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

研究成果: Article査読

6 被引用数 (Scopus)

抄録

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.

本文言語English
論文番号50
ジャーナルInternational Journal of Mental Health Systems
8
1
DOI
出版ステータスPublished - 2014 12 5

ASJC Scopus subject areas

  • 精神医学的メンタルヘルス
  • 健康政策
  • 公衆衛生学、環境および労働衛生
  • 精神医学および精神衛生

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