The Association Between the Severity and Level of Understanding of Depression Among Patients Treated With Antidepressants: A Survey of 424 Outpatients in Japan

Tomita, Tetsu; Yasui‐Furukori, Norio; Kudo, Shuhei; Sugawara, Norio; Fujii, Akira; Tsuruga, Koji; Sato, Yasushi; Ishioka, Masamichi; Nakamura, Kazuhiko

doi:10.1097/wnf.0000000000000257

Cited by 4 publications

(5 citation statements)

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“…In the present study, we reanalyzed data from a previous study22,23 to investigate the difference between male and female patients in terms of depression comprehension and showed the effect of psychoeducation. Compared with male patients, female patients with depression showed lower levels of depression comprehension and did not receive adequate psychoeducation from their physicians in the typical treatment course.…”

Section: Discussionmentioning

confidence: 99%

“…Because the prevalence of psychoeducation and level of depression comprehension among patients had not been examined in detail, we evaluated depression comprehension in patients with depressive episodes or with experience of depressive episodes as well as in those who had taken or were taking antidepressants in a previous study 22. We found low levels of depression comprehension among patients, and several questionnaires that evaluated depression comprehension were found to be significantly associated with the severity of depression in the secondary results 22,23…”

Section: Introductionmentioning

confidence: 95%

“…We have previously studied the comprehension and characteristics of patients with depression,22,23 but we did not analyze sex differences between male and female patients. In the present study, we reanalyzed data from our previous study and investigated sex differences in depression comprehension and their relationship to treatment response.…”

Section: Introductionmentioning

confidence: 99%

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<p>Sex Differences In Psychoeducation For Patients With Depression: A Comparison Of Frequency And Efficacy Of Psychoeducation</p>

Tomita

Kudo²,

Sugawara

et al. 2019

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BackgroundWe aimed to reveal sex differences in depression comprehension by reanalyzing data from a previous study of patients who were administered antidepressants.MethodsA total of 424 outpatients were enrolled in the study. Participants were provided an original self-administered questionnaire that comprised eight items: depressive symptoms, course of depression, cause of depression, treatment plan, duration of antidepressant use, how to discontinue antidepressants, side effects of antidepressants, and psychotherapy. Each item consisted of the following two questions: “Have you received an explanation from the doctor in charge?” and “How much do you understand about your treatment?” The level of patients’ comprehension of these questions was rated on a scale of 0–10 (11 anchor points). Symptoms were evaluated using the Quick Inventory for Depressive Symptomatology, Japanese version, and other scales. Patients were divided on the basis of sex, regardless of whether they were in remission.ResultsCompared with male patients, female patients with depression exhibited lower levels of depression and did not receive adequate psychoeducation from their physicians. While depression comprehension of female patients might not necessarily be associated with remission, male patients in remission received more explanations about depression and understood more compared with female patients.ConclusionDepression comprehension of male patients might be associated with remission, and psychoeducation should be sex-oriented to improve treatment responses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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<p>Sex Differences In Psychoeducation For Patients With Depression: A Comparison Of Frequency And Efficacy Of Psychoeducation</p>

Tomita

Kudo²,

Sugawara

et al. 2019

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“…Participants completed a baseline questionnaire including lower urinary tract symptoms (Core Lower Urinary Tract Symptom Score questionnaire [CLSS]) and the Quick Inventory Depressive Symptomatology-Japanese (QIDS-J) [ 14 ]. Nocturia was assessed as the overall night-time frequency based on Q2 in CLSS, while storage symptom was assessed as urgency (Q3).…”

Section: Methodsmentioning

confidence: 99%

Effect of a mobile digital intervention to enhance physical activity in individuals with metabolic disorders on voiding patterns measured by 24-h voided volume monitoring system: Kumejima Digital Health Project (KDHP)

et al. 2021

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Purpose To evaluate the effect of a mobile digital intervention on voiding patterns, we performed 24-h voided volume monitoring in individuals with metabolic disorders. Methods Participants with metabolic disorders were grouped into either the intervention group (n = 17), who had access to a smartphone app (CARADA), or the non-intervention group (n = 11), who did not. Urine monitoring was conducted for 24 h using a novel digital self-health monitoring system for urine excretion (s-HMSU). Body weight, abdominal circumference, blood pressure, and biomarkers were measured. Results Physical findings and blood test results at baseline and 6 months indicated no significant between-group differences. Night-time frequency did not change between baseline and 6 months in the intervention group but significantly worsened at 6 months in the non-intervention group, as compared to baseline (1.0 ± 0.7 vs. 1.5 ± 0.5, p < 0.05). The change in night-time frequency over 6 months did not differ between the intervention and non-intervention groups. Furthermore, the change in hours of undisturbed sleep over 6 months did not differ between the two groups. However, compared with baseline, nocturnal polyuria index tended to worsen at 6 months in the non-intervention group. Conclusion Our study results suggest that mobile digital intervention might be useful for behavioral therapy to improve night-time frequency and urine production and that s-HMSU might be beneficial for confirming the prevention of progress in individuals with metabolic disorders, which can aid in modifying lifestyle.

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“… 22 Low levels of understanding of depression by patients were revealed in our previous study, and the secondary results of the study showed the understanding of depression, which was evaluated using several questionnaires, was significantly associated with the severity of depression. 23 …”

Section: Introductionmentioning

confidence: 99%

The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients

Tomita

Kudo²,

Sugawara

et al. 2018

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BackgroundTo reveal characteristics of understanding of depression among older patients, we reanalyzed the data from a previous study of patients who were administered antidepressants.MethodsA total of 424 outpatients were enrolled in this study. We used an original self-administered questionnaire consisting of eight items: depressive symptoms, the course of depression, the cause of depression, the treatment plan, the duration of antidepressant use, how to discontinue antidepressants, the side effects of antidepressants, and psychotherapy. Each item consisted of the following two questions: “Have you received an explanation from the doctor in charge?” and “How much do you understand about your treatment?”. The level of understanding was rated on a scale of 0–10 (11 anchor points). Subjects were divided into two groups: younger patients who were <65 years of age and older patients who were ≥65 years of age.ResultsOlder patients with depression showed lower levels of understanding of depression and did not receive sufficient psychoeducation from their physicians, but their understanding of depression might not be associated with their remission. In the younger group, the scores of understanding of the course of depression, the treatment plan, how to discontinue antidepressants, and psychotherapy items, and the total understanding score of remitters, were significantly higher than those of non-remitters. In contrast, there were no significant differences in the items score or total score between remitters and non-remitters in the older group.ConclusionOlder patients showed lower levels of understanding of depression and did not appear to receive sufficient psychoeducation, but their understanding of depression might not be associated with their remission.

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The Association Between the Severity and Level of Understanding of Depression Among Patients Treated With Antidepressants: A Survey of 424 Outpatients in Japan

Abstract: Items B and C were significantly negatively and positively associated with depression severity, respectively. Sufficient and suitable psychoeducation in and knowledge of depression might improve the treatment responses in patients with depression.

Cited by 4 publications

References 17 publications

<p>Sex Differences In Psychoeducation For Patients With Depression: A Comparison Of Frequency And Efficacy Of Psychoeducation</p>

<p>Sex Differences In Psychoeducation For Patients With Depression: A Comparison Of Frequency And Efficacy Of Psychoeducation</p>

Effect of a mobile digital intervention to enhance physical activity in individuals with metabolic disorders on voiding patterns measured by 24-h voided volume monitoring system: Kumejima Digital Health Project (KDHP)

The characteristics of understanding of depression among older patients treated with antidepressants: a comparison between older and younger patients

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