12-Month naturalistic outcomes of depressive disorders in Hong Kong's primary care

Family Practice
Weng Yee ChinTai Pong Lam

Abstract

In Asia, the role of primary care physicians (PCPs) in mental health delivery is not clearly defined and what happens to patients following a depressive episode remains poorly understood. To examine the 12-month naturalistic outcomes of depression in primary care and the impact of PCP identification. A cohort study was conducted. A total of 10179 adults were consecutively recruited from the waiting rooms of 59 PCPs across Hong Kong to complete a survey which screened for depression. Blinded doctors provided data on their diagnosis and management; 539 screened-positive and 3819 screened-negative subjects consented to telephone follow-up at 3, 6 and 12 months. Study instruments included Patient Health Questionnaire-9, Centre for Epidemiologic Studies Depression Scale 20 and Short-Form Health Survey Version 2.0 (SF-12v2) and self-reported mental health and primary care service use. 12-month remission rate was 60.31%. PCP detection had no association with remission. Identified patients had poorer health-related quality of life (HRQOL) at baseline but a faster rate of recovery in SF-12v2 mental component scores. PCP detection was associated with greater mental health service use at 12, 26 and 52 weeks, while GP consultation rates we...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Aug 11, 2010·Journal of Evaluation in Clinical Practice·Yuk Tsan WunKa Chee Yip
Nov 9, 2010·Social Psychiatry and Psychiatric Epidemiology·Bauke T StegengaMirjam I Geerlings
Dec 25, 2010·Social Psychiatry and Psychiatric Epidemiology·Jane M GunnChristopher F Dowrick
Aug 2, 2011·Psychiatry Research·Femke LamersBrenda W J H Penninx
Nov 25, 2011·BMC Family Practice·Weng Yee ChinKit T Y Chan

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Citations

Sep 24, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Edmond P H ChoiDaniel Y T Fong
Mar 30, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Bruce ArrollChristopher Dowrick
Feb 23, 2019·The International Journal of Social Psychiatry·Marie-Josée FleuryGuy Grenier
Apr 13, 2018·Clinical Practice and Epidemiology in Mental Health : CP & EMH·Veronica VitriolSoledad Potthoff
Jan 28, 2021·International Journal of Environmental Research and Public Health·Laura González-SuñerAntoni Serrano-Blanco

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