45 patients with diverse internal diseases at Bach Mai Hospital were studied. The disease was common (71,42%) at the effective age (20-40 years old age). The disease trended to progress continuously becoming chronic after 6 months to 1 year (31,74%), 2-5 years (58,53%), 6-10 years (9,25%). Pathological manifestations associated with sentimental status. Mental traumata were the factors of onset: 57,14% by family’ s conflicts, 28,57% by social conflicts,14,28% by physical related factors. Clinical features with mutiformal complexes were created, especially physical disorders, viscerial botanical nervous disorders without evidence of phyical lesions
Diagnosis ; Depressive Disorder ; Disease

Studying clinical feature and some risk factors of depressive disorders and depressive levels by the test Beck in 41 patients from war-veterans with different organic diseases, the authors made the following comments: clinical pictures of depressive disorders in these patients were very variable. Clinical symptoms usually presented with higher frequency in patients with more organic disease such as worries (65.85%), exhaustion after minimal effort (78.05%), diminished appetite (59.54%), insomnia (60.97%), lack or loss of sexual desire (87.8%)... Risk factors such as bad social customs made up 17.07% (alcoholism, superstitions, gambling...), consequences of war (29.27%), widowhood (14.63%)... weren't favorable psychosocial factors for depressive disorders in war-veterans with organic diseases. Mild and moderate depressive levels made up 60.97% and severe depressions were 7.32%.
Depressive Disorder ; diagnosis

A group of lonely elderly living in nursing house and another group living in community were studied with the data of a prospective analysis, with direct interviews and clinical examinations. Results showed different frequencies of various depressive and anxiety disorders. A range of psychosocial and familial factors causing up the development of these conditions was discussed
Depressive Disorder ; diagnosis ; Aged

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

Studying clinical feature of 45 patients offered from depressive disorder on internal diseases, the author concluded as follows. 1/ The occurrence and development of disease are effected by psychological factor(the difficulty and conflict of life). The disease is commonly at age from 21-40 (8.,3%). 2/Clinical symptoms are variable including mental and physical disorders. However depressive features are not typical and it is masked by vegetative and physical symptoms. 3/ In patients with functional disorder, the depression is mild, atypical and it usually combined with anxiety obsession, hypochondria, cenestopathia. In patients with organic symptoms, depression is severe and accompanied by somatic symptom. 4/ Disease develop chronically with a lot of handicaps on health and economy for their family and the community.
diagnosis ; Depressive Disorder

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

Depression, a prevalent condition in cancer sufferers is unfortunately often unrecognised and untreated. Depressive symptoms can cause considerable morbidity and mortality thus giving rise to distress and reduced quality of life. Diagnosis is fraught with difficulties owing to overlaps between psychiatric and medical symptoms. One should therefore rely more on psychological symptoms and adopt an inclusive approach in diagnosing depression. Assessment should take into account medical complications which may contribute to or worsen depression as well as the availability and adequacy of social supports. Assessment of suicide risk is paramount since suicide rates are increased in the terminally ill. Psychosocial interventions play just an important a role as pharmacological treatment. Psychostimulants are of benefit. It is also important to manage pain symptoms as severe, unremitting pain may trigger depressive symptoms and suicidal action.
Depressive Disorder - Diagnosis

OBJECTIVES: This study aimed to evaluate the effects of severity of functional disability, caused by physical illness, on the depressive symptoms and depressive disorders of the elderly patients (above 65 year-old) with physical illness. METHOD: Complete medical and psychiatric evaluations were achieved on 138 patients, except the 12 patients, who were severely cognitively impaired (MMSE-K score;below 19), of the 150 elderly patients (above 65 year-old) with physical illness. Sociodemographic data and health characteristic data were systematically collected, and the severity of functional disability caused by physical illness was evaluated. Depression scales (KGDS, GDS, MADRS) on 138 elderly patients were executed. In addition, based on the 61 patients of the 65 elderly patients (above 65 years old) with physical illness, except 4 patients who were severely cognitively impaired (MMSE-K score;below 19), sociodemographic data and health characteristic data were collected. The clinical diagnosis by DSM-IV diagnostic criteria and KGDS on 61 elderly patients were performed, and their functional disability caused by physical illness was evaluated. RESULTS: The frequency of depressive symptoms showed 50.0%, 36.2%, and 35.5%, respectively in KGDS, GDS, and MADRS. The patients with severe functional disability caused by physical illness-compared with those with mild functional disability-had significantly higher score on the depression scales (KGDS, GDS, MADRS). The correlation between severity of functional disability caused by physical illness and depression scales was highly positive. Severity of functional disability caused by physical illness was the strongest contributor to the depression scales. In the additional study, 19.7% of patients were diagnosed as major depressive disorder, 18% of them as dysthymic disorder, and depressive disorder (major depressive disorder & dysthymic disorder) group-compared with nondepressive disorder group-showed significantly higher score on the FDRPT and KGDS. CONCLUSION: The frequency of depressive symptoms and depressive disorder in elderly patients with physical illness was higher, compared with those in general elderly people. Functional disability caused by physical illness most highly influenced on depressive symptoms. Thus, it is important to discriminate whether the elderly patients with physical illness have depressive symptoms or not. In addition, we assumed that KGDS was not only highly correlated with other depression scales (GDS, MADRS), but also had the high diagnostic power of dis-crimination for depressive symptoms and depressive disorder. This study suggested that KGDS was available in screening depression in the elderly patients with physical illness. It was necessary to study systematically the availability of KGDS in the future.
Aged* ; Depression* ; Depressive Disorder ; Depressive Disorder, Major ; Diagnosis ; Diagnostic and Statistical Manual of Mental Disorders ; Dysthymic Disorder ; Humans ; Mass Screening ; Weights and Measures

BACKGROUND: Depressive symptoms are common in the medically ill patients although depressive disorders are considerably underdiagnosed and undertreated. Therefore, we examined the characteristics of depressive tendency in medical inpatients. METHODS: The patient group-144 subj.cts(90 males, 54 females) were selected from medical inpatients of Kae Jung hospital. 158 subjects(106 male, 52 females) with no prior history of diseases were selected for the control group. The Beck Depression Inventory(BDI) and Hamilton Rating Scale for Depression(HRSD) was used for both groups from June to December 1997. RESULTS: The patient group had a significant higher BDI and HRSD score than controls(p<0.01). In the patients, 31.3% had scores on the BDI greater than the cutting score of 21, and 26.4% had scores on the HRSD greater than the cutting score of 22. In the patients, demographic and medical variables were evaluated with respect to depression. those in their 60's, with education level of elementary school and below. the divorced, bereaved and separated, and having duration of illness more than one year were statistically more depressed, but depression was not associated with sex, religion and medical diagnosis. CONCLUSIONS: This study indicates that depressive tendency may be a common phenomena in medically ill patients. Therefore, we should suspect depression in the management of these patients.
Depression ; Depressive Disorder ; Diagnosis ; Divorce ; Education ; Humans ; Inpatients* ; Male