Prevalence of depression in a general hospital in Izhevsk, Russia

Pakriev, Sergei; Kovalev, Juri; Mozhaev, Mikhail

doi:10.3109/08039480903062950

Cited by 14 publications

(10 citation statements)

References 27 publications

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“…The prevalence is close to the rate of 20.7% observed among the 323 adult inpatients in Izhevsk, Russia by using the Russian version of Mini International Neuropsychiatric Interview 5.0.0 and to the rate of 24.4% observed among 10,541 adult patients from 35 cities in Russia by using the CES-D scale [21,22]. International studies show that, despite its high prevalence, most depression cases are undiagnosed, untreated or under-treated around the world [22–24]. It has been reported that 35.5% to 50.3% of the cases with serious mental disorders in developed countries and 76.3% to 85.4% in less-developed countries did not receive any treatment during the past year before the interview [23].…”

Section: Discussionsupporting

confidence: 66%

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Depressive symptoms and unprotected sex in St. Petersburg, Russia

Zhan

Шаболтас

Skochilov

et al. 2012

Journal of Psychosomatic Research

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Objective Growing evidence indicates that emotional distress such as depression may have the potential to increase the risk for HIV and other sexually transmitted infections (STIs). This study investigated the association between depressive symptoms and unprotected sex among STI clinic patients in Russia. Methods We used pre-intervention data collected between 2009 and 2010 among 307 participants who were enrolled in a randomized intervention trial conducted in a STI clinic in St. Petersburg, Russia. The 10-item Center for Epidemiological Studies Depression Scale was used to identify depressive symptoms and two indicators were used to measure unprotected sex. Logistic regression models were applied for the analysis and controlled for the following potential confounders: demographic characteristics, being a commercial sex worker, history of drug injection and alcohol misuse. Results Of the participants, 20.2% were classified as having depressive symptoms. About 59.6% of the participants did not use a condom during the last sexual intercourse and 24.4% never used condoms in the past three months. Depressive symptoms were significantly associated with both indicators of unprotected sex in two different models: odds ratio (OR) = 2.36, 95% confidence interval (CI), 1.24–4.48 for unprotected sex in the last sexual intercourse; and OR = 2.71, 95% CI, 1.43–5.11 for unprotected sex in the past three months. Conclusion Depressive symptoms were common and were strongly associated with unprotected sex among study participants in St. Petersburg, Russia. Efforts to promote condom use should address lack of condom use due to depressive symptoms.

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Section: Discussionsupporting

confidence: 66%

“…Particularly in Russia, depression seems to be both under-investigated and undertreated [13]. Although depression has been observed to be associated with unprotected sex in other countries [5,7], to the best of our knowledge, no such association has been investigated in Russia.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms and unprotected sex in St. Petersburg, Russia

Zhan

Шаболтас

Skochilov

et al. 2012

Journal of Psychosomatic Research

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“…Low rates of help seeking among persons with mental disorders have been widely reported [1]- [4]. One of the reasons cited for this phenomenon is poor understanding of mental disorders, their etiology, symptoms, treat-ment, and prevention.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Literacy and the Belief in the Supernatural

Lim

Goh²,

Chan³

et al. 2015

OJPsych

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Objective: Mental health literacy affects treatment seeking. We compare literacy levels of psychiatric outpatients and a control group of outpatients seeking treatment for non-psychiatric disorders in the same hospital. We hypothesized higher levels of mental health literacy among psychiatric patients than controls, with younger age and higher educational levels associated with better literacy. We also hypothesized that there would be an inverse relationship between educational level and the belief in the supernatural causality of mental disorders. Methods: Literacy was estimated by showing psychiatric outpatients and a control group of non-psychiatric patients vignettes depicting a case of major depression and a case of generalised anxiety disorder. Their opinions regarding diagnosis, etiology, treatment, and attitudes towards mental health services were ascertained by structured questionnaires. Results: Psychiatric patients did not demonstrate superior mental health literacy compared to controls, with the exception of knowing where to obtain a psychiatric referral. Lower age and higher education levels of psychiatric patients were associated with better literacy. The higher the education level is, the less likely to attribute the causality of mental disorders to supernatural elements. Conclusion: This study highlights the need for a program of psycho-education targeting patients, their relatives, and the public.

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“…The scenario is similar in Russia where recent studies have indicated the prevalence of lifetime and current depressive disorders to be 30% and 20.7%, respectively [4] with high percentages in both women (44%) and men (23%) [5]. Biochemical, endocrinal, neurophysiological, psychological and social-economical factors are known to play a role in the aetiology of depression.…”

Section: Introductionmentioning

confidence: 72%

“…Although fluvoxamine-based treatment is widely used for the management of depressive disorders in Russia, there are limited efficacy trials that are conducted in carefully selected populations under controlled conditions [4] [21]- [23]. Information on its efficacy and safety in treating depression under routine, uncontrolled settings, which is intended to have a greater generalizability in Russian population, is scarce.…”

Section: Introductionmentioning

confidence: 99%

Fluvoxamine in Treatment of Depression in Russian Patients: An Open-Label, Uncontrolled and Non-Randomized Multicenter Observational Study

Smulevich¹,

Ilyina²

2015

OJPsych

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Background: Fluvoxamine, a selective serotonin reuptake inhibitor is widely used in the treatment of depression, one of the most common disorders prevalent in Russia. However, studies demonstrating its efficacy and safety in routine settings in Russia are scarce. Methods: This prospective, uncontrolled, open-label study was conducted at 11 centers in Russia. Total 293 patients (aged ≥ 18 years), meeting DSM-IV criteria for depression and scoring ≥ 17 on 17-item Hamilton Rating Scale of Depression (HAMD-17) received fluvoxamine 50-300 mg for 6 weeks. Primary efficacy measures included change from baseline in the HAMD-17 and Clinical Global Impression (CGI) scores. Secondary efficacy measure was evaluation of sleep quality changes on HAMD-17 subscale. Safety was assessed by monitoring of adverse drug reactions (ADRs). Results: Mean age of patients was 42.7 years and the majority of them were women (72%). At the end of treatment (day 42), clinically significant reduction was observed in mean HAMD-17, CGI-severity of illness and HAMD-17 sleep sub-score from 23.1, 4.5 and 3.9 at baseline to day 42; change from baseline (∆) was: ∆-17.3 [95% CI: −18.0; −16.7]), ∆-2.1 and ∆-3.4 [95% CI: −3.53; −3.20]), respectively. At day 42, 20.8% patients reported as normal (not at all ill) on the CGI-severity scale and 85% patients reported as "much improved" or "very much improved" on the CGI-change in severity and quality of life scores. Nausea (12.6%) and somnolence (5.1%) were the most frequently reported ADRs. No deaths or serious ADRs were reported but eight patients discontinued treatment due to ADRs. Conclusion: Treatment with fluvoxamine under routine settings showed marked improvement in Russian patients with depression as measured by HAMD-17 and CGI ratings and was thus efficacious as well as safe and well-tolerated.

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Prevalence of depression in a general hospital in Izhevsk, Russia

Abstract: Prevalence of depression was substantial but consistent with other studies. Taking into consideration associated factors, physicians can improve recognition and treatment of depression in medical inpatients.

Cited by 14 publications

References 27 publications

Depressive symptoms and unprotected sex in St. Petersburg, Russia

Depressive symptoms and unprotected sex in St. Petersburg, Russia

Mental Health Literacy and the Belief in the Supernatural

Fluvoxamine in Treatment of Depression in Russian Patients: An Open-Label, Uncontrolled and Non-Randomized Multicenter Observational Study

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