AI Article Synopsis
- A study in Wuhan, China found that around 20.3% of older adults receiving primary care had depressive disorders, with low recognition rates among healthcare providers.
- Key factors linked to these disorders included female gender, low education, financial difficulties, poor family relationships, loneliness, and several chronic health conditions.
- The findings highlight the urgent need to incorporate mental health services into primary care to better support the emotional well-being of older adults in China.
Article Abstract
Background: In recent years, there have been increasing calls for integrating late-life mental health services into primary care in China, but data on the epidemiology of depressive disorders in older adults receiving primary care are very limited. This study examined prevalence, correlates and recognition of depressive disorders among Chinese older adults receiving primary care.
Methods: A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care clinics in Wuhan, China, and interviewed with the Chinese Mini-international Neuropsychiatric Interview 5.0.
Results: One-fifth (20.3%) of the older adults met DSM-IV criteria for depressive disorders during the month prior to the interview: 10.2% had major depression, 4.8% had dysthymia, and 5.3% had minor depressive disorder. The recognition rate of older patients with depressive disorders was 1.3% only. In multiple logistic regression analysis, factors significantly associated with depressive disorders included female gender (OR = 1.61), an education of primary school and below (OR = 1.69), poor financial status (OR = 2.44), poor or fair family relationship (OR = 1.66), loneliness (OR = 1.77), hypertension (OR = 1.91), heart disease (OR = 2.02), chronic gastric ulcer (OR = 6.01), and arthritis (OR = 3.55).
Limitations: Older adults from primary care clinics of economically underdeveloped regions of China were not included.
Conclusions: Depressive disorders are prevalent but poorly recognized in Chinese older adults receiving treatment in primary care clinics. In order to improve the emotional well-being and health of older adults, it is time to integrate the management of common mental disorders into primary healthcare in China.
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| http://dx.doi.org/10.1016/j.jad.2019.09.011 | DOI Listing |
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