- Prevalence of Depressive Disorder of Outpatients Visiting Two Primary Care Settings
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Sun-Jin Jo, Hyeon Woo Yim, Hyunsuk Jeong, Hoo Rim Song, Sang Yhun Ju, Jong Lyul Kim, Tae-Youn Jun
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J Prev Med Public Health. 2015;48(5):257-263. Published online September 21, 2015
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DOI: https://doi.org/10.3961/jpmph.15.009
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 Abstract
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- Objectives
Although the prevalence of depressive disorders in South Korea’s general population is known, no reports on the prevalence of depression among patients who visit primary care facilities have been published. This preliminary study was conducted to identify the prevalence of depressive disorder in patients that visit two primary care facilities.
Methods
Among 231 consecutive eligible patients who visited two primary care settings, 184 patients consented to a diagnostic interview for depression by psychiatrists following the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. There were no significant differences in sociodemographic characteristics such as gender, age, or level of education between the groups that consented and declined the diagnostic examination. The prevalence of depressive disorder and the proportion of newly diagnosed patients among depressive disorder patients were calculated.
Results
The prevalence of depressive disorder of patients in the two primary care facilities was 14.1% (95% confidence interval [CI], 9.1 to 19.2), with major depressive disorder 5.4% (95% CI, 2.1 to 8.7), dysthymia 1.1% (95% CI, 0.0 to 2.6), and depressive disorder, not otherwise specified 7.6% (95% CI, 3.7 to 11.5). Among the 26 patients with depressive disorder, 19 patients were newly diagnosed.
Conclusions
As compared to the general population, a higher prevalence of depressive disorders was observed among patients at two primary care facilities. Further study is needed with larger samples to inform the development of a primary care setting-based depression screening, management, and referral system to increase the efficiency of limited health care resources.
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Summary
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Citations
Citations to this article as recorded by  - The role of gender differences in the outcome of juvenile social isolation: Emphasis on changes in behavioral, biochemical and expression of nitric oxide synthase genes alteration
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Heliyon.2024; 10(7): e28964. CrossRef - Depression rates and health-seeking behavior in primary care: Andersen model of health- care utilization
Lana Alhalaseh, Karim Alsawalha, Mohammed Qussay Al-Sabbagh, Farah Al-Khaleefa
Psychology, Health & Medicine.2023; 28(6): 1503. CrossRef - Prevalence of depressive disorders in a primary care setting in Ho Chi Minh City, Vietnam: A cross-sectional epidemiological study
Ho Nguyen Yen Phi, Truong Quoc Tho, Bui Xuan Manh, Tran Anh Ngoc, Pham Thi Minh Chau, Nguyen Trung Nghia, Tran Trung Nghia, Huynh Ho Ngoc Quynh, Nguyen Tien Huy, Ngo Tich Linh, Pham Lê An
The International Journal of Psychiatry in Medicine.2023; 58(2): 86. CrossRef - Mental illness in patients with end-stage kidney disease in South Korea: a nationwide cohort study
Min-Jeong Lee, Eunyoung Lee, Bumhee Park, Inwhee Park
Kidney Research and Clinical Practice.2022; 41(2): 231. CrossRef - Prevalence of depressive symptoms in urban primary care settings: Botswana
Keneilwe Motlhatlhedi, Keneilwe Molebatsi, Grace N. Wambua
African Journal of Primary Health Care & Family Medicine.2021;[Epub] CrossRef - Psychiatric comorbidities among endometrial cancer survivors in South Korea: a nationwide population-based, longitudinal study
Jaesung Heo, Mison Chun, Young-Taek Oh, O Kyu Noh
Journal of Gynecologic Oncology.2019;[Epub] CrossRef - The prevalence of suicidal ideation and depression among primary care patients and current management in South Korea
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International Journal of Mental Health Systems.2017;[Epub] CrossRef
- Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey
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Horim Hwang, Hyunsuk Jeong, Hyeon Woo Yim
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Received August 29, 2024 Accepted December 26, 2024 Published online January 14, 2025
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DOI: https://doi.org/10.3961/jpmph.24.486
[Accepted]
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Abstract
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- Objectives
Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to investigate potential associations between non-adherence to diabetes management and poor sleep quality.
Methods
Of the 228,340 participants in the 2018 Korea Community Health Survey, we analyzed data from 68,246 participants aged 65 years and older. Based on their diabetes status and adherence to diabetes-related tests (glycated hemoglobin, fundus examination, and urine microalbuminuria) and management education, study participants were divided into 3 groups: no diabetes, adherence, and non-adherence. Outcome variables included poor overall sleep quality and sleep disturbances, as measured by the Pittsburgh Sleep Quality Index. Results: The study included 934 participants in the adherence group (2.0%) and 13,420 in the non-adherence group (20.2%). Participants displaying non-adherence were significantly more likely to report poor overall sleep quality (adjusted odds ratio [aOR], 1.09; 95% confidence interval [CI], 1.04 to 1.13) and to experience sleep fragmentation, nocturia, pain during sleep, and difficulty falling asleep compared to participants without diabetes. Even in the earlier stage of diabetes, non-adherent participants were more likely to report poor sleep quality (aOR, 1.06; 95% CI, 1.001 to 1.18).
Conclusions
Patients with diabetes who do not follow management guidelines are more likely to experience poor sleep quality than those without diabetes. Emphasizing diabetes management and increasing awareness of management strategies may improve sleep quality among patients with this disease.
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