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

3 引用 (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.

元の言語English
記事番号50
ジャーナルInternational Journal of Mental Health Systems
8
発行部数1
DOI
出版物ステータスPublished - 2014 12 5

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Japan
Depression
Marital Status
Therapeutics
Depressive Disorder
Ambulatory Care Facilities
Clinical Studies
Diagnostic and Statistical Manual of Mental Disorders
Cross-Sectional Studies
Logistic Models
Regression Analysis
Demography
Interviews

ASJC Scopus subject areas

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

これを引用

Potential predictors of delay in initial treatment contact after the first onset of depression in japan : A clinical sample study. / Oguchi, Yoshiyo; Nakagawa, Atsuo; Sado, Mitsuhiro; Mitsuda, Dai; Nakagawa, Yuko; Kato, Noriko; Takechi, Sayuri; Hiyama, Mitsunori; Mimura, Masaru.

:: International Journal of Mental Health Systems, 巻 8, 番号 1, 50, 05.12.2014.

研究成果: Article

Oguchi, Yoshiyo ; Nakagawa, Atsuo ; Sado, Mitsuhiro ; Mitsuda, Dai ; Nakagawa, Yuko ; Kato, Noriko ; Takechi, Sayuri ; Hiyama, Mitsunori ; Mimura, Masaru. / Potential predictors of delay in initial treatment contact after the first onset of depression in japan : A clinical sample study. :: International Journal of Mental Health Systems. 2014 ; 巻 8, 番号 1.
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