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Clinical features of depression in A sia: Results of a large prospective, cross‐sectional study
Author(s) -
Srisurapat Manit,
Hong Jin Pyo,
Tianmei Si,
Hatim Ahmad,
Liu ChiaYih,
Udomratn Pichet,
Bae Jae Nam,
Fang Yiru,
Chua Hong Choon,
Liu ShenIng,
George Tom,
Bautista Dianne,
Chan Edwin,
Rush A. John
Publication year - 2013
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/appy.12104
Subject(s) - anhedonia , depression (economics) , psychology , rating scale , cross sectional study , mood , anxiety , psychiatry , sadness , clinical psychology , observational study , medicine , anger , developmental psychology , schizophrenia (object oriented programming) , pathology , economics , macroeconomics
The objective of this study was to investigate the clinical features of depression in A sian patients. Methods It was a cross‐sectional, observational study of depression in C hina, K orea, M alaysia, S ingapore, T aiwan, and T hailand. Participants were drug‐free outpatients with depressed mood and/or anhedonia. Symptoms and clinical features were assessed using the M ontgomery– A sberg D epression R ating S cale, S ymptoms C hecklist 90‐ R evised ( SCL‐90‐R ), and the F atigue S everity S cale. Other measures included the M edical O utcome S urvey 36‐ I tem S hort‐ F orm H ealth S urvey ( SF ‐36), the S heehan D isability S cale, and the M ultidimensional S cale of P erceived S ocial S upport ( MSPSS ). Results A total of 547 outpatients with major depressive disorder were included in the analyses. Among the M ontgomery– A sberg D epression R ating S cale 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 S heehan D isability S cale 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 A sian patients with depression. Noteworthy issues in this population may include insomnia, obsessive–compulsive symptoms, working/school disability, and family support.