中国临床心理学杂志

病人健康问卷抑郁量表(PHQ-9)在农村社区老年人群中的应用

作者：李振华肖亚洲谢知陈立章肖水源

分类号：B841.7

出版年,卷(期):页码：2011,19(2):171-174

摘要：

目的：探讨病人健康问卷抑郁量表(PHQ-9)在农村社区老年人中应用的效果及价值。方法：应用PHQ-9及自行编制一般人口学资料调查表对衡阳县896名≥60岁的农村社区老年人进行问卷调查。结果：量表的内部一致性Cronbach’s Alpha系数为0.838；在完成调查的896人中，PHQ-9的平均得分为8.25(男性：7.24，女性：9.13)，符合重性抑郁障碍判断标准的有134名(15.0%)；女性的抑郁严重程度高于男性(OR=1.46)；相对于收入水平较高者，收入水平中等和收入水平较低者的抑郁严重程度较高，OR值分别为2.42、10.01；婚姻状况为独身者的抑郁严重程度高于已婚完整者(OR=1.61)。结论：PHQ-9在我国农村社区老年人群中应用显示出良好的稳定性和可操作性。

Objective:explore the effect and value of the Patient Health Questionnaire-9(PHQ-9) on the Chineserural community-dwelling elderly.Methods:PHQ-9 and self-designed demographic characteristics inventory were administratedto 896 rural community residents aged 60 years or more.Results:The Cronbach’s Alpha coefficient of PHQ-9was 0.838.The average score of PHQ-9 was 8.25（male:7.24,female:9.13).The results showed that 15.0% of the samplemet the criteria of major depressive disorder(MDD).Depression severity of female（OR=1.46),was high than of male;marriageinstability(OR=1.61) were the risk facts of depression severity.Compared with those having high-income,those havingmiddle-income(OR=2.42) and low-income(OR=10.01) had more serious depression.Conclusion:PHQ-9 shows goodstability and feasibility and can be used in rural elderly in the Chinese socio-cultural context．

基金项目：

SPI(Suicide Prevention International)资助课题(AC202)

作者简介：

参考文献：

[1] Chan SW,Shoumei JIA,Thompson DR,et al.A cross-sectionalstudy on the health related quality of life of depressedChinese older people in Shanghai.International.Journal ofGeriatric Psychiatry,2006,21(9):883-889;
[2] Yen YC,Yang MJ,Yang MS,et al.Suicidal ideation andassociated factors among community-dwelling elders in Taiwan.Psychiatry and Clinical Neurosciences,2005,5;[9] (4):365-371;
[3] Chiu HF,Yip PS,Chi I,et al.Elderly suicide in HongKong-a case controlled psychological autopsy study.ActPsychiatric Scandinavica,2004,109(4):299-305;
[4] Crabb R,Hunsley J.Utilization of mental health care servicesamong older adults with depression.Journal of ClinicalPsychology,2006,62(3):299-312;
[5] Kroenke K,Robert LS.The PHQ-9:A new depression diagnosticand severity measure.Psychiatric annals,2002,32(9):1-7;
[6] PaJa LD,Kwang SK.The patient health questionnaire(PHQ-9) to screen for depressive disorders among immi-grant Korean American elderly.Journal of Cultural Diversity,2008,15(1):24-29;
[7] 徐勇,吴海苏,徐一峰.病人健康问卷抑郁量表(PHQ-9)在社区老年人群中的应用-信度与效度分析.上海精神医学,2007,19(5):257-259;
[8] Kroenke K,Spitzer RL,Williams JBW.The PHQ-9:Validityof a brief depression severity measure.J Gen Intern Med,2001,16(9):606-613;
[9] Spitzer RL,Kroenke K,Williams JB.Validation and utilityof a self-report version of PRIME-MD:the PHQ primarycare study.JAMA,1999,282(18):1737-1744;
[10] Yen S,Robins CJ,Lin N.A cross-cultural comparison ofdepressive symptom manifestation:china and the UnitedStates.Journal of consulting and clinical psychology,2000,68(6):993-999;
[11] Geerlings SW,Beekman AT,Deeg DJ,et al.Physical healthand the onset and persistence of depression in older adults:An eight-wave prospective community-based study,PsycholMed,2000,30(2):369-380;
[12] Beekman ATF,Copeland JRM,Prince MJ.Review of communityprevalence of depression in later life.British Journalof Psychiatry,1999,174(4):307-311;
[13] 马岁岁,秦侠,陈若陵,等.安徽省农村社区老年抑郁症发病率调查.中国公共卫生,2006,22(4):385-386;
[14] McCallum J,Mackinnon A,Simons L,et al.Measurementproperties of the center for epidemiological studies depressionscale:An Australian community study of aged persons.J Gerontol B Psychol Sci Soc Sci,1995,50(3):182-189;
[15] Chi I,Yip PS,Chiu HF,et al.Prevalence of depression andits correlates in Hong Kong’s Chinese older adults.AmericanJournal of Geriatric Psychiatry,2005,13(5):409-416;
[16] Cairney J,Krause N.The social distribution of psychologicaldistress and depression in older adults.Journal of Agingand Health,2005,17(6):807-835

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