File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: The epidemiology and natural history of depressive disorders in Hong Kong's primary care

TitleThe epidemiology and natural history of depressive disorders in Hong Kong's primary care
Authors
Issue Date2011
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcfampract/
Citation
BMC Family Practice, 2011, v. 12, article no. 129 How to Cite?
AbstractBackground: Depressive disorders are commonly managed in primary care and family physicians are ideally placed to serve as central providers to these patients. Around the world, the prevalence of depressive disorders in patients presenting to primary care is between 10-20%, of which around 50% remain undiagnosed. In Hong Kong, many barriers exist preventing the optimal treatment and management of patients with depressive disorders. The pathways of care, the long term outcomes and the factors affecting prognosis of these patients requires closer examination. Methods/Design. The aim of this study is to examine the prevalence, incidence and natural history of depressive disorders in primary care and the factors influencing diagnosis, management and outcomes using a cross-sectional study followed by a longitudinal cohort study. Doctors working in primary care settings across Hong Kong have been invited to participate in this study. On one day each month over twelve months, patients in the doctor's waiting room are invited to complete a questionnaire containing items on socio-demography, co-morbidity, family history, previous doctor-diagnosed mental illness, recent mental and other health care utilization, symptoms of depression and health-related quality of life. Following the consultation, the doctors provide information regarding presenting problem, whether they think the patient has depression, and if so, whether the diagnosis is new or old, and the duration of the depressive illness if not a new diagnosis. If the doctor detects a depressive disorder, they are asked to provide information regarding patient management. Patients who consent are followed up by telephone at 2, 12, 26 and 52 weeks. Discussion. The study will provide information regarding cross-sectional prevalence, 12 month incidence, remission rate, outcomes and factors affecting outcomes of patients with depressive disorders in primary care. The epidemiology, outcomes, pathways of care, predictors for prognosis and service needs for primary care patients with depressive disorders will be described and recommendations made for policy and service planning. © 2011 Chin et al; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/151759
ISSN
2015 Impact Factor: 1.641
2015 SCImago Journal Rankings: 0.978
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
Food and Health Bureau Commissioned Research on Mental Health Policy and ServiceSMH-27
Funding Information:

This study has been funded by the Food and Health Bureau Commissioned Research on Mental Health Policy and Service Ref No. SMH-27. The authors wish to acknowledge the contributions of Professor Jane Gunn (University of Melbourne) and Professor Walter Rosser (Queens University, Ontario) who helped as external advisors during the planning and drafting stages of the protocol. We also wish to thank all the doctors of our Primary Care Research Network for their continuing collaboration with us on this project.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorChin, Wen_HK
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorWong, SYSen_HK
dc.contributor.authorLo, YYCen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLam, Ten_HK
dc.contributor.authorLee, PWHen_HK
dc.contributor.authorWong, JWSen_HK
dc.contributor.authorChiu, BCFen_HK
dc.contributor.authorChan, KTYen_HK
dc.date.accessioned2012-06-26T06:27:58Z-
dc.date.available2012-06-26T06:27:58Z-
dc.date.issued2011en_HK
dc.identifier.citationBMC Family Practice, 2011, v. 12, article no. 129en_HK
dc.identifier.issn1471-2296en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151759-
dc.description.abstractBackground: Depressive disorders are commonly managed in primary care and family physicians are ideally placed to serve as central providers to these patients. Around the world, the prevalence of depressive disorders in patients presenting to primary care is between 10-20%, of which around 50% remain undiagnosed. In Hong Kong, many barriers exist preventing the optimal treatment and management of patients with depressive disorders. The pathways of care, the long term outcomes and the factors affecting prognosis of these patients requires closer examination. Methods/Design. The aim of this study is to examine the prevalence, incidence and natural history of depressive disorders in primary care and the factors influencing diagnosis, management and outcomes using a cross-sectional study followed by a longitudinal cohort study. Doctors working in primary care settings across Hong Kong have been invited to participate in this study. On one day each month over twelve months, patients in the doctor's waiting room are invited to complete a questionnaire containing items on socio-demography, co-morbidity, family history, previous doctor-diagnosed mental illness, recent mental and other health care utilization, symptoms of depression and health-related quality of life. Following the consultation, the doctors provide information regarding presenting problem, whether they think the patient has depression, and if so, whether the diagnosis is new or old, and the duration of the depressive illness if not a new diagnosis. If the doctor detects a depressive disorder, they are asked to provide information regarding patient management. Patients who consent are followed up by telephone at 2, 12, 26 and 52 weeks. Discussion. The study will provide information regarding cross-sectional prevalence, 12 month incidence, remission rate, outcomes and factors affecting outcomes of patients with depressive disorders in primary care. The epidemiology, outcomes, pathways of care, predictors for prognosis and service needs for primary care patients with depressive disorders will be described and recommendations made for policy and service planning. © 2011 Chin et al; licensee BioMed Central Ltd.en_HK
dc.languageengen_US
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcfampract/en_HK
dc.relation.ispartofBMC Family Practiceen_HK
dc.rightsBMC Family Practice. Copyright © BioMed Central Ltd.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshDepressive Disorder - diagnosis - epidemiology-
dc.subject.meshHong Kong - epidemiology-
dc.subject.meshIncidence-
dc.subject.meshPrevalence-
dc.subject.meshPrimary Health Care-
dc.titleThe epidemiology and natural history of depressive disorders in Hong Kong's primary careen_HK
dc.typeArticleen_HK
dc.identifier.emailChin, W: chinwy@hku.hken_HK
dc.identifier.emailLam, CLK: clklam@hku.hken_HK
dc.identifier.emailLo, YYC: yve_lo@yahoo.com.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailLam, T: tplam@hku.hken_HK
dc.identifier.authorityChin, W=rp00290en_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.identifier.authorityLo, YYC=rp00512en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityLam, T=rp00386en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1186/1471-2296-12-129en_HK
dc.identifier.pmid22112248-
dc.identifier.pmcidPMC3233512-
dc.identifier.scopuseid_2-s2.0-82055171827en_HK
dc.identifier.hkuros202569-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-82055171827&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume12en_HK
dc.identifier.spagearticle no. 129-
dc.identifier.eissn1471-2296-
dc.identifier.isiWOS:000297806100001-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectThe epidemiology and natural history of depressive disorders in primary care-
dc.identifier.scopusauthoridChin, W=35117470300en_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridWong, SYS=21741577200en_HK
dc.identifier.scopusauthoridLo, YYC=16022308000en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridLam, T=55232643600en_HK
dc.identifier.scopusauthoridLee, PWH=7406120357en_HK
dc.identifier.scopusauthoridWong, JWS=8287346000en_HK
dc.identifier.scopusauthoridChiu, BCF=24474324500en_HK
dc.identifier.scopusauthoridChan, KTY=54419531100en_HK
dc.identifier.citeulike10070482-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats