Prevalence and risk factors of depression among elderly people in nursing homes from 2012 to 2022: a systematic review and meta-analysis.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI:10.1080/13607863.2024.2367044
Qing Wang, Xiaoting Huang, Minhui Liu, Chunyu Wang, Zaiqing Sun, Chongmei Huang, Siyuan Tang
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引用次数: 0

Abstract

Objectives: To determine a pooled prevalence of depression and its influencing factors among nursing home residents.

Method: PsycINFO, PubMed, Embase, and Web of Science were searched for studies investigating the prevalence and risk factors of late-life depression among nursing home residents between January 2012 and November 2022. Two reviewers independently completed the literature screening, data extraction and quality assessment. A random-effects model was utilized to pool the prevalence of depression and summarize the influencing factors.

Results: This meta-analysis included 48 studies involving 28,501 participants. The pooled prevalence of depressive mood and major depressive disorder was 53% and 27%, respectively. The rate of depressive mood is higher in lower-middle-income countries (60.0%), compared with high- (53.0%) and upper-middle-income countries (44.0%). The rate of depressive mood (35.0%) is higher among females than male (19.0%). Depression was influenced by factors, including male (OR = 0.28), insufficient income (OR = 3.53), comorbidities (OR = 2.66), pain (OR = 2.67; r = 0.31), functional disability (r = 0.33), loneliness (r = 0.43), number of chronic health problems (r = 0.18), social support (r = -0.28), activities of daily living (r = -0.43), subjective health (r = -0.28), autonomy (r = -0.41), environment (r = -0.50) and physical (r = -0.57) and psychological health (r = -0.65).

Conclusion: The prevalence of depressive mood is high among nursing home residents, especially in lower-middle-income countries. It is influenced by factors including gender, income, social support, daily activities, environment, physical and psychological health and autonomy. Understanding those factors can provide evidence-based recommendations for improved awareness, prevention and better management of late-life depression.

2012年至2022年养老院老人抑郁症的患病率和风险因素:系统回顾和荟萃分析。
目的确定养老院居民中抑郁症的患病率及其影响因素:在 PsycINFO、PubMed、Embase 和 Web of Science 中检索了 2012 年 1 月至 2022 年 11 月间调查养老院居民晚年抑郁症患病率和风险因素的研究。两名审稿人独立完成了文献筛选、数据提取和质量评估。采用随机效应模型对抑郁症患病率进行汇总,并总结影响因素:这项荟萃分析包括 48 项研究,涉及 28,501 名参与者。抑郁情绪和重度抑郁障碍的合计患病率分别为 53% 和 27%。中低收入国家的抑郁情绪发生率(60.0%)高于高收入国家(53.0%)和中高收入国家(44.0%)。女性抑郁情绪发生率(35.0%)高于男性(19.0%)。抑郁情绪受多种因素影响,包括男性(OR = 0.28)、收入不足(OR = 3.53)、合并症(OR = 2.66)、疼痛(OR = 2.67;r = 0.31)、功能性残疾(r = 0.33)、孤独(r = 0.43)、慢性健康问题数量(r = 0.18)、社会支持(r = -0.28)、日常生活活动(r = -0.43)、主观健康(r = -0.28)、自主性(r = -0.41)、环境(r = -0.50)以及身体(r = -0.57)和心理健康(r = -0.65):抑郁情绪在养老院居民中的流行率很高,尤其是在中低收入国家。抑郁情绪受性别、收入、社会支持、日常活动、环境、身心健康和自主性等因素的影响。了解这些因素可以为提高对晚年抑郁症的认识、预防和更好地管理提供循证建议。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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