40 yaş ve üzeri bireylerde eşik üstü depresif belirti gösterenlerin sıklığı
AMAÇ: Bu çalışmanın amacı Eskişehir ilinin Sivrihisar ilçesinin Kaymaz beldesinde ikamet etmekte olan 40 yaş ve üzeri popülasyonda eşik üstü depresif belirtileri gösterme sıklığını saptamak ve depresyon ile ilişkili olduğu düşünülen bazı risk faktörlerini değerlendirmektir. GEREÇ-YÖNTEM: Bu çalışma kesitsel tipte bir araştırma olup, 1 Mayıs – 30 Haziran 2007 tarihleri arasında gerçekleştirilmiştir. Araştırma örneklemi 269’u (%50.1) erkek, 268’i (%49.9) kadın olmak üzere toplam 537 kişiden oluşmaktaydı. Araştırma örnekleminin yaş ortalaması 59.94 ± 10.94 yıl olup, yaşları 40 ile 87 yıl arasında değişmekteydi. Bazı sosyodemografik özellikleri ve depresyon ile ilişkili olduğu düşünülen bazı risk faktörleri hakkında sorular içeren anket yüz yüze görüşme tekniği ile uygulandı. Depresyonun değerlendirilmesinde Beck Depresyon Ölçeği kullanıldı. İstatistiksel analizlerde ki kare testi kullanıldı. BULGULAR: Araştırma örnekleminde eşik üstü depresif belirtileri gösterme sıklığı %15.1 (n=81) olarak bulundu. Eşik üstü depresif belirtileri gösterme sıklığı kadınlarda, işi olmayanlarda, sosyal güvencesi olmayanlarda, sigara içenlerde, herhangi bir fiziksel kusuru olanlarda, herhangi bir kronik hastalığı olanlarda, son 1 ayda hayatı olumsuz etkileyen olay yaşayanlarda ve ailesinde depresyon öyküsü olanlarda anlamlı bir şekilde daha yüksek bulundu (her biri için p
Prevalence of people showing over threshold depressive symptom in 40 years and over aged
BACKGROUND: The aim of this study was to investigate prevalence of threshold over depressive symptoms and to determine depression related risk factors among 40 years and over aged population in Kaymaz municipality of Sivrihisar county of Eskisehir city. MATERIAL-METHOD: This cross-sectional study was done from May 1st to June 30th 2007. In the study sample, there were 269 (50.1%) men, 268 (49.9 %) women, and total 537 people. The mean age of the study sample was 59.94 ± 10.94 year, and the range was 40 - 87 years. The questionnaire about socio-demographic characteristics and some depression related risk factors was filled out by interview Beck Depression Scale was used in determination of depression. Chi-square test was used in statistical analyses. RESULTS: Prevalence of people showing over threshold depressive symptoms was found 15.1% (n=81) in the study sample. Prevalence of people showing over threshold depressive symptoms was found significantly higher among women, unemployed people, uninsured people, smokers, people with physical defect, people with chronic disease, people with living negative event that is effect to his/her life in the last month, and people with family history of depression (for each one p<0.05). CONCLUSION: In the end of this study, it was suggested that health education for preventive precautions of depression in adults, frequent periodic screening for early diagnosis and treatment of depression, and directed to specialist doctors of people with depression should be made.
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- 1. Aşkın R. Yaşlılarda Depresyon. Aşkın R. (ed). Depresyon El Kitabı. Konya. 2. Baskı, 1999.
- 2. Göktaş K, Özkan İ. Yaşlılarda depresyon. Türkiye’de Psikiyatri. 2006, 8(1): 31-7.
- 3. Lebowitz BD, Pearson JL, Schneider LS, Consensus statement. diagnosis and treatment of depression in late life. JAMA. 1997; 278: 1186-90.
- 4. Işık E. Duygulanım bozuklukları, depresyon ve mani. İstanbul. Boğaziçi Matbaası, 1991, p.29.
- 5. Doğan O. Bir psikiyatrik epidemiyoloji alan araştırması örneği. Bahar Sempozyumları II. Antalya. 1998. p.42-4.
- 6. McDougall FA, Kvaal K, Matthews FE, Paykel E, Jones PB, Dewey ME, et al. Prevalence of depression in older people in England and Wales: the MRC CFA Study. Department of Public Health and Primary Care. Psychol Med. 2007; 4:1-9.
