Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study

Introduction: The objective of this study was to investigate the clinical features of depression in Asian patients. Methods: It was a cross-sectional, observational study of depression in China, Korea, Malaysia, Singapore, Taiwan, and Thailand. Participants were drug-free outpatients with depressed...

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Main Authors: Srisurapanont, Manit, Hong, Jin Pyo, Si, Tian-mei, Sulaiman, Ahmad Hatim, Liu, Chia Yih, Udomratn, Pichet, Bae, Jae Nam, Fang, Yiru, Chua, Hong Choon, Liu, Shen-Ing, George, Tom, Bautista, Dianne, Chan, Edwin, Rush, John
Format: Article
Language:English
Published: Wiley 2013
Subjects:
Online Access:http://eprints.um.edu.my/9625/1/00000797_96488.pdf
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author Srisurapanont, Manit
Hong, Jin Pyo
Si, Tian-mei
Sulaiman, Ahmad Hatim
Liu, Chia Yih
Udomratn, Pichet
Bae, Jae Nam
Fang, Yiru
Chua, Hong Choon
Liu, Shen-Ing
George, Tom
Bautista, Dianne
Chan, Edwin
Rush, John
author_facet Srisurapanont, Manit
Hong, Jin Pyo
Si, Tian-mei
Sulaiman, Ahmad Hatim
Liu, Chia Yih
Udomratn, Pichet
Bae, Jae Nam
Fang, Yiru
Chua, Hong Choon
Liu, Shen-Ing
George, Tom
Bautista, Dianne
Chan, Edwin
Rush, John
author_sort Srisurapanont, Manit
collection UM
description Introduction: The objective of this study was to investigate the clinical features of depression in Asian patients. Methods: It was a cross-sectional, observational study of depression in China, Korea, Malaysia, Singapore, Taiwan, and Thailand. Participants were drug-free outpatients with depressed mood and/or anhedonia. Symptoms and clinical features were assessed using the Montgomery–Asberg Depression Rating Scale, Symptoms Checklist 90-Revised (SCL-90-R), and the Fatigue Severity Scale. Other measures included the Medical Outcome Survey 36-Item Short-Form Health Survey (SF-36), the Sheehan Disability Scale,and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: A total of 547 outpatients with major depressive disorder were included in the analyses. Among the Montgomery–Asberg Depression Rating Scale symptoms, “reported sadness” and “reduced sleep” had the highest severity, with means (SDs) of 3.4 (1.2) and 3.4 (1.6), respectively.Apart from the SCL-90-R depression and anxiety domains, the SCL-90-R obsession–compulsion syndrome had the highest domain score, with a mean (SD) of 1.9 (0.9). Among eight domains, the mean (SD) SF-36 pain subscale score of 58.4 (27.7) was only second to that for the SF-36 physical function. In comparison to other disability domains, the Sheehan Disability Scale work/school had the highest subscale score, with a mean (SD) of 6.5 (2.9). The mean (SD) MSPSS “family” subscale score of 4.7 (1.7) was higher than the MSPSS “friends” and “significant others” subscale scores. Discussion: This study suggests that pain has a minimal impact on the quality of life in Asian patients with depression. Noteworthy issues in this population may include insomnia, obsessive–compulsive symptoms, working/school disability, and family support.
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spelling um.eprints-96252019-11-19T08:10:07Z http://eprints.um.edu.my/9625/ Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study Srisurapanont, Manit Hong, Jin Pyo Si, Tian-mei Sulaiman, Ahmad Hatim Liu, Chia Yih Udomratn, Pichet Bae, Jae Nam Fang, Yiru Chua, Hong Choon Liu, Shen-Ing George, Tom Bautista, Dianne Chan, Edwin Rush, John R Medicine (General) Introduction: The objective of this study was to investigate the clinical features of depression in Asian patients. Methods: It was a cross-sectional, observational study of depression in China, Korea, Malaysia, Singapore, Taiwan, and Thailand. Participants were drug-free outpatients with depressed mood and/or anhedonia. Symptoms and clinical features were assessed using the Montgomery–Asberg Depression Rating Scale, Symptoms Checklist 90-Revised (SCL-90-R), and the Fatigue Severity Scale. Other measures included the Medical Outcome Survey 36-Item Short-Form Health Survey (SF-36), the Sheehan Disability Scale,and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: A total of 547 outpatients with major depressive disorder were included in the analyses. Among the Montgomery–Asberg Depression Rating Scale symptoms, “reported sadness” and “reduced sleep” had the highest severity, with means (SDs) of 3.4 (1.2) and 3.4 (1.6), respectively.Apart from the SCL-90-R depression and anxiety domains, the SCL-90-R obsession–compulsion syndrome had the highest domain score, with a mean (SD) of 1.9 (0.9). Among eight domains, the mean (SD) SF-36 pain subscale score of 58.4 (27.7) was only second to that for the SF-36 physical function. In comparison to other disability domains, the Sheehan Disability Scale work/school had the highest subscale score, with a mean (SD) of 6.5 (2.9). The mean (SD) MSPSS “family” subscale score of 4.7 (1.7) was higher than the MSPSS “friends” and “significant others” subscale scores. Discussion: This study suggests that pain has a minimal impact on the quality of life in Asian patients with depression. Noteworthy issues in this population may include insomnia, obsessive–compulsive symptoms, working/school disability, and family support. Wiley 2013 Article PeerReviewed application/pdf en http://eprints.um.edu.my/9625/1/00000797_96488.pdf Srisurapanont, Manit and Hong, Jin Pyo and Si, Tian-mei and Sulaiman, Ahmad Hatim and Liu, Chia Yih and Udomratn, Pichet and Bae, Jae Nam and Fang, Yiru and Chua, Hong Choon and Liu, Shen-Ing and George, Tom and Bautista, Dianne and Chan, Edwin and Rush, John (2013) Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study. Asia-Pacific Psychiatry, 5 (4). pp. 259-267. ISSN 1758-5864, DOI https://doi.org/10.1111/appy.12104 <https://doi.org/10.1111/appy.12104>. https://doi.org/10.1111/appy.12104 doi:10.1111/appy.12104
spellingShingle R Medicine (General)
Srisurapanont, Manit
Hong, Jin Pyo
Si, Tian-mei
Sulaiman, Ahmad Hatim
Liu, Chia Yih
Udomratn, Pichet
Bae, Jae Nam
Fang, Yiru
Chua, Hong Choon
Liu, Shen-Ing
George, Tom
Bautista, Dianne
Chan, Edwin
Rush, John
Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title_full Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title_fullStr Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title_full_unstemmed Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title_short Clinical features of depression in Asia: Results of a large prospective, cross‐sectional study
title_sort clinical features of depression in asia results of a large prospective cross sectional study
topic R Medicine (General)
url http://eprints.um.edu.my/9625/1/00000797_96488.pdf
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