Depressive disorders in elderly Chinese patients in Macau: a comparison of general practitioners' consultations with a depression screening scale.
Objective: The objectives of this study were to identify the prevalence of depressive symptomatology in an elderly population using a screening scale; to assess general practitioner (GP) recognition of depression; to determine patient reasons for consultation; and to relate depression to social and...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 35; no. 3; pp. 336 - 345 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106093667&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106093667 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Jun2001 vid: 35 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106093667 106093667 2009436141 NLM11437807 106093667 ppf: 336 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Depressive disorders in elderly Chinese patients in Macau: a comparison of general practitioners' consultations with a depression screening scale. aug: au: Piterman L Nogueira Dacanhota CM sug: subj: Depression Diagnosis Ethnic Groups Psychosocial Factors Health Screening Myers-Briggs Type Indicator Statistics and Numerical Data Personality Assessment Statistics and Numerical Data Referral and Consultation Rural Population Aged China Cross Sectional Studies Depression Epidemiology Depression Psychosocial Factors Ethnic Groups Statistics and Numerical Data Family Practice Female Male Psychological Tests Psychometrics Reproducibility of Results Somatoform Disorders Diagnosis Somatoform Disorders Epidemiology Somatoform Disorders Psychosocial Factors Support, Psychosocial Human Aged: 65+ years Female Male ab: Objective: The objectives of this study were to identify the prevalence of depressive symptomatology in an elderly population using a screening scale; to assess general practitioner (GP) recognition of depression; to determine patient reasons for consultation; and to relate depression to social and demographic factors. Method: An analytical cross-sectional study was carried out on a systematic sample of elderly Chinese patients currently resident in Macau, who presented to general practices in December 1997. Data collected included patient demographics, economic and social supports, patient depressive status assessed using the Hospital Anxiety and Depression scale (HAD), reason for attendance, and the reason for the consultation. Clinical records were analysed in order to collect GP-registered morbidity and recent relevant management. Results: Data were collected from 386 elderly Chinese patients of 31 GPs (97% patient response rate). Patients presented with somatic symptoms rather than psychological issues. Using HAD cut-off score of >8, 47% of the population studied were depressed; with a HAD subscale score >11, 26.2% were depressed. Depression was detected more often in women (59%) and being female was associated with depressive status (p = 0.010). Age (greater than 75 years) was also associated with being depressed, as was not having someone to talk to (p = 0.037), and being from low social class (p = 0.050). Not having someone willing to listen to their problems, difficulties and worries, was significantly related to depression (p = 0.041). There were no referrals or antidepressive medications detected in the clinical charts. Conclusion: Participants' characteristics such as being over 75 years of age, being female and socially isolated were related to depression. General practitioners can play an important role in the early detection and management of psychological disorders. Although studies on a sample of Chinese patients in Macau cannot be generalized to Chinese populations elsewhere, awareness of somatic presentation of psychological illness is crucial in detecting depression in this and possibly other Chinese populations. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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