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http://hdl.handle.net/123456789/1453
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| Title: | Detection of major depression in Ugandan primary health care settings using simple questions from a subjective well-being (SWB) subscale. Social Psychiatry and Psychiatric Epidemiology, 42 |
| Authors: | Muhwezi, Wilson Winstons
Ågren, Hans
Musisi, Seggane |
| Keywords: | Subjective well-being
Depression
Diagnosis
Screening
Primary health centre
Uganda |
| Issue Date: | 2007 |
| Publisher: | Springer Verlag |
| Abstract: | Objective To explore whether the 4- item subjective well-being subscale could be used to detect a major depressive illness. Secondly, to describe the prevalence and characteristics of depressed health care attendees at primary healthcare centres. Method Using a descriptive, cross-sectional study design, we interviewed 199 consecutive patients about their socio-demographics, subjective well-being (SWB), major depressive illness symptoms and depression severity. The instruments used were translated into Luganda. Results Point prevalence of a current Major Depressive Episode (MDE) was 31.6%. Using a one week reference period, we found that experiencing a lot of distress, having less energy or poor health, having poor emotional and psychological adjustment and not being satisfied with life were significantly more common among patients with a current MDE. The 4-item SWB subscale detected depression of up to 87.1% (95% CI: 0.818–0.923). In logistic regression, all four SWB
items predicted a current MDE. Conclusion Major depressive illness is a common at primary healthcare
level in Uganda. Four simple questions
reflecting SWB items have potential to detect diagnosable
patients likely to have a current MDE,
making general screening procedures less necessary. |
| URI: | http://hdl.handle.net/123456789/1453 |
| ISSN: | 0933-7954 |
| Appears in Collections: | Research Articles (Health-Sciences)
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| muhwezi-chs-res.pdf | | 248Kb | Adobe PDF | View/Open |
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