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Low recognition of depression among outpatients by internists in China

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QUESTION

Question:

What is the prevalence and recognition rate of depressive disorders in Shenyang, China?

Population:

5312 sequential patients (mean age 48.1±17.7 years; 60% female) being treated in the internal medicine outpatient department of participating hospitals. Only people aged 15 years or older and who were physically able to complete the interview were included.

Setting:

23 general hospitals, Shenyang, China; interviews carried out November 2004 to January 2006.

Assessment:

Prior to participants seeing the internists, interviews were conducted by trained psychiatrists who administered the Chinese version of the 12 item General Health Questionnaire (GHQ-12). The results of the GHQ-12 were used to classify participants as being at low risk, moderate risk or high risk for mental disorders. The Structured Clinical Interview for DSM-IV-TR Axis 1 Disorders (SCID) was administered to all high risk, 10% of low risk and 40% of moderate risk participants. Participants then saw the internists who were blind to the SCID diagnosis and purpose of the study. After seeing the internist, participants with depressive disorders identified by the SCID …

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