- 作者：Andrew G.M. Bulloch ; Ph.D.a ; b ; d ; bulloch@ucalgary.ca" class="auth_mail" title="E-mail the corresponding author ; Kirsten M. Fiest ; Ph.D.a ; d ; Jeanne V.A. Williams ; M.Sc.a ; Dina H. Lavorato ; M.Sc.a ; Sandra A. Berzins ; Ph.D.a ; d ; Nathalie Jetté ; M.D.a ; c ; Tamara M. Pringsheim ; M.D.c ; d ; Scott B. Patten ; M.D. ; Ph.D.a ; b ; d ;
- 关键词：Neurological conditions ; Depressive disorder ; Depression rating scales ; Prevalence ; Community-based study
- 刊名：General Hospital Psychiatry
- 出版年：2015
- 出版时间：November-December 2015
- 年：2015
- 卷：37
- 期：6
- 页码：507-512
- 全文大小：251 K
bsSec_2">Methods
The data source was the Survey of Living with Neurological Conditions in Canada (SLNCC), which accrued its sample by selecting participants from the Canadian Community Health Survey. The point prevalence of depression was estimated by assessment of depressive symptoms with the Patient Health Questionnaire, Brief (Patient Health Questionnaire, 9-item).
bsSec_3">Results
A total of n= 4408 participated in the SLNCC. The highest point prevalence of depression (> 30%) was seen in those with traumatic brain injury and brain/spinal cord tumors. Depression was also highly prevalent (18–28%) in those with (listed from highest to lowest) Alzheimer’s disease/dementia, dystonia, multiple sclerosis, Parkinson’s disease, stroke, migraine, epilepsy and spina bifida. The odds ratios for depression, with the referent group being the general population, were significant (from highest to lowest) for migraine, traumatic brain injury, stroke, dystonia and epilepsy.
bsSec_4">Conclusions
All neurological conditions included in this study are associated with an elevated prevalence of depression in community populations. The conditions with the highest prevalence are traumatic brain injury and brain/spinal cord tumors.