Journal article
Prevalence and natural course of late-life depression in China primary care: A population based study from an urban community
Journal of affective disorders, Vol.141(1), pp.86-93
12/01/2012
Handle:
https://hdl.handle.net/2376/110970
PMCID: PMC3566241
PMID: 22464006
Abstract
Primary care is the most promising venue for the management of late-life depression in China. The current study was designed to establish the prevalence of major depressive disorder among older adults in primary care, and to examine the correlates, and the natural course of late-life depression over a year.
A sample of 1275 adults aged over 60years was recruited from a primary care clinic in urban China for screening with PHQ-9, and 262 participants stratified by PHQ-9 score were interviewed to collect the presence of major depressive disorder (MDD), the availability of social support, and physical health and functional status. Participants were followed up for 12months at 3-month intervals.
The estimated prevalence of MDD was 11.3% with the SCID interview. Increasing age, female gender, and lower educational level, living alone, low support from family, high medical illness burden, and impairment of daily function were significantly associated with MDD in later life. Less than 1% of these patients received treatments. More than 60% of patients with MDD at baseline remained depressed throughout the 12month follow-up period; and only 3 patients had been treated during the 12-month follow-up.
The correlates of late-life depression observed here may not necessarily serve as risk factors guiding the development of future prevention strategies.
In an urban Chinese primary care setting, late-life depression was found to be a common condition. Few patients with MDD received treatment for their condition, and the majority remained depressed over the following year.
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Details
- Title
- Prevalence and natural course of late-life depression in China primary care: A population based study from an urban community
- Creators
- Shulin Chen - Department of Psychology, Zhejiang University, ChinaYeates Conwell - Department of Psychiatry, University of Rochester Medical Center, USAKimberly Vanorden - Department of Psychiatry, University of Rochester Medical Center, USANaiji Lu - Department of Biostatistics, University of Rochester Medical Center, USAYu Fang - Department of Psychiatry, Anhui Medical University, ChinaYan Ma - Health Department of Shangcheng District, Hangzhou City, ChinaHainan Fan - Department of Psychology, Zhejiang University, ChinaTao Jin - Health Department of Shangcheng District, Hangzhou City, ChinaHelen Chiu - Department of Psychiatry, Chinese University of Hong Kong, China
- Publication Details
- Journal of affective disorders, Vol.141(1), pp.86-93
- Publisher
- Elsevier B.V
- Identifiers
- 99900547109601842
- Language
- English
- Resource Type
- Journal article