Ocena nasilenia objawów depresyjnych z zastosowaniem polskiej wersji IA Inwentarza Depresji Becka u zdrowych mężczyzn, mieszkańców Wrocławia
Psychiatr Pol 2013;47(6):1001–1009
Background. Aging is accompanied by progression of depressive symptoms, which significantly impair the prognosis and quality of life of elderly men. Currently, there are no Polish reference values reflecting age-related changes in the intensity of depressive symptoms in healthy men. Aim. An assessment of the severity of depressive symptoms in a population of healthy Polish men, and an evaluation of the effects of age and education on the analyzed variables. Methods. We examined 341 healthy men, inhabitants of Wroclaw, aged 32-79, without any significant medical history. The intensity of depressive symptoms was assessed using the Polish version IA of Beck Depression Inventory (BDI). Results. We observed an increase in the severity of depressive symptoms in the subsequent age categories in the examined men, in all the analyzed symptoms (32-45, 46-55, 56-65, 6679 years -4.1 +/- 4.4, 8.2 +/- 4.2, 10.4 +/- 3.6, 13.4 +/- 3.4 points, respectively, r=0.65, p<0.0001), and in cognitive-affective symptoms (respectively -2.8 +/- 3.1, 5.0 +/- 2.8, 5.8 +/- 2.5, 7.3 +/- 2.6 points, r=0.51, p<0.0001) as well as in somatic symptoms related to mood changes (respectively -1.3 +/- 1.5, 3.2 +/- 2.0, 4.6 +/- 1.5, 6.1 +/- 1.7 points r=0.73, p<0.0001). Mild (BDI >= 10 and <20 points) and moderate depression (BDI >= 20 and <30 points) were found in 12.6% and 0%, 34.5% and 0.8%, 50.0% and 2.9%, 80.0% and 2.9% of men aged 32-45, 46-55, 56-65, 66-79 years, respectively (p<0.0001). There were differences in the intensity of depressive symptoms in the examined men (p>0.2). Conclusions. In Poland, male aging is accompanied by an increase in the severity of depressive symptoms. Age, but not education, constitutes a major determinant of these symptoms. The presented data may be used as reference values for BDI scores of healthy Polish men in subsequent age categories.