A study on 2,717 persons in which 159 patients with depressive disorder was carried out. The results have shown that the morbidity rate of depression was 5.8% in which female (68%), male (32%), ages of 30 -39 (37.1%), 40-49 (24%). The common clinical symptoms were: sadness: 60%, loss of interesting: 62.8%, sleep disorder: 99.3%, taste disorder: 94.9%, difficulty of concentration: 80.5%, difficulty of thinking: 76.2%, anxiety for one’s body: 59%, weight loss: 55% and loss of working productivity in male: 86.2% and female: 87%.
Depressive Disorder ; diagnosis ; epidemiology

The study aimed to determine clinical and epidemiological parameters of depressive disorders in 1 rural commune, 1 urban commune and some populations (remote regional students, minor ethnic boarders, single old people, burn sequelae sufferers and people with gastroduodenal ulcer). The results showed that the pilot incidence of depression is 8.35% out of 15 years of age population in a rural commune and 4.2% in an urban commune. The pilot incidence of major depression in population-based samples is 5-9% for female and 2-3% for male. In sample of remote regional students aged 20 - 28 years of old, the incidence is similar with that in general population. In sample of minor ethnic boarders aged 14 - 19 years of old, the incidence is 23.33%. The incidence is 57.14% in the single old people, 69.7% in the burn sequelae sufferers and 93.3% in the people with gastroduodenal ulcer. 100% of patients have need of care but has been never diagnosed and treated. Manifestations of severe depression, bipolar disorder and postpartum depression are rare. Symptoms of weakness and fatigue have higher rate than typical symptoms of depression
Depressive Disorder ; diagnosis ; epidemiology

The depressive disorder is common disease in the world. In Vietnam most of patients wanted to be cured but never were diagnosed and treated. They were impacted severely on their working. The manifestations of rare severe depression comprised intention of commit suicide, behaviour of commit suicide, bipolar disorder (0.27-0.29%) weak, tired were more frequent than typical depressive disorder.
Depressive Disorder ; diagnosis ; epidemiology

The relationship between suicidality and the loudness dependence of auditory-evoked potentials (LDAEP) remains controversial. This article reviews the literature related to the LDAEP and suicide in patients with major depressive disorder, and suggests future research directions. Serotonergic dysfunction in suicidality seems to be more complicated than was originally thought. Studies of suicide based on the LDAEP have produced controversial results, but it is possible that these are due to differences in study designs and the smallness of samples. For example, some studies have evaluated suicide ideation and the LDAEP, while others have evaluated suicide attempts and the LDAEP. Furthermore, some of the latter studies enrolled acute suicide attempters, while others enrolled those with the history of previous suicide attempts, irrespective of whether these were acute or chronic. Thus, a more robust study design is needed in future studies, for example by evaluating the LDAEP immediately after a suicide attempt rather than in those with a history of suicide attempts and suicide ideation in order to reduce bias. Moreover, genuine suicide attempt, self-injurious behaviors, and faked suicide attempt need to be discriminated in the future.
Bias (Epidemiology) ; Depressive Disorder, Major* ; Humans ; Self-Injurious Behavior ; Suicide*

Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the nonpsychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost-effectively than non-psychiatrists.
Antidepressive Agents ; Comorbidity ; Depression ; Depressive Disorder ; Depressive Disorder, Treatment-Resistant ; Diagnosis ; Epidemiology ; Humans ; Insurance, Health ; Korea ; Prescriptions ; Psychiatry

BACKGROUND: Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association. OBJECTIVES: The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions. METHOD: A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, "depression," "smoking," "tobacco," "adolescent," and "teen" were used for keyword searches to find relevant articles. RESULTS: In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist. CONCLUSIONS: It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.
Adolescent ; Age of Onset ; Causality ; Depressive Disorder/*epidemiology/psychology ; Disease Progression ; Humans ; Smoking/*epidemiology/psychology

OBJECTIVETo explore the correlation between depressive disorder and breast cancer, and to study the features of depressive disorder in patients before and after suffering breast cancer.

METHODSWhether 40 breast cancer patients had depressive disorder and their degrees were assessed by filling in Hamilton Depression Rating Scale (HAM-D) at Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences. The correlation between depressive disorder and the occurrence and progression of breast cancer, as well as its features were studied.

RESULTSThe occurrence of general depressive disorder in breast cancer patients before they suffered from breast cancer was 72.5% (29/40 cases). The occurrence of confirmed depression was 2.5% (1/40 cases). The total depressive disorder rate was 75.0% (30/40 cases).They were 60. 0% (24/40 cases), 7.5% (3/40 cases), and 67. 5% (27/40 cases) in breast cancer patients after they suffered from breast cancer.

