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学科主题: 精神卫生
题名:
Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies
作者: Chee, Kok-Yoon1; Tripathi, Adarsh2; Avasthi, Ajit3; Chong, Mian-Yoon4,5; Xiang, Yu-Tao6; Sim, Kang7; Si, Tian-Mei8; Kanba, Shigenobu9; He, Yan-Ling10; Lee, Min-Soo11; Chiu, Helen Fung-Kum12; Yang, Shu-Yu13; Kuga, Hironori9; Udormatn, Pichet14; Kallivayalil, Roy A.15; Tanra, Andi J.16; Maramis, Margarita17; Grover, Sandeep3; Chin, Loi-Fei18; Dahlan, Rahima19; Isa, Mohd Fadzli Mohamad20; Ebenezer, Esther Gunaseli M.21; Nordin, Norhayati22; Shen, Winston W.23,24; Shinfuku, Naotaka25; Tan, Chay-Hoon26; Sartorius, Norman27
关键词: Asian ; income ; region ; transcultural psychiatry
刊名: ASIA-PACIFIC PSYCHIATRY
发表日期: 2015-09-01
DOI: 10.1111/appy.12170
卷: 7, 期:3, 页:276-285
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Psychiatry
研究领域[WOS]: Psychiatry
关键词[WOS]: 12-MONTH PREVALENCE ; METROPOLITAN CHINA ; SUICIDE IDEATION ; MAJOR DEPRESSION ; MENTAL-DISORDERS ; DSM-IV ; HEALTH ; POPULATION ; SEVERITY ; BURDEN
英文摘要:

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.

语种: 英语
所属项目编号: 10201-62-077
项目资助者: Taipei City Hospital, Taipei, Taiwan
WOS记录号: WOS:000358175200006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64475
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.King Georges Med Univ, Dept Psychiat, Lucknow, Uttar Pradesh, India
2.Chang Gung Univ, Sch Med, Taoyuan, Taiwan
3.Univ Macau, Fac Hlth Sci, Macau, Peoples R China
4.Inst Mental Hlth, Singapore, Singapore
5.Kyushu Univ, Dept Neuropsychiat, Fukuoka 812, Japan
6.Korea Univ, Coll Med, Dept Psychiat, Seoul 136705, South Korea
7.Taipei City Hosp, Dept Pharm, Taipei, Taiwan
8.Taipei Med Univ, Sch Med, Dept Psychiat, Taipei, Taiwan
9.Kobe Univ, Dept Psychiat, Kobe, Hyogo 657, Japan
10.Assoc Improvement Mental Hlth Programmes, Geneva, Switzerland
11.Pushpagiri Med Coll, Dept Psychiat, Thiruvalla, India
12.Kajang Hosp, Dept Psychiat & Mental Hlth, Selangor, Malaysia
13.Sultan Abdul Halim Hosp, Dept Psychiat & Mental Hlth, Kedah, Malaysia
14.Mesra Hosp, Sabah, Malaysia
15.Kuala Lumpur Hosp, Dept Psychiat & Mental Hlth, Kuala Lumpur 50586, Kuala Lumpur, Malaysia
16.Postgrad Inst Med Educ & Res, Dept Psychiat, Chandigarh 160012, India
17.Kaohsiung Chang Gung Mem Hosp, Kaohsiung Med Ctr, Dept Psychiat, Kaohsiung, Taiwan
18.Peking Univ, Dept Psychiat, Inst Mental Hlth, Beijing 100871, Peoples R China
19.Shanghai Mental Hlth Ctr, Dept Psychiat Epidemiol, Shanghai, Peoples R China
20.Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
21.Prince Songkla Univ, Fac Med, Dept Psychiat, Hat Yai, Thailand
22.Hasanuddin Univ, Fac Med, Dept Psychiat, Makassar, Sulawesi Selata, Indonesia
23.Airlangga Univ, Fac Med, Dr Soetomo Hosp, Jawa Timur, Indonesia
24.Tengku Ampuan Rahimah Hosp, Dept Psychiat & Mental Hlth, Selangor, Malaysia
25.Univ Kuala Lumpur, Royal Coll Med, Dept Psychiat, Perak, Malaysia
26.Taipei Med Univ, TMU Wan Fang Med Ctr, Dept Psychiat, Taipei, Taiwan
27.Natl Univ Singapore, Dept Pharmacol, Singapore 117548, Singapore

Recommended Citation:
Chee, Kok-Yoon,Tripathi, Adarsh,Avasthi, Ajit,et al. Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies[J]. ASIA-PACIFIC PSYCHIATRY,2015,7(3):276-285.
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