长者抑郁症.ppt

1、1,Auditing Depression in the elderly population using GDS-15 in a General Practice Clinic in Hong Kong长者抑郁症 -于普通科诊所使用GDS-15问卷,Dr. CHOI Kin Honorary Clinical Associate Professor Department of Community Cochrane Database 2007) 对使用普查工具并收到响应的一群，有较高的介入率 (Gilbody; Cochrane Database 2007),13,Geriatric Depr

2、ession Scale老人抑郁症量表,1/6 elderly treated in general medical practice are depressed, prevalence higher in hospitals 而于七十五岁以上组别里，六百三十二个求诊者中有五十八人 (9.2%)有抑郁情况 Of those living alone 19/190 (10%) were depressed while for those living with family or in homes, 117/1,231 (9.5%) were depressed 一百九十名独居人士中，十九人 (

3、10%)有抑郁情况 ; 而一千二百三十一名跟家人同住的求诊者中， 一百一十七人 (9.5%)有抑郁情况,29,Measurements 量度,For those receiving public assistance, 16/120 (13.3%) were depressed, while those dependent on themselves or on their children, 120/1297 (9.3%) were depressed 对于正在接受公共援助的一百二十名收访者， 十六人 (13.3%)有抑郁情况 ; 而财政独立或倚靠子女的一千二百九十七人中，则有一百二十人 (

4、9.3%)有抑郁情况,30,Measurements 量度,For those with chronic illnesses (487) like coronary heart disease, blindness, stroke, cancer, cirrhosis etc., 78 (16%) were diagnosed with major depression while others without such chronic illness only 58/935 (6.2%) had major depression 有慢性疾病如冠心病、失明、中风、癌症、肝硬化等的四百八十七名受

5、访者中，七十八人 (16%) 被诊断出患有抑郁症 ; 而没有慢性疾病的九百三十五人中则只有五十八人(6.2%)患有抑郁症,31,CGDS-15 and major depression中文简化版老人忧郁量表 与 抑郁症,The following results compared CGDS-15 with the gold standard of a structured diagnostic interview. 以下结果比较了中文简化版老人忧郁量表 以及有系统诊断面谈,32,33,Summary 概要,Screening for depression in primary care may

6、 facilitate early diagnosis and management of a debilitating illness in the community 在基层医疗系统中进行抑郁症普查，有助及早诊断及治疗社会上引致自理能力减退的病症。 Depression is more common in the elderly female, the poor, the single person, those without religious belief and those with major chronic illness 抑郁症最为常见于女性长者、贫穷、单身、没有宗教信仰，以及长期病患者的身上。,34,Summary 概要,Depression is so common that 300 psychiatrists in Hong Kong cannot provide enough manpower to screen for this condition and screening should be delegated to primary care doctors. 抑郁症十分普遍，三百名精神科专科医生没有足够的人手去普查这个病症，所以普查的工作应该由基层医生进行。 GDS-15 can be a useful screening too