Assessment of current clinical practices for major depression in Japan using a web-based questionnaire

Hikaru Hori,1 Kentaro Yamato2 1Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan; 2JPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., Tokyo, JapanCorrespondence: Kentaro YamatoJPBU Department of Medical Affairs, Takeda Pharmace...

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Autores principales:	Hori H, Yamato K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Japan survey diagnosis management major depression disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/641d4aef8b5f45edb4bee52d6892bde2
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spelling	oai:doaj.org-article:641d4aef8b5f45edb4bee52d6892bde22021-12-02T09:49:35ZAssessment of current clinical practices for major depression in Japan using a web-based questionnaire1178-2021https://doaj.org/article/641d4aef8b5f45edb4bee52d6892bde22019-10-01T00:00:00Zhttps://www.dovepress.com/assessment-of-current-clinical-practices-for-major-depression-in-japan-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hikaru Hori,1 Kentaro Yamato2 1Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan; 2JPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., Tokyo, JapanCorrespondence: Kentaro YamatoJPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., 1-1 Nihonbashi-honcho 2-chome, Chuo-ku, Tokyo 103-8668, JapanTel +81 33 278 3244Fax +81 33 278 2925Email kentarou.yamato@takeda.comPurpose: To investigate the current clinical practice of Japanese physicians in the diagnosis and management of major depression (major depressive disorder [MDD]).Patients and methods: Japanese physicians specializing in psychiatry or psychosomatic medicine in the medical database of Nihon Ultmarc Inc. (Chuo-Ku, Tokyo, Japan), who had treated ≥30 patients with MDD in the past month were invited to complete a web-based questionnaire from January 15 to 29, 2018. The questionnaire was comprised of 28 questions pertaining to the physician’s background, the criteria and tools used to diagnose MDD during physician–patient consultation, and actual and preferred duration of physician–patient consultation. Responses were given as single answer numerical values or as multiple-choice answers.Results: From the 518 physicians invited to participate, 340 completed questionnaires were analyzed. Respondents were predominantly male (90%), hospital based (73%), affiliated with the Department of Psychiatry (95%), and members of the Japanese Society of Psychiatry and Neurology (87%). The majority of physicians (84%) agreed that “improvement of cognitive dysfunction caused by major depression is an important factor for patients to return to work” was the most challenging aspect of MDD diagnosis and management. Moreover, 83% of physicians conducted psychological assessments using a cognition evaluation test with most of their patients at the time of MDD diagnosis; the most commonly used tool was the Hasegawa Dementia Scale-Revised. Both hospital-based physicians and general practitioners would prefer to have longer consultations with their patients.Conclusion: Physicians acknowledge the importance of the assessment and management of cognitive dysfunction in patients with MDD. However, most physicians would prefer to have longer consultation times with their patients for the diagnosis of MDD. In the future, it may be useful to introduce digital tools (eg, THINC-it®) for the initial screening of cognitive dysfunction.Keywords: Japan, survey, diagnosis, management, major depression disorderHori HYamato KDove Medical PressarticleJapansurveydiagnosismanagementmajor depression disorderNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 2821-2832 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Japan survey diagnosis management major depression disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Japan survey diagnosis management major depression disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Hori H Yamato K Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
description	Hikaru Hori,1 Kentaro Yamato2 1Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan; 2JPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., Tokyo, JapanCorrespondence: Kentaro YamatoJPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., 1-1 Nihonbashi-honcho 2-chome, Chuo-ku, Tokyo 103-8668, JapanTel +81 33 278 3244Fax +81 33 278 2925Email kentarou.yamato@takeda.comPurpose: To investigate the current clinical practice of Japanese physicians in the diagnosis and management of major depression (major depressive disorder [MDD]).Patients and methods: Japanese physicians specializing in psychiatry or psychosomatic medicine in the medical database of Nihon Ultmarc Inc. (Chuo-Ku, Tokyo, Japan), who had treated ≥30 patients with MDD in the past month were invited to complete a web-based questionnaire from January 15 to 29, 2018. The questionnaire was comprised of 28 questions pertaining to the physician’s background, the criteria and tools used to diagnose MDD during physician–patient consultation, and actual and preferred duration of physician–patient consultation. Responses were given as single answer numerical values or as multiple-choice answers.Results: From the 518 physicians invited to participate, 340 completed questionnaires were analyzed. Respondents were predominantly male (90%), hospital based (73%), affiliated with the Department of Psychiatry (95%), and members of the Japanese Society of Psychiatry and Neurology (87%). The majority of physicians (84%) agreed that “improvement of cognitive dysfunction caused by major depression is an important factor for patients to return to work” was the most challenging aspect of MDD diagnosis and management. Moreover, 83% of physicians conducted psychological assessments using a cognition evaluation test with most of their patients at the time of MDD diagnosis; the most commonly used tool was the Hasegawa Dementia Scale-Revised. Both hospital-based physicians and general practitioners would prefer to have longer consultations with their patients.Conclusion: Physicians acknowledge the importance of the assessment and management of cognitive dysfunction in patients with MDD. However, most physicians would prefer to have longer consultation times with their patients for the diagnosis of MDD. In the future, it may be useful to introduce digital tools (eg, THINC-it®) for the initial screening of cognitive dysfunction.Keywords: Japan, survey, diagnosis, management, major depression disorder
format	article
author	Hori H Yamato K
author_facet	Hori H Yamato K
author_sort	Hori H
title	Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
title_short	Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
title_full	Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
title_fullStr	Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
title_full_unstemmed	Assessment of current clinical practices for major depression in Japan using a web-based questionnaire
title_sort	assessment of current clinical practices for major depression in japan using a web-based questionnaire
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/641d4aef8b5f45edb4bee52d6892bde2
work_keys_str_mv	AT horih assessmentofcurrentclinicalpracticesformajordepressioninjapanusingawebbasedquestionnaire AT yamatok assessmentofcurrentclinicalpracticesformajordepressioninjapanusingawebbasedquestionnaire
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Assessment of current clinical practices for major depression in Japan using a web-based questionnaire

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