Depression And Exemplary Psychological Intervention Study With Community Elderly In Jiangxi Province

Objective: To investigate depression status of the community elderly in Jiangxi province and analyze various factors of the situation.Based on the results to present and implement a comprehensive psychological intervention and evaluate its effect on the depression in community elderly.Methods:(1) 1389 community elderly in Jiangxi province were selected and surveyed with questionnaires including the Geriatric Depression Scale(GDS), Activities of Daily Living Scale(ADL), Social Support Rating Scale(SSRS), Life Event Scale(LES), The Montreal Cognitive Assessment(Mo CA), etc.(2) the elderly in a community of Nanchang were screened by GDS and a self-developed questionnaire, 93 elderly with GDS≥11were divided into intervention group and control group randomly. Control group did not take any intervention, intervention group received comprehensive psychological intervention; compared the GDS scores between two groups after 3 months.Results:(1) the depressive state detection rate was 39.38%(547/1389), and the total score of GDS was(10.58±6.730), indicating the widespread depression problems in this group; Multi-ariable Logistic regression analysis results showed that better social support level was protection factors of depression, while, family history of depression, living alone,underlying physical condition in recent half a year, poor daily life ability, more life events were risk factors of depression.(2) the intervention group and intervention group did not have significant difference about GDS scores at the beginning; the depression level;through 3-month intervention,GDS scores in intervention group were lower than scores in the control group, meanwhile, the difference was statistically significant lower than the depression detection rate of intervention group.Conclusions:(1)the emotional state of elderly is not optimistic.(2) social support, family history of depression, living style, physical condition in recent half a year, daily life ability, were major risk factors of depression.( 3) comprehensive psychological intervention has a significant effect on easing the depression state of community elderly.