[Depressive disorders among outpatients in general hospitals].

OBJECTIVE

To investigate the prevalence, recognition and treatment of depressive disorders among outpatients in general hospitals.

METHODS

26,969 outpatients of general hospitals 15 countries were interviewed by GHQ-28, CIDI and physician interview scale in two-stage case identification process. In Shanghai, 583 patients were interviewed by all scales, among them men and women were in 38.0% and 62.0% respectively.

RESULTS

Among all the psychological problems, the prevalence of depressive disorders was listed as the first one. The prevalence of major depression and dysthymia in the whole sample was 10.4% and 2.1% respectively and in Shanghai it was 4.0% and 0.6% respectively. The recognized rate of depressive disorders by physician in Shanghai was 21%, which was much lower than 55.6%--the medium among the fifteen countries. The treatment of depressive disorders by physician was inadequate. None of antidepressants was prescribed by any of physician for the recognized depressive disorders in Shanghai.

CONCLUSIONS

Depressive disorders are the most common psychological problems in the outpatients of general hospitals, but they are under-recognized and inadequately treated in general hospitals. Reeducation of physician on mental health knowledge must be emphasized by the whole society.