Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of Depressive Disorder of Outpatients Visiting Two Primary Care Settings

  • Jo, Sun-Jin (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Yim, Hyeon Woo (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Hyunsuk (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Song, Hoo Rim (Clinical Research Center for Depression of Korea) ;
  • Ju, Sang Yhun (Department of Family Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Jong Lyul (Kim Jong Lyul Internal Medicine Clinic) ;
  • Jun, Tae-Youn (Department of Psychiatry, Soonchunhyang University College of Medicine)
  • Received : 2015.02.13
  • Accepted : 2015.09.14
  • Published : 2015.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: Although the prevalence of depressive disorders in South Korea's general population is known, no reports on the prevalence of depression among patients who visit primary care facilities have been published. This preliminary study was conducted to identify the prevalence of depressive disorder in patients that visit two primary care facilities. Methods: Among 231 consecutive eligible patients who visited two primary care settings, 184 patients consented to a diagnostic interview for depression by psychiatrists following the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. There were no significant differences in sociodemographic characteristics such as gender, age, or level of education between the groups that consented and declined the diagnostic examination. The prevalence of depressive disorder and the proportion of newly diagnosed patients among depressive disorder patients were calculated. Results: The prevalence of depressive disorder of patients in the two primary care facilities was 14.1% (95% confidence interval [CI], 9.1 to 19.2), with major depressive disorder 5.4% (95% CI, 2.1 to 8.7), dysthymia 1.1% (95% CI, 0.0 to 2.6), and depressive disorder, not otherwise specified 7.6% (95% CI, 3.7 to 11.5). Among the 26 patients with depressive disorder, 19 patients were newly diagnosed. Conclusions: As compared to the general population, a higher prevalence of depressive disorders was observed among patients at two primary care facilities. Further study is needed with larger samples to inform the development of a primary care setting-based depression screening, management, and referral system to increase the efficiency of limited health care resources.

Keywords

References

  1. Statistics Korea. Annual report on the cause of death statistics 2010. Daejeon: Statistics Korea; 2011, p. 48 (Korean).
  2. Korea Institute for Health and Social Affairs. OECD health data 2011. Seoul: Ministry of Health and Welfare; 2012, p. 36-37 (Korean).
  3. World Health Organization. Public health action for the prevention of suicide: a framework. Geneva: World Health Organization; 2012, p. 4-7.
  4. Australian Government Department of Health and Ageing. Promotion, prevention and early intervention for mental health: a monograph, 2000. Canberra: Australian Government Department of Health and Ageing; 2000, p. 28-34, 71-81.
  5. Cho MJ, Chang SM, Lee YM, Bae A, Ahn JH, Son J, et al. Prevalence of DSM-IV major mental disorders among Korean adults: a 2006 National Epidemiologic Survey (KECA-R). Asian J Psychiatr 2010;3(1):26-30. https://doi.org/10.1016/j.ajp.2010.01.009
  6. Clarke DM, Currie KC. Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. Med J Aust 2009;190(7 Suppl):S54-S60.
  7. Han JW, Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, et al. A normative study of the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and its short form (SMMSE-DS) in the Korean elderly. J Korean Geriatr Psychiatry 2010;14(1):27-37 (Korean).
  8. U.S. Preventive Services Task Force. Screening for depression in adults: U.S. preventive services task force recommendation statement. Ann Intern Med 1952;37(4):784-792. https://doi.org/10.7326/0003-4819-37-4-784
  9. Kim YS, Lee ES, Chun JH, Kim YH, Kim MG, Hwang JS, et al. The attention of primary physician on depression of the elderly patients. J Korean Acad Fam Med 2004;25(11):818-825 (Korean).
  10. Kim YS, Yoon YS, Oh JY, Ryu HT, Kim DH, Suh YS, et al. Prevalence of mental disorders in family practice centers in Korea and the utility of a diagnostic tool. J Korean Acad Fam Med 2005;26(11):699-705.
  11. Hasin DS, Goodwin RD, Stinson FS, Grant BF. Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry 2005;62(10):1097-1106. https://doi.org/10.1001/archpsyc.62.10.1097
  12. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62(6):617-627. https://doi.org/10.1001/archpsyc.62.6.617
  13. National Collaborating Centre for Mental Health. Depression: management of depression in primary and secondary care [cted 2015 Sep 20]. Available from: http://www.nccmh.org.uk/downloads/Depression/cg023fullguideline.pdf.
  14. Chan SS, Chiu HF, Chen EY, Chan WS, Wong PW, Chan CL, et al. Population-attributable risk of suicide conferred by axis I psychiatric diagnoses in a Hong Kong Chinese population. Psychiatr Serv 2009;60(8):1135-1138. https://doi.org/10.1176/ps.2009.60.8.1135
  15. Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 2003;289(23):3095-3105. https://doi.org/10.1001/jama.289.23.3095
  16. Jacobi F, Wittchen H-U, Holting C, Hofler M, Pfister H, Muller N, et al. Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med 2004;34(4):597-611. https://doi.org/10.1017/S0033291703001399
  17. Arroll B, Elley CR, Fishman T, Goodyear-Smith FA, Kenealy T, Blashki G, et al. Antidepressants versus placebo for depression in primary care. Cochrane Database Syst Rev 2009;(3):CD007954.
  18. Park SY, Bernstein KS. Depression and Korean American immigrants. Arch Psychiatr Nurs 2008;22(1):12-19. https://doi.org/10.1016/j.apnu.2007.06.011
  19. Kim S, Rew L. Ethnic identity, role integration, quality of life, and depression in Korean-American women. Arch Psychiatr Nurs 1994;8(6):348-356. https://doi.org/10.1016/0883-9417(94)90003-5
  20. Gardner W, Klima J, Chisolm D, Feehan H, Bridge J, Campo J, et al. Screening, triage, and referral of patients who report suicidal thought during a primary care visit. Pediatrics 2010;125(5):945-952. https://doi.org/10.1542/peds.2009-1964
  21. Taliaferro LA, Borowsky IW. Perspective: physician education: a promising strategy to prevent adolescent suicide. Acad Med 2011;86(3):342-347. https://doi.org/10.1097/ACM.0b013e31820984ad
  22. Skultety KM, Rodriguez RL. Treating geriatric depression in primary care. Curr Psychiatry Rep 2008;10(1):44-50. https://doi.org/10.1007/s11920-008-0009-2
  23. McDowell AK, Lineberry TW, Bostwick JM. Practical suicide-risk management for the busy primary care physician. Mayo Clin Proc 2011;86(8):792-800. https://doi.org/10.4065/mcp.2011.0076
  24. Rutz W, von Knorring L, Walinder J. Frequency of suicide on Gotland after systematic postgraduate education of general practitioners. Acta Psychiatr Scand 1989;80(2):151-154. https://doi.org/10.1111/j.1600-0447.1989.tb01318.x

Cited by

  1. Prevalence of unrecognized depression and associated factors among patients attending medical outpatient department in Adare Hospital, Hawassa, Ethiopia vol.12, pp.None, 2015, https://doi.org/10.2147/ndt.s118384
  2. The prevalence of suicidal ideation and depression among primary care patients and current management in South Korea vol.11, pp.1, 2015, https://doi.org/10.1186/s13033-017-0123-9
  3. Psychiatric comorbidities among endometrial cancer survivors in South Korea: a nationwide population-based, longitudinal study vol.30, pp.2, 2015, https://doi.org/10.3802/jgo.2019.30.e15