Bao-Liang Zhong1, Yi-Fan Ruan2, Yan-Min Xu3, Wen-Cai Chen3, Ling-Fei Liu4. 1. Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, Hubei Province, China; Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei Province, China. 2. School of Maxism, China University of Geosciences, Wuhan, Hubei Province, China. 3. Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei Province, China. 4. Institute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, Gansu Province, China. Electronic address: liulf@lzu.edu.cn.
Abstract
BACKGROUND: In recent years, there have been increasing calls for integrating late-life mental health services into primary care in China, but data on the epidemiology of depressive disorders in older adults receiving primary care are very limited. This study examined prevalence, correlates and recognition of depressive disorders among Chinese older adults receiving primary care. METHODS: A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care clinics in Wuhan, China, and interviewed with the Chinese Mini-international Neuropsychiatric Interview 5.0. RESULTS: One-fifth (20.3%) of the older adults met DSM-IV criteria for depressive disorders during the month prior to the interview: 10.2% had major depression, 4.8% had dysthymia, and 5.3% had minor depressive disorder. The recognition rate of older patients with depressive disorders was 1.3% only. In multiple logistic regression analysis, factors significantly associated with depressive disorders included female gender (OR = 1.61), an education of primary school and below (OR = 1.69), poor financial status (OR = 2.44), poor or fair family relationship (OR = 1.66), loneliness (OR = 1.77), hypertension (OR = 1.91), heart disease (OR = 2.02), chronic gastric ulcer (OR = 6.01), and arthritis (OR = 3.55). LIMITATIONS: Older adults from primary care clinics of economically underdeveloped regions of China were not included. CONCLUSIONS: Depressive disorders are prevalent but poorly recognized in Chinese older adults receiving treatment in primary care clinics. In order to improve the emotional well-being and health of older adults, it is time to integrate the management of common mental disorders into primary healthcare in China.
BACKGROUND: In recent years, there have been increasing calls for integrating late-life mental health services into primary care in China, but data on the epidemiology of depressive disorders in older adults receiving primary care are very limited. This study examined prevalence, correlates and recognition of depressive disorders among Chinese older adults receiving primary care. METHODS: A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care clinics in Wuhan, China, and interviewed with the Chinese Mini-international Neuropsychiatric Interview 5.0. RESULTS: One-fifth (20.3%) of the older adults met DSM-IV criteria for depressive disorders during the month prior to the interview: 10.2% had major depression, 4.8% had dysthymia, and 5.3% had minor depressive disorder. The recognition rate of older patients with depressive disorders was 1.3% only. In multiple logistic regression analysis, factors significantly associated with depressive disorders included female gender (OR = 1.61), an education of primary school and below (OR = 1.69), poor financial status (OR = 2.44), poor or fair family relationship (OR = 1.66), loneliness (OR = 1.77), hypertension (OR = 1.91), heart disease (OR = 2.02), chronic gastric ulcer (OR = 6.01), and arthritis (OR = 3.55). LIMITATIONS: Older adults from primary care clinics of economically underdeveloped regions of China were not included. CONCLUSIONS:Depressive disorders are prevalent but poorly recognized in Chinese older adults receiving treatment in primary care clinics. In order to improve the emotional well-being and health of older adults, it is time to integrate the management of common mental disorders into primary healthcare in China.
Authors: Bao-Liang Zhong; De-Yi Zhou; Min-Fu He; Yi Li; Wen-Tian Li; Chee H Ng; Yu-Tao Xiang; Helen Fung-Kum Chiu Journal: Ann Transl Med Date: 2020-11
Authors: Chin-Chen Liu; Yi-Tung Lin; Kung-Chuan Cheng; Hsueh-Hsing Pan; Chou-Ping Chiou Journal: Int J Environ Res Public Health Date: 2022-08-01 Impact factor: 4.614