- 7. Savrun M. Depresyonun Tanımı ve Epidemiolojisi. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Depresyon, Somatizasyon ve Psikiyatrik Aciller Sempozyumu. İstanbul. 1999, p. 11-7.
- 8. Maussaoui D, Libiger J. X. Dünya Psikiyatri Kongresi, 5.000 yıllık Bilim ve Tedavi: Psikiyatrinin Geleceğini Yaratmak. Kahire. 2005.
- 9. Stordal E, Bjartveit Krüger M, Dahl NH, Mykletun A, Dahl AA. Depression in relation to age and gender in the general population: the Nord- Trondelag Health Study (HUNT). Acta Psychiatr Scand. 2001; 104(3): 210-6.
- 10. Zunzunegui MV, Béland F, Llácer A, León V. Gender differences in depressive symptoms among Spanish elderly. Soc Psychiatry Psychiatr Epidemiol. 1998; 33(5): 195-205.
- 11. Wilhelm K, Roy K, Mitchell P, Brownhill S, Parker G. Gender differences in depression risk and coping factors in a clinical sample. Acta Psychiatrica Scandinavica. 2002; 106(1): 45-53.
- 12. Angst J, Gamma A, Gastpar M, Lepine JP, Mendlewicz J, Tylee A. Gender differences in depression. Epidemiological findings from the European DEPRES I and II studies. Eur Arch Psychiatry Clin Neurosci. 2002; 252(5): 201-9.
- 13. Serby M, Yu M. Overview: Depression in the elderly. Mt Sinai J Med. 2003;70: 38-44.
- 14. Yakar T, Baran A, Güngör S, Altınsoy B, Yalçınsoy M, Can G, ve ark. Astımlı hastalarda Beck depresyon ölçeğini etkileyen faktörler. Tüberküloz ve Toraks Dergisi. 2007; 55(1): 11-17.
- 15. Hayran M, Özdemir O. Bilgisayar, İstatistik ve Tıp. Ankara: Medikomat Basım Yayın San, 1996, p.30-40.
- 16. Teğin B. Depresyonda bilişsel süreçler, Beck modeline göre bir inceleme. Psikoloji Dergisi. 1987; 6: 116-21.
- 17. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis. 2006; 3(2): A33.
- 18. Niti M, Ng TP, Kua EH, Ho RC, Tan CH. Depression and chronic medical illnesses in Asian older adults: The role of subjective health and functional status. Int J. Geriatr Psychiatry. 2007; 3: 211-4.
- 19. Pan A, Franco OH, Wang YF, Yu ZJ, Ye XW, Lin X. Prevalence and geographic disparity of depressive symptoms among middle-aged and elderly in China. J Affect Disord. 2007; 11: 21-6.
- 20. Tsuboi S, Fukukawa Y, Niino N, Ando F, Shimokata H. Age and gender differences as factors related to depressive symptoms among community-dwelling middle-aged and elderly people. Shinrigaku Kenkyu. 2004; 75(2): 101-8.
- 21. Panza EK, Güven Z, Akyüz G, Ofluoğlu D. Osteoporotik ve Osteopenik Hastalarda Depresyon ve Yaşam Tarzı ile İlişkisi. Osteoporoz Dünyasından. 2004; 10(1): 29-31.
- 22. Hope S, Rodgers B, Power C. Marital status transitions and psychological distress: longitudinal evidence from a national population sample. Psychol Med. 1999; 29(2): 381-9.
- 23. Kyriakos S, Farrell M, Farrell J. Marital status and depression among Mexican Americans. Soc Psychiatry Psychiatr Epidemiol. 1985; 20(2): 86-91.
- 24. Scarinci IC, Beech BM, Naumann W, Kovach KW, Pugh L, Fapohunda B. Depression, socioeconomic status, age, and marital status in black women: a national study. Ethn. Dis. 2002; 12(3): 421-8.
- 25. İlhan MN, Maral I, Kitapçı M, Çakır N, Aslan S, Bumin MA. 60 Yaş üzerinde depresyon ve bilişsel bozukluğu etkileyecek faktörler. 9. Ulusal Halk Sağlığı Kongresi. Aydın. 2004, p.159.
