Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.

<h4>Background</h4>Little has been known about the demographic and clinical features of the melancholic subtype of major depressive disorder (MDD) in Chinese patients. This study examined the frequency of melancholia in Chinese MDD patients and explored its demographic and clinical corre...

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Autores principales: Yu-Tao Xiang, Gang Wang, Chen Hu, Tong Guo, Gabor S Ungvari, Amy M Kilbourne, Kelly Y C Lai, Tian-Mei Si, Qi-Wen Zheng, Da-Fang Chen, Yi-Ru Fang, Zheng Lu, Hai-Chen Yang, Jian Hu, Zhi-Yu Chen, Yi Huang, Jing Sun, Xiao-Ping Wang, Hui-Chun Li, Jin-Bei Zhang, Helen F K Chiu
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:b7eee56a9c4e4fb7be3ca24bea3de4172021-11-18T07:13:52ZDemographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.1932-620310.1371/journal.pone.0039840https://doaj.org/article/b7eee56a9c4e4fb7be3ca24bea3de4172012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22768140/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Little has been known about the demographic and clinical features of the melancholic subtype of major depressive disorder (MDD) in Chinese patients. This study examined the frequency of melancholia in Chinese MDD patients and explored its demographic and clinical correlates and prescribing patterns of psychotropic drugs.<h4>Methods</h4>A consecutively collected sample of 1,178 patients with MDD were examined in 13 psychiatric hospitals or psychiatric units of general hospitals in China nationwide. The cross-sectional data of patients' demographic and clinical characteristics and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. The diagnosis of the melancholic subtype was established using the Mini International Neuropsychiatric Interview (MINI). Medications ascertained included antidepressants, mood stabilizers, antipsychotics and benzodiazepines.<h4>Results</h4>Six hundred and twenty nine (53.4%) of the 1,178 patients fulfilled criteria for melancholia. In multiple logistic regression analyses, compared to non-melancholic counterparts, melancholic MDD patients were more likely to be male and receive benzodiazepines, had more frequent suicide ideations and attempts and seasonal depressive episodes, while they were less likely to be employed and receive antidepressants and had less family history of psychiatric disorders and lifetime depressive episodes.<h4>Conclusions</h4>The demographic and clinical features of melancholic MDD in Chinese patients were not entirely consistent with those found in Western populations. Compared to non-melancholic MDD patients, melancholic patients presented with different demographic and clinical features, which have implications for treatment decisions.Yu-Tao XiangGang WangChen HuTong GuoGabor S UngvariAmy M KilbourneKelly Y C LaiTian-Mei SiQi-Wen ZhengDa-Fang ChenYi-Ru FangZheng LuHai-Chen YangJian HuZhi-Yu ChenYi HuangJing SunXiao-Ping WangHui-Chun LiJin-Bei ZhangHelen F K ChiuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e39840 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yu-Tao Xiang
Gang Wang
Chen Hu
Tong Guo
Gabor S Ungvari
Amy M Kilbourne
Kelly Y C Lai
Tian-Mei Si
Qi-Wen Zheng
Da-Fang Chen
Yi-Ru Fang
Zheng Lu
Hai-Chen Yang
Jian Hu
Zhi-Yu Chen
Yi Huang
Jing Sun
Xiao-Ping Wang
Hui-Chun Li
Jin-Bei Zhang
Helen F K Chiu
Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
description <h4>Background</h4>Little has been known about the demographic and clinical features of the melancholic subtype of major depressive disorder (MDD) in Chinese patients. This study examined the frequency of melancholia in Chinese MDD patients and explored its demographic and clinical correlates and prescribing patterns of psychotropic drugs.<h4>Methods</h4>A consecutively collected sample of 1,178 patients with MDD were examined in 13 psychiatric hospitals or psychiatric units of general hospitals in China nationwide. The cross-sectional data of patients' demographic and clinical characteristics and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. The diagnosis of the melancholic subtype was established using the Mini International Neuropsychiatric Interview (MINI). Medications ascertained included antidepressants, mood stabilizers, antipsychotics and benzodiazepines.<h4>Results</h4>Six hundred and twenty nine (53.4%) of the 1,178 patients fulfilled criteria for melancholia. In multiple logistic regression analyses, compared to non-melancholic counterparts, melancholic MDD patients were more likely to be male and receive benzodiazepines, had more frequent suicide ideations and attempts and seasonal depressive episodes, while they were less likely to be employed and receive antidepressants and had less family history of psychiatric disorders and lifetime depressive episodes.<h4>Conclusions</h4>The demographic and clinical features of melancholic MDD in Chinese patients were not entirely consistent with those found in Western populations. Compared to non-melancholic MDD patients, melancholic patients presented with different demographic and clinical features, which have implications for treatment decisions.
format article
author Yu-Tao Xiang
Gang Wang
Chen Hu
Tong Guo
Gabor S Ungvari
Amy M Kilbourne
Kelly Y C Lai
Tian-Mei Si
Qi-Wen Zheng
Da-Fang Chen
Yi-Ru Fang
Zheng Lu
Hai-Chen Yang
Jian Hu
Zhi-Yu Chen
Yi Huang
Jing Sun
Xiao-Ping Wang
Hui-Chun Li
Jin-Bei Zhang
Helen F K Chiu
author_facet Yu-Tao Xiang
Gang Wang
Chen Hu
Tong Guo
Gabor S Ungvari
Amy M Kilbourne
Kelly Y C Lai
Tian-Mei Si
Qi-Wen Zheng
Da-Fang Chen
Yi-Ru Fang
Zheng Lu
Hai-Chen Yang
Jian Hu
Zhi-Yu Chen
Yi Huang
Jing Sun
Xiao-Ping Wang
Hui-Chun Li
Jin-Bei Zhang
Helen F K Chiu
author_sort Yu-Tao Xiang
title Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
title_short Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
title_full Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
title_fullStr Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
title_full_unstemmed Demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in China.
title_sort demographic and clinical features and prescribing patterns of psychotropic medications in patients with the melancholic subtype of major depressive disorder in china.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/b7eee56a9c4e4fb7be3ca24bea3de417
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