CONCLUSIONBreast cancer patients have depressive disorder to various levels before and after suffering from breast cancer, which should raise clinical attention and corresponding intervention.

Breast Neoplasms ; epidemiology ; pathology ; psychology ; Depressive Disorder ; epidemiology ; Female ; Humans ; Incidence

INTRODUCTION: Few studies have examined the changes in the prevalence of comorbidity of mental and physical disorders in recent years. The present study sought to examine whether the prevalence of comorbidity of mental and physical disorders in Singapore showed any changes between 2010 and 2016. METHODS: We extracted data from two repeated nationally representative cross-sectional surveys conducted among resident adults aged ≥ 18 years in Singapore. Significant changes were tested using pooled multinomial logistic regression analyses. RESULTS: The prevalence of comorbid mental and physical disorders increased significantly from 5.8% in 2010 to 6.7% in 2016. Among those with physical disorders, there were significant increases over time in the prevalence of comorbid generalised anxiety disorder (GAD) (0.1% vs. 0.4%) and obsessive-compulsive disorder (OCD) (1.4% vs. 3.9%) in diabetes mellitus, and alcohol dependence in cardiovascular disorders (0.1% vs. 1.3%). Among those with mental disorders, there were significant increases over time in the prevalence of comorbid diabetes mellitus in OCD (4.1% vs. 10.9%), cancer in major depressive disorder (0.4% vs. 2.4%), and cardiovascular disorders in GAD (0.4% vs. 6.7%) and alcohol dependence (0.9% vs. 11.8%). Significant changes in the overall prevalence of comorbid mental and physical disorders were also observed across age group, education and employment status. CONCLUSION The prevalence of comorbid mental and physical disorders increased significantly over time. This finding supports the need for more appropriate clinical management with better integration between mental health and general medical care professionals across all aspects of the healthcare system to treat this comorbidity in Singapore.
Adult ; Alcoholism/epidemiology* ; Comorbidity ; Cross-Sectional Studies ; Depressive Disorder, Major/epidemiology* ; Humans ; Mental Disorders/epidemiology* ; Prevalence ; Singapore/epidemiology*

No abstract available.
Alcohol Drinking/*epidemiology ; Alcoholism/*epidemiology ; *Dangerous Behavior ; Depressive Disorder/*epidemiology ; Female ; Humans ; Male ; Psychiatric Status Rating Scales/*statistics & numerical data

OBJECTIVETo explore the prevalence and associated factors of anxiety and depression symptoms in hospitalized Chinese patients with coronary artery disease (CAD).

METHODSFrom June 2007 to May 2009, 1083 hospitalized patients with confirmed coronary artery disease were recruited in this study. The ZUNG Self-rating Anxiety Scale (SAS) and the ZUNG Self-rating Depression Scale (SDS) were used for the psychological assessment. Economic status, living condition and the environment of both living and working places were evaluated by epidemiological questionnaires.

RESULTSThe prevalence of pure anxiety, pure depression symptoms and the combination of anxiety and depression symptoms were 7.9%, 28.3% and 14.3% respectively. Incidence of anxiety and depression symptoms was significantly higher in female patients compared with in male patients (P = 0.003, 0.012 respectively) and in aged patients than in middle-aged patients (P = 0.001). The elderly, less than 9 years of education and poor sleep quality increased the risk of anxiety symptom with ORs of 1.63 (95%CI: 1.21 - 2.21), 1.54 (95%CI: 1.15 - 2.07) and 1.62 (95%CI: 1.34 - 1.96), respectively, while workplace noise, history of chronic disease and poor sleep quality increased the risk of depression symptom with ORs of 1.52 (95%CI: 1.18 - 1.98), 1.36 (95%CI: 1.06 - 1.75) and 1.27 (95%CI: 1.08 - 1.50), respectively. Female (OR = 1.91, 95%CI: 1.22-2.98), aged patient (OR = 1.84, 95%CI: 1.23 - 2.76), workplace noise (OR = 1.61, 95%CI: 1.07 - 2.42), history of chronic disease (OR = 1.84, 95%CI: 1.24 - 2.71) and poor sleep quality (OR = 1.73, 95%CI: 1.35 - 2.21) were significantly correlated with the combined incidence of anxiety and depression symptoms.

CONCLUSIONAround half of the Chinese hospitalized CAD patients were complicated with various degrees of anxiety and/or depression symptoms. Female and aged patients were at higher risk for anxiety and depression symptoms. Sleep quality, workplace noise, years of education and history of chronic disease were independent risk factors for anxiety or depression symptoms.

Aged ; Anxiety ; epidemiology ; Coronary Artery Disease ; epidemiology ; psychology ; Depressive Disorder ; epidemiology ; Female ; Humans ; Inpatients ; psychology ; Male ; Prevalence