- 26. Price RH, Choi JN, Winokur AD. Links in the Chain of Adversity Following Job Loss: How Financial Strain and Loss of Personal Control Lead to Depression, Impaired Functioning, and Poor Health. J Occup Health Psychology. 2002; 7(4): 302-12.
- 27. Emery JC. The Rise and Fall of Fraternal Methods of Social Insurance: A Case Study of the Independent Order of Oddfellows of British Columbia Sickness Insurance, 1874-195. Business and Economic History. 1994; 23 (1):10-5.
- 28. Huurre T, Eerola M, Rahkonen O, Aro H. Does social support affect the relationship between socioeconomic status and depression? A longitudinal study from adolescence to adulthood. J Affect Disord. 2007; 100(1-3): 55-64.
- 29. Kendler KS, Myers J, Prescott CA. Sex Differences in the Relationship Between Social Support and Risk for Major Depression: A Longitudinal Study of Opposite Sex Twin Pairs. Am J Psychiatry. 2005; 162 (2): 250-6.
- 30. Wagena EJ, Amelsvoort L, Kant I, Wouters E. Chronic Bronchitis, Cigarette Smoking, and the Subsequent Onset of Depression and Anxiety: Results From a Prospective Population-Based Cohort Study. Psychological Medicine. 2003; 33: 1357-67.
- 31. Korhonen T, Broms U, Varjonen J, Romanov K, Koskenvuo M, Kinnunen T, et al. Smoking behaviour as a predictor of depression among Finnish men and women: a prospective cohort study of adult twins. Psychol Med. 2007; 37: 705-15.
- 32. Murphy JM, Horton NJ, Monson RR, Laird NM, Sobol AM, Leighton AH. Cigarette Smoking in Relation to Depression: Historical Trends From the Stirling County Study. Am J Psychiatry. 2003; 160: 1663-69.
- 33. Wise JM, Roselyn EM, Preussler DW. The relationship between depression and alcohol / substance use in the rural midwestern united states. Journal of Rural Community Psychology. 2003; 6(2).
- 34. Nurnberger JI, Foroud T, Flury L, Meyer ET, Wiegant Rl. Is there a genetic relationship between alcoholism and depression? http://pubs.niaaa.nih.gov/publications/arh26- 3/233-240.htm [Erişim Tarihi:19.09.2008].
- 35. Sinanović O, Brkić F, Salihović N, Junuzović L, Mrkonjić Z. Anxiety and depression in deaf and hard of hearing adults. Med Arh. 2004; 58(2): 87- 90.
- 36. Crichlow RJ, Andres PL, Morrison SM, Haley SM, Vrahas MS. Depression in Orthopaedic Trauma Patients. The Journal of Bone and Joint Surgery (American). 2006; 88: 1927-33.
- 37. Scott KK. 1998. The "Psychological Emergency" of. New Onset Physical Disability and Deformity Jacksonville_Medicine._http://www.dcmsonline.or g/jax_medicine/1998journals/may1998/psychologi cal.htm (Erişim Tarihi: 27.10.2008).
- 38. Asghar S, Hussain A, Ali SM, Khan AK, Magnusson A. Prevalence of depression and diabetes: a population-based study from rural Bangladesh. Diabet Med. 2007; 76(3): 317-26.
- 39. Kraaij V, Arensman E, Spinhoven P. Negative life events and depression in elderly persons division of clinical and health psychology. Sci Soc Sci.2002; 57: 87-94.
- 40. Zayas LH, Cunningham M, McKee MD, Jankowski KRB. Depression and negative life events among pregnant african-american and hispanic women. Women's Health Issues. 2002; 12(1): 16-22.
- 41. Levinson DF. The genetics of depression: a review. Biol Psychiatyr. 2006; 60(2): 84-92.
- 42. Linde JA, Jeffery RW, Finch EA, Simon GE, Ludman EJ, Operskalski BH, et al. Relation of body mass index to depression and weighing frequency in overweight women. Prev Med. 2007; 45(1): 75-9.
- 43. Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry. 2003; 54(3): 330-7.
- 44. Herva A, Laitinen J, Miettunen J, Veijola J, Karvonen JT, Laksy K, et al. Obesity and depression: results from the longitudinal Northern Finland 1966 birth cohort study. Int J Obes (Lond). 2006; 30(3): 520-7.