Clinical and socio-demographic correlates of anxious distress in Asian outpatients with major depressive disorder.
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| Title: | Clinical and socio-demographic correlates of anxious distress in Asian outpatients with major depressive disorder. |
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| Authors: | Maneeton, Narong (AUTHOR), Suttajit, Sirijit (AUTHOR), Maneeton, Benchalak (AUTHOR), Likhitsathian, Surinporn (AUTHOR), Eurviyanukul, Kanokkwan (AUTHOR), Udomratn, Pichet (AUTHOR), Chan, Edwin Shih-Yen (AUTHOR), Si, Tian-Mei (AUTHOR), Sulaiman, Ahmad Hatim (AUTHOR), Chen, Chia-Hui (AUTHOR), Bautista, Dianne (AUTHOR), Srisurapanont, Manit (AUTHOR) |
| Source: | Nordic Journal of Psychiatry. 2017, Vol. 71 Issue 7, p503-508. 6p. |
| Subjects: | Mental depression, Anxiety, Psychological distress, Asians, Sociodemographic factors, Insomnia, Diseases |
| Abstract: | Background: Anxious distress in major depressive disorder (MDD) is common and associated with poor outcomes and management difficulties. Aims: This post hoc analysis aimed to examine the socio-demographic and clinical correlates of anxiety distress in Asian outpatients with MDD. Methods: Instead of two out of five specifiers defined by the Diagnostic and Statistical Manual Version-5, anxious distress defined in this study was operationalized as the presence of at least two out of four proxy items drawn from the 90-item Symptom Checklist, Revised (SCL-90-R). Other measures included the Montgomery--Asberg Depression Rating Scale (MADRS), the Fatigue Severity Scale, the Sheehan Disability Scale and the Multidimensional Scale of Perceived Social Support. Results: The data of 496 patients with MDD were included. Anxious distress was found in 371 participants (74.8%). The binary logistic regression analysis found that anxious distress was independently and significantly correlated with working status, higher MADRS scores, severe insomnia and functional impairment. Conclusions: Three-fourths of Asian patients with MDD in tertiary care settings may have DSM-5 anxious distress of at least moderate distress. Its prevalence may vary among working groups. The specifier was associated with greater depressive symptom severity, severe insomnia and functional impairment. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Anxious distress in major depressive disorder (MDD) is common and associated with poor outcomes and management difficulties. Aims: This post hoc analysis aimed to examine the socio-demographic and clinical correlates of anxiety distress in Asian outpatients with MDD. Methods: Instead of two out of five specifiers defined by the Diagnostic and Statistical Manual Version-5, anxious distress defined in this study was operationalized as the presence of at least two out of four proxy items drawn from the 90-item Symptom Checklist, Revised (SCL-90-R). Other measures included the Montgomery--Asberg Depression Rating Scale (MADRS), the Fatigue Severity Scale, the Sheehan Disability Scale and the Multidimensional Scale of Perceived Social Support. Results: The data of 496 patients with MDD were included. Anxious distress was found in 371 participants (74.8%). The binary logistic regression analysis found that anxious distress was independently and significantly correlated with working status, higher MADRS scores, severe insomnia and functional impairment. Conclusions: Three-fourths of Asian patients with MDD in tertiary care settings may have DSM-5 anxious distress of at least moderate distress. Its prevalence may vary among working groups. The specifier was associated with greater depressive symptom severity, severe insomnia and functional impairment. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 08039488 |
| DOI: | 10.1080/08039488.2017.1335344 |
