NHẬN THỨC VỀ BỆNH Ở BỆNH NHÂN TRẦM CẢM TẠI PHÒNG KHÁM TÂM THẦN KINH, BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Đào Uyên Trang Nguyễn; Thị Thu Hương Đào; Nguyễn Khánh Minh Trần; Thanh Trúc Thái

doi:10.59354/ydth175.2022.11

Keywords:

depression, major depressive episode, insight

Abstract

Depression is a common mental disorder that affect patient’s activities in life. The patient’s awareness of the signs of the problem can affect how early treatment starts as well as the effectiveness of treatment.

Objectives: Survey on disease awareness of depressed patients examined at the Psychiatric Clinic, Ho Chi Minh City University of Medicine and Pharmacy Hospital and related factors.

Subjects and research methods: Cross-sectional study described 139 patients with depression at the Psychiatric Clinic, Ho Chi Minh City University of Medicine and Pharmacy hospital from January 2021 to April 2021. The patient is diagnosed according to the primary depressive episode diagnostic standard of DSM-5. Insight and related factors are harnessed through a set of pre-structured questions.

Result: The average age of the patients involved in the study was 41.8 years. 54.0% of patients knew they were depressed, 34.5% knew the illness but did not think they were depressed, and 11.5% completely denied the illness. Regarding the effects of the illness, 20.1% found not impacted, 45.3% found somewhat impacted, 24.5% was highly impacted and 10.1% was extremely high impacted. There is a statistically significant connection between illness perception and status. The effects of depression on patients include losing interest, guilt and suicidal thoughts.

Conclusion: While symptoms of depression appear in nearly all patients, nearly half of depressed patients deny having depression. Patients who know they have depression have a higher incidence of depression, suggesting that patients only have access to medical and treatment when the illness is already severe.

References

S. Nassir Ghaemi, Erica Boiman, Frederick K. Goodwin (2000) “Insight and outcome in bipolar, unipolar, and anxiety disorders”. Comprehensive Psychiatry, 41 (3), 167-171.

Theo Vos, Amanuel Alemu Abajobir, Kalkidan Hassen Abate, Cristiana Abbafati, Kaja M. Abbas, Foad Abd-Allah, et al. (2017) “Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016”. The Lancet, 390 (10100), 1211- 1259.

World Health Organization (2017) Depression and other common mental disorders: global health estimates, World Health Organization,

H. M. Albers, S. Kinra, K. V. Radha Krishna, Y. Ben-Shlomo, H. Kuper (2016) “Prevalence and severity of depressive symptoms in relation to rural-to-urban migration in India: a cross-sectional study”. BMC Psychol, 4 (1), 47.

M. Srisurapanont, J. P. Hong, S. Tian-Mei, A. Hatim, C. Y. Liu, P. Udomratn, et al. (2013) “Clinical features of depression in Asia: results of a large prospective, cross-sectional study”. Asia Pac Psychiatry, 5 (4), 259-67.

C. F. Yen, C. C. Chen, Y. Lee, T. C. Tang, C. H. Ko, J. Y. Yen (2005) “Insight and correlates among outpatients with depressive disorders”. Compr Psychiatry, 46 (5), 384-9.

M. Hamilton (1960) “A rating scale for depression”. J Neurol Neurosurg Psychiatry, 23 (1), 56-62.

S. C. Hsu, S. J. Wang, C. Y. Liu, Y. Y. Juang, C. H. Yang, C. I. Hung (2009) “The impact of anxiety and migraine on quality of sleep in patients with major depressive disorder”. Compr Psychiatry, 50 (2), 151-7.

P. A. Geoffroy, N. Hoertel, B. Etain, F. Bellivier, R. Delorme, F. Limosin, et al. (2018) “Insomnia and hypersomnia in major depressive episode: Prevalence, sociodemographic characteristics and psychiatric comorbidity in a population-based study”. J Affect Disord, 226, 132- 141.

E. E. Haroz, M. Ritchey, J. K. Bass, B. A. Kohrt, J. Augustinavicius, L. Michalopoulos, et al. (2017) “How is depression experienced around the world? A systematic review of qualitative literature”. Soc Sci Med, 183, 151-162.

Hongbo He, Qing Chang, Yarong Ma (2018) “The Association of Insight and Change in Insight with Clinical Symptoms in Depressed Inpatients”. Shanghai archives of psychiatry, 30 (2), 110-118.