Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 李子芬教授 (那打素护理学院) |
| 余秀凤教授 (那打素护理学院) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1002/gps.2692 |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/11WOS source URL
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/15Scopus source URL
其它资讯
摘要Objective To identify the pattern of somatic presentation of depression among older Chinese by examining the association between medically unexplained somatic symptoms and depression. Subjects The population comprised 1433 Chinese 65 years or older recruited from http://aims.cuhk.edu.hk/converis/portal/Publication/11 older community centres distributed across the three main territory regions of Hong Kong. Method Data were collected between January and December 2008, with a response rate of 72.3%. Data on socio-demographic background, medical profile and somatic symptoms were collected. The Mental Health Inventory (five-item) was used for depression screening. Medically unexplained somatic symptoms were defined as those not explained by any known medical pathology. Results The prevalence of depression among older Chinese was 16.5%. They reported more frequently than did the non-depressed six medically unexplained somatic symptoms. After being adjusted for age, living arrangements, social support, financial strain, major stressful life events and chronic illness, depression was found to be significantly associated with all medically unexplained somatic symptoms (odds ratio: 1.667-2.268). Indeed, depressed older people were more likely to have multiple symptoms than were the non-depressed, the odds ratio increasing from 2.64 (95%CI: 1.884-3.717) for two co-existing symptoms to 4.521 (95%CI: 1.872-10.917) for six symptoms. Conclusion Older Chinese with depression were more likely to have multiple medically unexplained somatic symptoms, particularly fatigue, insomnia, loss of appetite and gastro-intestinal problems. Health care professionals need to be aware of this pattern of somatization and take active steps to rule out any underlying psychological etiology. ? 20http://aims.cuhk.edu.hk/converis/portal/Publication/11 John Wiley & Sons, Ltd.
着者Yu D.S.F., Lee D.T.F.
期刊名称International Journal of Geriatric Psychiatry
出版年份2012
月份2
日期1
卷号27
期次2
出版社John Wiley & Sons Inc.
出版地United States
页次http://aims.cuhk.edu.hk/converis/portal/Publication/119 - 126
国际标準期刊号0885-6230
电子国际标準期刊号1099-http://aims.cuhk.edu.hk/converis/portal/Publication/1166
语言英式英语
关键词depression, medically unexplained somatic symptoms, older Chinese, somatization
