Depression Screening And Mutual Recovery Among The Middle Aged And Elderly People

ObjectsTo detect the prevalence of depressive syndrome and its influencing factors among the middle aged and elderly people. To explore the mutual recovery model used in the depressive intervention.MethodsChoosing 6 communities in Shanghai as the research site. Using cluster sampling and informed consent to recruit the research sample. Social Demography Questionnaire, Self-rating Health Scale, WHO-5 Well Being Index, Social Support Questionnaire, Self-rating Anxiety Scale, Self-managing Sleep Questionnaire and Geriatric Depression Scale were used to establish the baseline database and effect indicators in these 6 communities. Mutual recovery program used as the depressive intervention was conducted from March to May in 2013.Results1131 samples were recruited in the screening survey, showing that the prevalence of depressive syndrome was 23.70%. Single factor analysis showed that marriage, age, education, pre-worktype, insomnia, life satisfaction and social support were associated with depressive syndrome with statistical significance(p<0.05). Multi-factor logistic regression analysis showed that factors affecting co depressive syndrome were age, education, pre-worktype, life satisfaction and social support. Age, education and social support were protective factors of depressive syndrome, pre-worktype as labor work and low life satisfaction were the risk factors. The status of depression of 60-69 age group is 0.53 (95% CI:0.36～0.78) times of 50～59 age groups, and 70～80 age group 0.47 (95% CI:0.28～0.79) times; depressive syndrome of high school or equivalent education background and the status of the above is 0.49 (95% CI:0.30～0.80) times of junior high school and the following degrees; depressive status of objective support groups is 0.47 (95% CI:0.33～0.68) times of the none receivers; depressive syndrome of labor worktype is 1.67 (95% CI:1.02～ 2.75) times larger than that of mental worktype; depressive syndrome of poor life satisfaction is 6.78 (95% CI:4.25～10.82) times larger than that of good life satisfaction.Mutual recovery is a kind of depressive intervention based on the community of life, interpersonal support and developing skills. The participants of the intervention have more opportunities to communicate and interact, in which all parties benefit from the intervention of such way. The content includes the following parts:health self-management, method of relaxation training, problem solving, emotion management and regulation, sleep health care, diet nursing, exercise rehabilitation and ,depression prevention. Intervention was conducted once a week, lasting 1 hour or so. Assignments and telephone interview were arranged weekly after the intervention.The difference of insomnia, life satisfaction and depressive syndrome between baseline and pre-intervention line had no statistical significance(p>0.05) in both of the control group and program group. And the difference of insomnia, life satisfaction and depressive syndrome between pre-intervention line and after the intervention had no statistical significance(p>0.05) in control group but had statistical significance in the program group(p<0.05).ConclusionsThe prevalence of depressive syndrome among middle aged and elderly people is 23.70%. Age, education and social support were protective factors of depressive syndrome, pre-worktype as labor work and low life satisfaction were the risk factors. Low life satisfaction, social objective support insufficient, insomnia should be focused on in the community intervention for the changeable factors of depression symptoms.Mutual recovery program can improve the mental health in community effectively. The intervention program increases the interaction skills, and improves participants’ communication and sleep. Depressive symptoms were significantly decreased by this program.