Depression Is Still Underrecognized and Undertreated

Jeong

et al. 2011

Psychiatry Investig

ObjectiveThe Clinical Research Center for Depression (CRESCEND) study is a 9-year observational collaborative prospective cohort study for the clinical outcomes in participants with depressive disorders in Korea. In this study, we examined the baseline characteristics of the depressive participants as the hospital-based cohort.MethodsParticipants were assessed using various instruments including the Clinical Global Impression scale, 17-item Hamilton Depression Rating Scale (HDRS-17), Hamilton Anxiety Rating Scale, Brief Psychiatric Rating Scale, Social and Occupational Functioning Assessment Scale, Beck Depression Inventory-Second Edition, Scale for Suicide Ideation, and World Health Organization Quality of Life assessment instruments-abbreviated version. Also, personal histories of medical and psychiatric illnesses and the range of socio-epidemiologic and clinical data were collected from each participant.ResultsOne thousand one hundred eighty three participants were recruited from 18 hospitals. The mean age of the participants was 47.9±15.9 year-old, 74.4% were female, 82.9% had been diagnosed of major depressive disorder, 40.9% were experiencing their first depressive episode, and 21.4% had a past history of suicide attempts. The majority (85.3%) of the participants were moderately to severely ill. The average HDRS-17 was 19.8±6.1. Significant gender differences at baseline were shown in age, education, marriage, employment, religion, and first depressive episode.ConclusionThe baseline findings in the CRESCEND study showed some different characteristics of depression in Korea, suggesting a possibility of ethnic and cultural factors in depression.

Section: Introductionmentioning

confidence: 99%

The Clinical Research Center for Depression Study: Baseline Characteristics of a Korean Long-Term Hospital-Based Observational Collaborative Prospective Cohort Study

Jeong

et al. 2011

Psychiatry Investig

“…However, at least in some instances, the under use of certain drugs may be an important consideration. For example, the failure to recognize and diagnose depressive disorders among older persons and to treat them accordingly is a common problem in long-term care (Abrams, Teresi, & Butin, 1992;Burrows, Satlin, Salzman, Nobel, & Lipsitz, 1995;Fogel, 1997;Gelenberg, 1999;Lyness et al, 1996). Some studies estimate that as many as one third of nursing home residents are affected by depression (Ames, 1991), but a National Institute of Health (NIH) consensus panel suggested a range of 15 to 25 percent for minor and major depression in nursing homes (NIH, 1991).…”

Section: Introductionmentioning

confidence: 99%

Cross-National Comparisons of Antidepressant Use Among Institutionalized Older Persons Based on the Minimum Data Set (MDS)

et al. 2000

RÉSUMÉOn a examiné l'usage des antidépresseurs dans des échantillons provenant d'établissements de soins de longue durée de Toronto (Canada), Sapporo et Naie (Japon), Reykjavik (Islande) et Prague (République tchéque). C'est seulement en Islande que la majorité des résidents souffrant de dépression recevaient des antidépresseurs. Le taux de dépression et l'usage des antidépresseurs sont généralement faibles au Japon. On a constaté un écart important entre le diagnostic de dépression et le comportement dépressif en République tchèque. Dans tous les pays examinés, environ la moitié des utilisateurs d'antidépresseurs ne présentent pas de symptômes évidents de dépression. Dans certains pays, l'usage des antidépresseurs était moins élevé chez les résidentes, chez les aîné(e)s plus âgés ou plus handicapés. La dépression est clairement sous-diagnostiqué en République tchèque mais les faibles taux de dépression au Japon sont plus difficiles à interpréter. Étant donné l'opinion largement répandue voulant que la dépressione passe souvent inaperçue et soit done mal soignée, les résultats de l'étude laissent entendre que l'on pourrait améliorer les mesures prises dans les cas de dépression grâce à des outils comme le MDS.

“…Despite these findings, depression may remain underrecognized and undertreated, particularly among ESRD patients [5][6][7]. A systematic assessment of depression in hemodialysis patients would supply information about patients' feelings of well being.…”

mentioning

confidence: 99%

Screening for depression in hemodialysis patients: Associations with diagnosis, treatment, and outcomes in the DOPPS

Lopes¹,

Albert²,

Young³

et al. 2004

Kidney International

270

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