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Outcome of Major Depression in Ethiopia: Population-Based Study

Background: The outcome & impact of major depression in developing countries are not clear. Aims: To describe the outcome of major depression & compare the disability & patterns of service use among different outcome groups. Method: In a case cohort study, nested within a population-based survey of... Full description

Journal Title: The British Journal of Psychiatry September 2006, Vol.189, pp.241-246
Main Author: Mogga, Souci
Other Authors: Prince, Martin , Alem, Atalay , Kebede, Derege , Stewart, Robert , Glozier, Nick , Hotopf, Matthew
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0007-1250 ; DOI: 10.1192/bjp.bp.105.013417
Link: http://search.proquest.com/docview/57072142/?pq-origsite=primo
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title: Outcome of Major Depression in Ethiopia: Population-Based Study
format: Article
creator:
  • Mogga, Souci
  • Prince, Martin
  • Alem, Atalay
  • Kebede, Derege
  • Stewart, Robert
  • Glozier, Nick
  • Hotopf, Matthew
subjects:
  • Depression
  • Developing Countries
  • Mortality
  • Disability
  • Helpseeking
  • Ethiopia
  • Article
ispartof: The British Journal of Psychiatry, September 2006, Vol.189, pp.241-246
description: Background: The outcome & impact of major depression in developing countries are not clear. Aims: To describe the outcome of major depression & compare the disability & patterns of service use among different outcome groups. Method: In a case cohort study, nested within a population-based survey of 68,000 participants using the Composite International Diagnostic Interview (CIDI), 300 participants were randomly selected from those with current major depression & 300 from those with no lifetime history. Participants were re-interviewed after 18-62 months to ascertain current diagnosis, psychological symptoms, disability & use of health services. Results: Of participants with major depression at baseline 26% also met criteria for major depression at follow up. Mortality ratio standardised for age & gender was 3.55 (95% CI 1.97 to 6.39). All indices of measure of disability were significantly higher in the persistently depressed group compared with the completely recovered group. Participants who had recovered partially resembled participants with persistent depression. Two-thirds of those with persistent depression had not sought any help. Conclusions: Major depression was associated with mortality & disability. Those with residual symptoms remained disabled. Help-seeking was unusual. Tables, References. Adapted from the source document.
language: eng
source:
identifier: ISSN: 0007-1250 ; DOI: 10.1192/bjp.bp.105.013417
fulltext: fulltext
issn:
  • 00071250
  • 0007-1250
url: Link


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identifierISSN: 0007-1250 ; DOI: 10.1192/bjp.bp.105.013417
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