Prevalence of depression among outpatients visiting a general internal medicine polyclinic in rural Japan

Inagaki, Masumi; Ohtsuki, Tsuyuka; Yonemoto, Naohiro; Oikawa, Yuetsu; Kurosawa, Mie; Muramatsu, Kumiko; Furukawa, Toshi A; Yamada, Mitsuhiko

doi:10.1016/j.genhosppsych.2012.11.013

Cited by 11 publications

(8 citation statements)

References 25 publications

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“…In this study, rural older hypertensive patients with one or more complications were significantly associated with depressive symptoms. The results were consistent with previous studies that reported a positive association between depressive symptoms and the number of hypertension‐related complications (Inagaki et al., ; Ma et al., ; Meyer, Armenian, Eaton, & Ford, ). In addition, we found that the number of comorbid chronic diseases was strongly associated with the severity of depressive symptoms.…”

Section: Discussionsupporting

confidence: 93%

The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension

2018

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 93%

The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension

2018

Journal of Clinical Nursing

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“…Others have estimated that up to 71% of MDE patients express current suicidal ideation [25], about one in 10 of depressed patients attempt suicide, and about 70% of all suicides revolve around depressive or anxiety disorder [26]. Current use of antidepressants is a well-established risk factor for suicidal ideation [27].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania

Bunevičius

Liaugaudaitė

Pečeliūnienė

et al. 2014

Scandinavian Journal of Primary Health Care

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Objective. The aim of this study was to establish prevalence, recognition, and risk factors for mental disorders and suicidal ideation in PC patients. Design. A cross-sectional survey based on standard mental health evaluation. Setting. Lithuanian primary care. Subjects. 998 patients from four urban PC clinics. Main outcome measures. Current mental disorders and suicidal ideation assessed using the Mini International Neuropsychiatric Interview (MINI). Results. According to the MINI, 27% of patients were diagnosed with at least one current mental disorder. The most common mental disorders were generalized anxiety disorder (18%) and major depressive episode (MDE) (15%), followed by social phobia (3%), panic disorder (3%), and post-traumatic stress disorder (2%). Some 6% of patients reported suicidal ideation. About 70% of patients with current mental disorder had no documented psychiatric diagnosis and about 60% received no psychiatric treatment. Greater adjusted odds for current MDE were associated with being widowed or divorced patients (odds ratio, OR = 1.8, 95% CI 1.2–2.8) and with lower education (OR = 1.6, 95% CI 1.1–2.3), while greater adjusted odds for any current anxiety disorder were found for women (OR = 1.9, 95% CI 1.3–2.8) and for patients with documented insomnia (OR = 2.2, 95% CI 1.2–4.2). Suicidal ideation was independently associated with use of antidepressants (OR = 5.4, 95% CI 1.7–16.9), with current MDE (OR = 2.9, 95% CI 1.5–5.8), and with excessive alcohol consumption (OR = 2.0, 95% CI 1.1–3.8). Conclusions. Depression, anxiety disorders, and suicidal ideation are prevalent but poorly recognized among PC patients. The presence of current MDE is independently associated with marital status and with lower education, while current anxiety disorder is associated with female gender and insomnia. Suicidal ideation is associated with current MDE, and with antidepressants and alcohol use.

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“…Simon et al [12] found that detection rate of depression by the primary care physician was 42%. In Europe, the general practitioner detected 51% of the depressive, anxiety and somatic disorders [6]. A study conducted in Japan assessed the primary care physicians' rates of diagnoses of both depression and alcohol use disorders.…”

Section: Accuracy Of Primary Care Physicians' Diagnosismentioning

confidence: 99%

“…The current rates of depression at the primary care level worldwide are estimated to be between 7.8 and 14.1% [2][3][4][5][6][7]. In comparison, the rates in India are 1.9 to 28.2% [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Recognition of major depressive disorder and its correlates among adult male patients in primary care

Pal¹,

Oswal²,

Vankar³

2018

Arch Psych Psych

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Background and aims. Primary care is one of the first points of contact for patients with major depressive disorder (MDD). However, before primary care centers can become effective referral points, it is essential to know the prevalence and current rates of detection of MDD in those centers. We aimed to determine the prevalence of MDD and its sociodemographic correlates in a primary care center and to evaluate the accuracy of the primary care physicians' diagnosis.Methodology. This is an observational cross-sectional study conducted in a rural primary health care center on adult male attendees. PHQ-9 was used to screen for depression, which was confirmed by a psychiatrist who interviewed and diagnosed patients using the DSM-5 criteria. A primary care physician separately examined each patient for depression.Results. Out of 335 adult male patients, 22.1% screened positive with PHQ-9 and 42 patients (12.5 %) had MDD Primary care physicians diagnosed only 45% of cases correctly, missing 55%. The correlation between the two physicians' and the psychiatrist's diagnosis had a Kappa of 0.342 and 0.281, respectively. Significant sociodemographic correlates were self-reported financial stress and life stressors.Discussion. MDD prevalence was consistent with studies in other countries. The physicians' diagnosis may have been an overestimation due to the Hawthorne effect.Conclusion. Primary care physicians were unable to diagnose a significant fraction of the depression. This emphasizes the need for further training at this level, to improve early diagnosis and referral rates. depression, men, family practice

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Prevalence of depression among outpatients visiting a general internal medicine polyclinic in rural Japan

Cited by 11 publications

References 25 publications

The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension

The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension

Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania

Recognition of major depressive disorder and its correlates among adult male patients in primary care

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