Prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China

Zhong, Bao‐Liang; Chen, Honghui; Zhang, Jianfang; Xu, Hua; Zhou, Cong; Yang, Fan; Song, Jin Yeong; Tang, Jun; Xu, Yiting; Zhang, Sheng; Zhang, Yan; Zhou, Lian

doi:10.1016/j.genhosppsych.2010.01.016

Cited by 46 publications

(41 citation statements)

References 31 publications

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“…Importantly, the subspecialty healthcare for addressing psychosocial problems of cancer patients, psychooncology services, have not been provided in most of the Chinese general hospitals and cancer specialty hospitals [13, 14]. Due to the lack of training in clinical psychiatry, Chinese physicians do not routinely screen their patients for mental health problems and suicidality [15, 16]. Furthermore, even if some physicians of Chinese large hospitals are capable of recognizing depressed/suicidal individuals, most of them are usually too busy to pay adequate attention to patients’ emotional and suicidal issues.…”

Section: Introductionmentioning

confidence: 99%

Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates

Zhong

et al. 2017

Oncotarget

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Cancer patients are at high risk for suicide, particularly when they are informed about the cancer diagnosis or hospitalized for cancer treatment. Therefore, oncology healthcare settings such as large general hospitals in China, may represent an ideal setting to identify and treat suicidality in cancer patients. However, the clinical epidemiology of suicidality of Chinese cancer patients remains largely unknown. This study examined the prevalence and correlates of suicidal ideation among Chinese cancer inpatients of large general hospitals. A total of 517 cancer inpatients were consecutively recruited from two tertiary general hospitals of a metropolitan city in northern China, and administered with standardized questionnaires to collect data on sociodemographics, mental health, and cancer-related clinical characteristics. Suicidal ideation and mental health were measured with a single self-report question “In the past month, did you think about ending your life?” and Hospital Anxiety and Depression Scale, respectively. The one-month prevalence of suicidal ideation was 15.3% in Chinese cancer inpatients. In multivariable Logistic regression, depression, anxiety, moderate-to-severe pain, metastatic cancer, poor performance status, surgery, and palliative care were significantly associated with suicidal ideation. Cancer inpatients of large Chinese general hospitals have high prevalence of suicidal ideation and therefore potentially at high risk for suicide. Suicide prevention efforts for cancer inpatients should include periodic evaluation of suicidality, effective pain management, psychooncological supports, and, when necessary, psychiatric treatment and crisis intervention.

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Section: Introductionmentioning

confidence: 99%

Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates

Zhong

et al. 2017

Oncotarget

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“…However, most of these studies did not control for confounding variables such as main diagnosis and comorbidity. Furthermore, the severity of a medical disease or having a diagnosis of a chronic illness were related with psychological distress [15]. Additionally, evidence suggests that prevalence rates of depressive symptoms varies among different medical diagnoses and the specialties concerned with treating them with highest rates in inpatients from the neurology department (32.1 %) followed by gastroenterology (25.5 %), cardiology (22.9 %), nephrology (20 %) and respiratory department (7.1 %) [16].…”

Section: Introductionmentioning

confidence: 99%

“…Also, female patients showed more psychological symptoms after hospital discharge compared to males [9]. Depressive symptoms were higher in patients with a lower family income or with a marital status such as divorced, widowed or separated [15, 16]. Most of these studies were limited to small sample sizes and a narrow focus on specific patient populations rather than broader patient populations.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

et al. 2016

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BackgroundPsychological distress in medical patients admitted to the emergency department (ED) is not well studied. Our aim was to investigate the extent of psychological distress in a broad and unselected medical patient sample 30 days after ED admission and its association with socio-demographic and clinical variables.MethodWe used data from a prospective observational cohort study including 1575 consecutive adult medical patients presenting to the ED with acute somatic conditions. Outcome variables were patient’s psychological distress measured by the 4-item Patient Health Questionnaire (PHQ–4) and self-rated health assessed 30 days after ED admission using telephone interviews. Risk factors included socio-demographic variables (e.g. gender, marital status), clinical presentation (e.g. illness severity, main initial diagnosis) and course of illness (e.g. rehospitalisation, length of hospital stay).ResultsA total of 38 % of patients had evidence for psychological distress 30 days after ED admission. Multivariate analysis found female gender (adjusted odds ratio [aOR] 1.35, 95 % confidence interval [CI] 1.02 to 1.78), comorbid psychiatric disorder (aOR 1.63, 95 % CI 1.08 to 2.62), discharge to a post-acute care institution (aOR 1.47, 95 % CI 1.03 to 2.09), unplanned rehospitalisation (aOR 2.38, 95 % CI 1.47 to 3.86), and unplanned visit at general practitioner (aOR 4.75, 95 % CI 2.57 to 8.80) to be associated with distress at day 30 following ED admission.ConclusionsOne month after ED admission a significant number of patients still show a moderate amount of psychophysical distress. Strongest related variables were course of illness, in particular unplanned general practitioner visits. Future interventional studies should assess possibilities to reduce distress in patients at increased risk.Trial registrationNCT01768494, January 9, 2013 (registration date), February 25, 2013 (enrolment of first participant).

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“…Studies in the U.S. found that mandatory health insurance coverage of mental health services is not an effective means of improving mental health outcomes [11] or reducing the suicide rate, which is a primary indicator of mental health [12]. A contradictory result was found in a survey among 513 hospital inpatients in China, which revealed that those without health insurance had a higher risk of depression [13]. These differences may be due to the different cultures and health insurance systems.…”

Section: Introductionmentioning

confidence: 99%

The role of basic health insurance on depression: an epidemiological cohort study of a randomized community sample in Northwest China

Tian

Wang

et al. 2012

BMC Psychiatry

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BackgroundLittle research has focused on the relationship between health insurance and mental health in the community. The objective of this study is to determine how the basic health insurance system influences depression in Northwest China.MethodsParticipants were selected from 32 communities in two northwestern Chinese cities through a three-stage random sampling. Three waves of interviews were completed in April 2006, December 2006, and January 2008. The baseline survey was completed by 4,079 participants. Subsequently, 2,220 participants completed the first follow-up, and 1,888 completed the second follow-up. Depression symptoms were measured by the Center for Epidemiologic Studies Depression Scale (CES-D).ResultsA total of 40.0% of participants had at least one form of health insurance. The percentages of participants with severe depressive symptoms in the three waves were 21.7%, 22.0%, and 17.6%. Depressive symptoms were found to be more severe among participants without health insurance in the follow-up surveys. After adjusting for confounders, participants without health insurance were found to experience a higher risk of developing severe depressive symptoms than participants with health insurance (7 months: OR, 1.40; 95% CI, 1.09-1.82; p = 0.01; 20 months: OR, 1.89; 95% CI, 1.37-2.61; p < 0.001).ConclusionA lack of basic health insurance can dramatically increase the risk of depression based on northwestern Chinese community samples.

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Prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China

Cited by 46 publications

References 31 publications

Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates

Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

The role of basic health insurance on depression: an epidemiological cohort study of a randomized community sample in Northwest China

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