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

Abstract：

OBJECTIVE:To determine the prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China. METHOD:A total of 513 patients were randomly selected from 1923 inpatients from three general hospitals and evaluated with a Chinese version of the Structured Clinical Interview for Diagnostic and Statistical Manual-IV Axis I disorders by eight psychiatrists. Logistic regression was used to identify factors that were associated with depression. RESULTS:The prevalence (95% confidence interval) of all current depressive disorders and major depressive disorder (MDD) was found to be 16.2% (13.0-19.4%) and 9.4% (6.8-11.9%), respectively. The correlates for depression include higher hospital class, divorce/being widowed/separation, low family income, chronic diseases, lack of medical insurance, dwelling in rural area, suffering from severe illness and multiple hospitalization history. None of the patients with current MDD were detected, treated or referred to psychiatric consultation. CONCLUSIONS:The prevalence of depression among inpatients of general hospitals in Wuhan, China, was high. None of the depressive patients were recognized or treated for depression, indicating a serious neglect of depression in general hospitals. Our studies suggest an urgent need to improve clinicians' ability to detect and treat depression.

journal_name

Gen Hosp Psychiatry

journal_title

General hospital psychiatry

authors

Zhong BL,Chen HH,Zhang JF,Xu HM,Zhou C,Yang F,Song J,Tang J,Xu Y,Zhang S,Zhang Y,Zhou L

doi

10.1016/j.genhosppsych.2010.01.016

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

268-75

issue

3

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(10)00020-4

journal_volume

32

pub_type

杂志文章

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