| Title | Prevalence of depressive disorders and treatment in China: a cross-sectional epidemiological study |
| Authors | Lu, Jin Xu, Xiufeng Huang, Yueqin Li, Tao Ma, Chao Xu, Guangming Yin, Huifang Xu, Xiangdong Ma, Yanjuan Wang, Limin Huang, Zhengjing Yan, Yongping Wang, Bo Xiao, Shuiyuan Zhou, Liang Li, Lingjiang Zhang, Yan Chen, Hongguang Zhang, TingTing Yan, Jie Ding, Hua Yu, Yaqin Kou, Changgui Shen, Zonglin Jiang, Linling Wang, Zhizhong Sun, Xian Xu, Yifeng He, Yanling Guo, Wanjun Jiang, Lijun Li, Shengyan Pan, Wen Wu, Yue Li, Guohua Jia, Fujun Shi, Jianfei Shen, Zhongxia Zhang, Ning |
| Affiliation | Kunming Med Univ, Dept Psychiat, Affiliated Hosp 1, Kunming, Yunnan, Peoples R China Peking Univ, Inst Mental Hlth, Peking Univ Sixth Hosp, Natl Clin Res Ctr Mental Disorders,Minist Hlth, 51 Hua Yuan Bei Rd, Beijing 100191, Peoples R China Peking Univ, Key Lab Mental Hlth, Minist Hlth, 51 Hua Yuan Bei Rd, Beijing 100191, Peoples R China Sichuan Univ, Mental Hlth Ctr, West China Hosp, Chengdu, Peoples R China Tianjin Anding Hosp, Tianjin, Peoples R China Fourth Peoples Hosp Urumqi, Urumqi, Peoples R China Chinese Ctr Dis Control & Prevent, Natl Ctr Chron & Noncommunicable Dis Control & Pr, Beijing, Peoples R China Fourth Mil Med Univ, Dept Epidemiol, Xian, Peoples R China Cent South Univ, Dept Social Med & Hlth Management, Sch Publ Hlth, Changsha, Peoples R China Cent South Univ, Mental Hlth Inst, Xiangya Hosp 2, Changsha, Peoples R China Peking Univ, Inst Social Sci Survey, Beijing, Peoples R China Jilin Univ, Dept Epidemiol & Biostat, Sch Publ Hlth, Changchun, Peoples R China Ningxia Med Univ, Dept Epidemiol & Stat, Sch Publ Hlth, Yinchuan, Ningxia, Peoples R China Shanghai Jiao Tong Univ, Shanghai Mental Hlth Ctr, Sch Med, Shanghai, Peoples R China Third Peoples Hosp Qinghai Prov, Xining, Qinghai, Peoples R China Soochow Univ, Suzhou Psychiat Hosp, Affiliated Guangji Hosp, Suzhou, Jiangsu, Peoples R China Nanjing Med Univ, Wuxi Mental Hlth Ctr, Wuxi, Jiangsu, Peoples R China Chifeng Anding Hosp, Chifeng, Inner Mongolia, Peoples R China Guangdong Mental Hlth Ctr, Guangzhou, Guangdong, Peoples R China Hangzhou Seventh Peoples Hosp, Dept Psychiat, Hangzhou, Zhejiang, Peoples R China Third Peoples Hosp Huzhou, Huzhou, Zhejiang, Peoples R China Nanjing Med Univ, Nanjing Brain Hosp, Nanjing, Jiangsu, Peoples R China |
| Keywords | SHEEHAN DISABILITY SCALE MENTAL-HEALTH-SERVICES MAJOR DEPRESSION QUICK INVENTORY QIDS-SR VERSION VALIDITY DISEASE |
| Issue Date | Nov-2021 |
| Publisher | LANCET PSYCHIATRY |
| Abstract | Background In China, depressive disorders have been estimated to be the second leading cause of years lived with disability. However, nationally representative epidemiological data for depressive disorders, in particular use of mental health services by adults with these disorders, are unavailable in China. The present study, part of the China Mental Health Survey, 2012-15, aims to describe the socioeconomic characteristics and the use of mental health services in people with depressive disorders in China. Methods The China Mental Health Survey was a cross-sectional epidemiological survey of mental disorders in a multistage clustered-area probability sample of adults of Chinese nationality (>= 18 years) from 157 nationwide representative population-based disease surveillance points in 31 provinces across China. Trained investigators interviewed the participants with the Composite International Diagnostic Interview 3.0 to ascertain the presence of lifetime and 12-month depressive disorders according to DSM-IV criteria, including major depressive disorder, dysthymic disorder, and depressive disorder not otherwise specified. Participants with 12-month depressive disorders were asked whether they received any treatment for their emotional problems during the past 12 months and, if so, the specific types of treatment providers. The Sheehan Disability Scale (SDS) was used to assess impairments associated with 12-month depressive symptoms. Data-quality control procedures included logic check by computers, sequential recording check, and phone-call check by the quality controllers, and reinterview check by the psychiatrists. Data were weighted according to the age-sex-residence distribution data from China's 2010 census population survey to adjust for differential probabilities of selection and differential response, as well as to post-stratify the sample to match the population distribution. Findings 28 140 respondents (12 537 [44.6%] men and 15 603 [55.4%] women) completed the survey between July 22, 2013, and March 5, 2015. Ethnicity data (Han or non-Han) were collected for only a subsample. Prevalence of any depressive disorders was higher in women than men (lifetime prevalence odds ratio [OR] 1.44 [95% CI 1.20-1.72] and 12-month prevalence OR 1.41 [1.12-1.78]), in unemployed people than employed people (lifetime OR 2.38 [95% CI 1.68-3.38] and 12-month OR 2.80 [95% CI 1.88-4.18]), and in people who were separated, widowed, or divorced compared with those who were married or cohabiting (lifetime OR 1.87 [95% CI 1.39-2.51] and 12-month OR 1.85 [95% CI 1.40-2.46]). Overall, 574 (weighted % 75.9%) of 744 people with 12-month depressive disorders had role impairment of any SDS domain: 439 (83.6%) of 534 respondents with major depressive disorder, 207 (79.8%) of 254 respondents with dysthymic disorder, and 122 (59.9%) of 189 respondents with depressive disorder not otherwise specified. Only an estimated 84 (weighted % 9.5%) of 1007 participants with 12-month depressive disorders were treated in any treatment sector: 38 (3.6%) in speciality mental health, 20 (1.5%) in general medical, two (0.3%) in human services, and 21 (2.7%) in complementary and alternative medicine. Only 12 (0.5%) of 1007 participants with depressive disorders were treated adequately. Interpretation Depressive disorders in China were more prevalent in women than men, unemployed people than employed, and those who were separated, widowed, or divorced than people who were married or cohabiting. Most people with depressive disorders reported social impairment. Treatment rates were very low, and few people received adequate treatment. National programmes are needed to remove barriers to availability, accessibility, and acceptability of care for depression in China. Copyright (C) 2021 Published by Elsevier Ltd. All rights reserved. |
| URI | http://hdl.handle.net/20.500.11897/628785 |
| ISSN | 2215-0374 |
| DOI | 10.1016/S2215-0366(21)00251 |
| Indexed | SCI(E) SSCI |
| Appears in Collections: | 第六医院 社会科学调查中心 |
