This purpose of this study was to explore the prevalence and recognition of depressive disorders in cardiology, gastroenterology, and neurology outpatient departments of general hospitals. Patients screened with a Hospital Anxiety and Depression Scale score of 8 or higher were interviewed by psychiatrists using Mini-International Neuropsychiatric Interview (MINI). Prevalence of depressive disorders within the cohort was determined, sociodemographic data were analyzed for correlations to a depression diagnosis, and comparisons between the surveys and the clinical diagnosis were done to assess recognition of depressive disorders by physicians. Of the patients screened for this study (1552 cases), 12.8% were diagnosed with depressive disorders by MINI, with major depressive disorder, depression due to general medical conditions, and dysthymia having prevalence values of 10.8%, 1.4%, and 0.6%, respectively. As compared with MINI, physicians only recognized 27.6% of any of the depressive disorders. Among the complaints examined, both mood problems and sleeping problems predicted the probability of recognition.
*Department of Mental Health, the First Hospital of Jilin University, Changchun; †Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University; ‡Department of Psychology Medicine, Chinese People's Liberation Army (PLA) General Hospital, Chinese PLA Medical School; §Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University), National Clinical Research Center for Mental Disorders, Beijing; ∥Shanghai Mental Health Center, Shanghai; ¶Peking Union Medical College Hospital; and #Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Chang Liu and Meiyan Liu contributed equally to the study.
Send reprint requests to Ronghuan Jiang, PhD, Department of Psychological Medicine, Chinese People's Liberation Army (PLA) General Hospital, Department of Psychological Medicine, Chinese PLA Medical School, Fuxing Lu No. 28, Haidian District, Beijing, China. E-mail: firstname.lastname@example.org; and Hong Ma, PhD, Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing 100191, China. E-mail: email@example.com.