Comparisons of prevalence and related factors of depression in middle-aged adults between urban and rural populations in Japan

Fujise, Noboru; Abe, Yasuhisa; Fukunaga, Ryuta; Nakagawa, Yoshifumi; Nishi, Yoshitomo; Koyama, Asuka; Ikeda, Manabu

doi:10.1016/j.jad.2015.11.020

Cited by 16 publications

(11 citation statements)

References 21 publications

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“…In this study, the prevalence rates of depressive symptoms based on CES-D scores of 16 points or more were 17.3% in males and 31.7% in females. While few studies have been conducted on farmers in Japan, the prevalence in males seemed to be relatively lower than those cited in previous evidence, using the CES-D with the same cut off point for workers and middle-aged adults in Japan, which range from 23% to 48% [35][36][37]. Our results also indicated that males had a lower prevalence of depressive symptoms than females, which was consistent with other previous studies [21,38,39].…”

Section: Discussionsupporting

confidence: 89%

Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan

Sato

Kato

Noguchi

et al. 2020

IJERPH

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Dairy farmers are more likely than nonfarmers to experience high demands and are at risk of mental health problems. However, there is scarce evidence on the current state of psychological health and related factors among dairy farmers, and the knowledge of potential gender differences is limited. This study aimed to examine the prevalence of depressive symptoms assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and its association with work environment characteristics and to identify gender differences. Data were collected from 273 dairy farmer participants (169 males and 104 females) in Japan. Females were more likely to be depressed, and young and middle-aged women appeared to be at risk of depression. For both genders, a demanding work environment was related to depression. There were some gender differences; for example, worries about the harmful effects of pesticides on health and the balancing of family roles and work roles were related to depression in men, while worries about one's financial situation and the health status of livestock were associated with depression in women. Females benefited from support through direct interaction, while males benefited from involvement in social activities. These findings will contribute to the development of a gender-specific approach to promote psychological health in the dairy farming community.

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Section: Discussionsupporting

confidence: 89%

Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan

Sato

Kato

Noguchi

et al. 2020

IJERPH

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“…Second, our study had a limited number of participants. The distribution of the participating patients was somewhat skewed from the distribution of previous surveys in Japan [[41], [42], [43]]. This study had a relatively younger sample, a smaller proportion of patients who were married/cohabitant, a small number of patients who were either employed or housewives, and few patients with comorbid conditions.…”

Section: Discussionmentioning

confidence: 90%

Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: A preliminary single-group study

Tanoue

Yoshinaga

Kato

et al. 2018

International Journal of Nursing Sciences

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Objectives The prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide. Since April 2016, Japanese national health insurance has covered nurse-administered cognitive behavioral therapy (CBT) for mood disorders. However, empirical support for nurse-led CBT for depression in Asian countries, especially in Japan, is still lacking. This preliminary study aimed to examine the feasibility and acceptability of nurse-led group CBT for Japanese patients with depression. Methods In this single-arm study, we evaluated the effects of a 6-week group CBT, led by trained nurses, on patients with major depression. The primary outcome was the Beck Depression Inventory-II (BDI-II). Assessments were conducted at the beginning and end of the intervention. Results Of 25 participants screened, 23 were eligible for the study (of these, three dropped out during the trial but were included in the analysis). Nurse-led group CBT led to significant improvements in the severity of depression (BDI-II, P < 0.001). The mean total BDI-II score improved from 23.1 ( SD = 7.56) to 12.4 ( SD = 8.57), and the pre-to post-effect size was large (Cohen's d = 1.33). After CBT, 45% of the participants were judged to be treatment responders, and 34% met the remission criteria. Conclusions Our preliminary findings indicate that 6 weeks of nurse-led group CBT produced a favorable treatment outcome for individuals with major depression in a Japanese clinical setting. The results of this study might encourage more Asian nurses to provide CBT as a part of their nursing practice. Further controlled trials that address the limitations of this study are required.

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“…Alguns autores não encontraram relação com a procedência. 20,21 Por outro lado, existem estudos comprovando que o diagnóstico de depressão é mais prevalente em áreas urbanas. 22,23 Em contrapartida, estudos defendem que proceder de área rural é fator de risco.…”

Section: Discussionunclassified

Estudo comparativo do perfil de idosos atendidos em um hospital terciário: ambulatório de psiquiatria geriátrica e unidade de internação psiquiátrica

Güenter

Jardim

Pascoal

et al. 2019

PAJAR

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AIMS: To verify the profile of the elderly and their main diagnoses in the geriatrics psychiatric outpatient clinic and the psychiatric hospitalization unit of a tertiary hospital. METHODS: A cross-sectional study of population-based was performed in a tertiary referral hospital, with individuals aged ≥55 years attending the geriatric psychiatric outpatient clinic and psychiatric hospitalization, from 2014 to 2018. Data were collected through interviews. The studied variables were sociodemographic and clinical aspects. RESULTS: A total of 497 individuals were evaluated, 269 from the psychiatric outpatient clinic and 228 from the psychiatric hospital. The mean age was 69.34±8.87 years. Most of the patients were female (75.8%), had no partner (56.3%), had primary education (50.3%), lived in Porto Alegre (75.6%) and were retired (66.5%). According to the clinical variables studied, 89.6% of the individuals had some morbidity, 36.9% had already been admitted to the psychiatric ward, the most common diagnosis was depression (40.8%), followed by bipolar disorder (19%) and anxiety (14.1%). CONCLUSIONS: With the population aging, it is expected to increase morbidity and mental disorders, requiring more specific diagnostic tools and better treatment approaches. There are still no consistent data on the management of mood disorders in the elderly, so our study can guide a better care for elderly and aging individuals, improving the planning of health services and policies.

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Comparisons of prevalence and related factors of depression in middle-aged adults between urban and rural populations in Japan

Cited by 16 publications

References 21 publications

Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan

Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan

Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: A preliminary single-group study

Estudo comparativo do perfil de idosos atendidos em um hospital terciário: ambulatório de psiquiatria geriátrica e unidade de internação psiquiátrica

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