| Title | Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies |
| Authors | Chee, Kok-Yoon Tripathi, Adarsh Avasthi, Ajit Chong, Mian-Yoon Xiang, Yu-Tao Sim, Kang Si, Tian-Mei Kanba, Shigenobu He, Yan-Ling Lee, Min-Soo Chiu, Helen Fung-Kum Yang, Shu-Yu Kuga, Hironori Udormatn, Pichet Kallivayalil, Roy A. Tanra, Andi J. Maramis, Margarita Grover, Sandeep Chin, Loi-Fei Dahlan, Rahima Isa, Mohd Fadzli Mohamad Ebenezer, Esther Gunaseli M. Nordin, Norhayati Shen, Winston W. Shinfuku, Naotaka Tan, Chay-Hoon Sartorius, Norman |
| Affiliation | Kuala Lumpur Hosp, Dept Psychiat & Mental Hlth, Kuala Lumpur 50586, Kuala Lumpur, Malaysia. King Georges Med Univ, Dept Psychiat, Lucknow, Uttar Pradesh, India. Postgrad Inst Med Educ & Res, Dept Psychiat, Chandigarh 160012, India. Kaohsiung Chang Gung Mem Hosp, Kaohsiung Med Ctr, Dept Psychiat, Kaohsiung, Taiwan. Chang Gung Univ, Sch Med, Taoyuan, Taiwan. Univ Macau, Fac Hlth Sci, Macau, Peoples R China. Inst Mental Hlth, Singapore, Singapore. Peking Univ, Dept Psychiat, Inst Mental Hlth, Beijing 100871, Peoples R China. Kyushu Univ, Dept Neuropsychiat, Fukuoka 812, Japan. Shanghai Mental Hlth Ctr, Dept Psychiat Epidemiol, Shanghai, Peoples R China. Korea Univ, Coll Med, Dept Psychiat, Seoul 136705, South Korea. Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China. Taipei City Hosp, Dept Pharm, Taipei, Taiwan. Prince Songkla Univ, Fac Med, Dept Psychiat, Hat Yai, Thailand. Pushpagiri Med Coll, Dept Psychiat, Thiruvalla, India. Hasanuddin Univ, Fac Med, Dept Psychiat, Makassar, Sulawesi Selata, Indonesia. Airlangga Univ, Fac Med, Dr Soetomo Hosp, Jawa Timur, Indonesia. Tengku Ampuan Rahimah Hosp, Dept Psychiat & Mental Hlth, Selangor, Malaysia. Kajang Hosp, Dept Psychiat & Mental Hlth, Selangor, Malaysia. Sultan Abdul Halim Hosp, Dept Psychiat & Mental Hlth, Kedah, Malaysia. Univ Kuala Lumpur, Royal Coll Med, Dept Psychiat, Perak, Malaysia. Mesra Hosp, Sabah, Malaysia. Taipei Med Univ, TMU Wan Fang Med Ctr, Dept Psychiat, Taipei, Taiwan. Taipei Med Univ, Sch Med, Dept Psychiat, Taipei, Taiwan. Kobe Univ, Dept Psychiat, Kobe, Hyogo 657, Japan. Natl Univ Singapore, Dept Pharmacol, Singapore 117548, Singapore. Assoc Improvement Mental Hlth Programmes, Geneva, Switzerland. Kuala Lumpur Hosp, Dept Psychiat & Mental Hlth, Pahang Rd, Kuala Lumpur 50586, Kuala Lumpur, Malaysia. |
| Keywords | Asian income region transcultural psychiatry 12-MONTH PREVALENCE METROPOLITAN CHINA SUICIDE IDEATION MAJOR DEPRESSION MENTAL-DISORDERS DSM-IV HEALTH POPULATION SEVERITY BURDEN |
| Issue Date | 2015 |
| Publisher | ASIA-PACIFIC PSYCHIATRY |
| Citation | ASIA-PACIFIC PSYCHIATRY.2015,7,(3),276-285. |
| Abstract | IntroductionThis study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. MethodsThe pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. ResultsThe most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). DiscussionThis study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries. |
| URI | http://hdl.handle.net/20.500.11897/416976 |
| ISSN | 1758-5864 |
| DOI | 10.1111/appy.12170 |
| Indexed | SCI(E) PubMed SSCI |
| Appears in Collections: | 第六医院 |
