OBJECTIVE: To explore whether the 4-item subjective well-being subscale could be used to detect a major depressive illness. Secondly, to describe the prevalence and characteristics of depressed health care attendees at primary healthcare centres. METHOD: Using a descriptive, cross-sectional study design, we interviewed 199 consecutive patients about their socio-demographics, subjective well-being (SWB), major depressive illness symptoms and depression severity. The instruments used were translated into Luganda. RESULTS: Point prevalence of a current Major Depressive Episode (MDE) was 31.6%. Using a one week reference period, we found that experiencing a lot of distress, having less energy or poor health, having poor emotional and psychological adjustment and not being satisfied with life were significantly more common among patients with a current MDE. The 4-item SWB subscale detected depression of up to 87.1% (95% CI: 0.818-0.923). In logistic regression, all four SWB items predicted a current MDE. CONCLUSION: Major depressive illness is a common at primary healthcare level in Uganda. Four simple questions reflecting SWB items have potential to detect diagnosable patients likely to have a current MDE, making general screening procedures less necessary.
OBJECTIVE: To explore whether the 4-item subjective well-being subscale could be used to detect a major depressive illness. Secondly, to describe the prevalence and characteristics of depressed health care attendees at primary healthcare centres. METHOD: Using a descriptive, cross-sectional study design, we interviewed 199 consecutive patients about their socio-demographics, subjective well-being (SWB), major depressive illness symptoms and depression severity. The instruments used were translated into Luganda. RESULTS: Point prevalence of a current Major Depressive Episode (MDE) was 31.6%. Using a one week reference period, we found that experiencing a lot of distress, having less energy or poor health, having poor emotional and psychological adjustment and not being satisfied with life were significantly more common among patients with a current MDE. The 4-item SWB subscale detected depression of up to 87.1% (95% CI: 0.818-0.923). In logistic regression, all four SWB items predicted a current MDE. CONCLUSION: Major depressive illness is a common at primary healthcare level in Uganda. Four simple questions reflecting SWB items have potential to detect diagnosable patients likely to have a current MDE, making general screening procedures less necessary.
Authors: Alberto Rossi; Roberta Alberio; Alberto Porta; Marco Sandri; Michele Tansella; Francesco Amaddeo Journal: J Clin Psychopharmacol Date: 2004-10 Impact factor: 3.153
Authors: Mark Mohan Kaggwa; Sarah Maria Najjuka; Felix Bongomin; Mohammed A Mamun; Mark D Griffiths Journal: PLoS One Date: 2022-10-20 Impact factor: 3.752
Authors: Paul Bangirana; Noeline Nakasujja; Bruno Giordani; Robert O Opoka; Chandy C John; Michael J Boivin Journal: Child Adolesc Psychiatry Ment Health Date: 2009-12-08 Impact factor: 3.033
Authors: David M Ndetei; Lincoln Khasakhala; Hitesh Maru; Matteo Pizzo; Victoria Mutiso; Francisca A Ongecha-Owuor; Donald A Kokonya Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2008-05-08 Impact factor: 4.328