Potential predictors of delay in initial treatment contact after the first onset of depression in japan: A clinical sample study

Yoshiyo Oguchi, Atsuo Nakagawa, Mitsuhiro Sado, Dai Mitsuda, Yuko Nakagawa, Noriko Kato, Sayuri Takechi, Mitsunori Hiyama, Masaru Mimura

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3 Citations (Scopus)

Abstract

Background: A growing body of evidence shows that reducing the duration of untreated illness (DUI) correlates with improved clinical outcome and course of depression. However, the factors involved in delaying treatment contact after the first onset of lifetime depression are not fully understood. This cross-sectional study aims to identify the characteristics that may predict the delay in initial treatment contact after the first onset of lifetime depression by comparing the socio-demographics and clinical characteristics between those with longer and shorter DUI in a well-characterized Japanese clinical sample. Methods: Ninety-five patients with depression with longer (>12 months) and shorter DUI (≤12 months) at three Japanese outpatient clinics were studied. Subjects received a comprehensive evaluation, including semi-structured clinical interviews and assessment battery, and their clinical charts were reviewed. Results: Of the total sample, the median of DUI was 4 months (interquartile range (IQR) 25th-75th percentile, 2-13). We found that 72.6% of patients seek treatment contact within the first year of depression onset. Multivariate logistic regression analysis showed that longer DUI in patients was associated with marital status (never married). Further, the DSM-IV melancholic features approached significance. Conclusions: Our findings suggest that most Japanese patients with depression are likely to seek treatment within 1 year of onset, and that marital status and melancholia may be potential predictors of the delay in the initial treatment contact after the first onset of lifetime depression.

Original languageEnglish
Article number50
JournalInternational Journal of Mental Health Systems
Volume8
Issue number1
DOIs
Publication statusPublished - 2014 Dec 5

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Keywords

  • Duration of untreated illness
  • Help-seeking
  • Major depressive disorder
  • Marital status

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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