-aged and elderly population,and explore the association between comorbidity with-chronic disease and depressive symptoms in middle-aged and older people.Methods:A cross-sectional study was conducted in Shandong Province.A total of 9 535 middle-aged and older people aged 45 years and over were recrui-ted.General information questionnaire,the chronic disease information questionnaire and Patient Health Question-naire were used for face-to-face interview to screen symptoms and collect information.Univariate analysis and mult-ivariate logistic regression analysis were employed to explore the association between comorbidity with chronic dis-ease and depressive symptoms.Results:The prevalence of depressive symptoms among middle-aged and older peo-ple was 8.7%,while among those with comorbid chronic diseases,the prevalence of depressive symptoms was 29.6%.Respectively,demonstrating an increasing trend with the number of chronic diseases(P<0.001).Multiva-riate analysis revealed that comorbid chronic disease(OR=1.47,95%CI:1.22-1.78)were risk factors of depres-sive symptoms.Conclusion:Middle-aged and older people with multiple chronic conditions are more likely to be di-agnosed with depressive symptoms,and the detection rate of these symptoms increases with the number of comorbid chronic conditions.Therefore,it is recommended to strengthen mental health interventions for those with multiple chronic conditions.

关键词

慢性病共病/抑郁症状/中老年人

Key words

comorbidity/depressive symptom/middle-aged and elderly people

分类

医药卫生

引用本文复制引用

孙钰,郭杨子叶,牛四方,慕福芹,陈红光,刘燕,黄悦勤,刘宁..中老年人群慢性病共病与抑郁症状的关联性分析[J].中国心理卫生杂志,2025,39(8):713-719,7.

基金项目

泰山学者青年专家人才项目(tsqn201909145),济宁市重点研发计划项目(2023YXNS213) (tsqn201909145)

中国心理卫生杂志

OA北大核心

1000-6729

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