Prevalence, risk factors and recognition rates of depressive disorders among inpatients of tertiary general hospitals in Shanghai, China

Yan, Zhiyue; Gu, Miao-juan; Zhong, Bao‐Liang; Wang, Chen; Tang, Hailiang; Ling, Yu-qi; Yu, Xiaowei; Li, Maoquan

doi:10.1016/j.jpsychores.2013.03.003

Cited by 29 publications

(26 citation statements)

References 44 publications

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“…These results agree with previous findings regarding inpatients with several medical illnesses[32]. Compared to those without depression, medical inpatients suffering from depression have longer hospital stays and higher readmission rates.…”

Section: Discussionsupporting

confidence: 92%

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

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AIMTo identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD).METHODSThis is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical wards of the University Hospital of the Federal University of Minas Gerais from November 2013 to October 2015. Sociodemographic and clinical data were obtained through a structured interview and medical record review. Depression was assessed by the depression subscale of the Hospital Anxiety and Depression Scale, with scores ≥ 8 considered as positive screening for depression. We used the Fageström Test for Nicotine Dependence to characterize nicotine dependence. For assessing resilience and early-life trauma, we used the raw scores of the Wagnild and Young Resilience Scale and Childhood Trauma Questionnaire, respectively.RESULTSAt endpoint, we included 137 subjects. Thirty-eight (27.7%) subjects presented depressive symptoms and nine (23.7%) of those were receiving antidepressant treatment during hospitalization. The female sex; a lower mean educational level; a greater prevalence of previous suicide attempts; a higher level of pain; a higher prevalence of family antecedents of mental disorders; a lower resilience score; and higher childhood trauma score were the factors significantly associated with screening positive for major depression (P < 0.05). Multivariate analysis demonstrated that the factors independently associated with the depressive symptoms were a higher childhood trauma severity (OR = 1.06; P = 0.004); moderate to severe nicotine dependence (OR = 8.58; P = 0.008); and the number of previous hospital admissions (OR = 1.11; P = 0.034). The obtained logistic model was considered valid, indicating that the three factors together distinguished between having or not depressive symptoms, and correctly classified 74.6% of individuals in the sample.CONCLUSIONOur results demonstrate that inpatients presenting both CVD and a positive screening for depression are more prone to have antecedents of childhood trauma, nicotine dependence and a higher number of previous hospitalizations.

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Section: Discussionsupporting

confidence: 92%

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

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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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“…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]. Also, female patients showed more psychological symptoms after hospital discharge compared to males [9].…”

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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Prevalence, risk factors and recognition rates of depressive disorders among inpatients of tertiary general hospitals in Shanghai, China

Cited by 29 publications

References 44 publications

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

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

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