Utility of the concept of minor depressive disorder: evidence from a large rural community sample in a developing country setting

Utility of the concept of minor depressive disorder : evidence from a large rural community sample in a developing country setting

BACKGROUND: Evidence on the utility of the minor depressive disorder diagnostic construct in rural communities and developing countries is scarce. AIM: To assess the utility and validity of definitive minor depressive disorder in Ethiopia by determining its impact and sociodemographic correlates. METHODS: Assessment of 68,378 adults, aged 15-49 years, living in a largely rural district in Ethiopia using the Composite International Diagnostic Interview. RESULTS: The lifetime prevalence of minor depressive disorder was 2.2% (95% CI=2.1%, 2.3%). Age, marital status, education and unemployment independently predicted minor depressive disorder. Over 80% of cases used health services, 55.1% experienced persistent thoughts of death and 14.6% attempted suicide. LIMITATION: Findings are based on lifetime estimates. CONCLUSIONS: Minor depressive disorder is an important public health problem in rural Ethiopia, as shown by the associated high health service use and risk behaviour. Sociodemographic correlates suggest aetiological continuity with major depression. Thus our findings extend the clinical and public health utility of this diagnostic construct to rural community and developing country settings.

Alem, AtalayUmeå universitet,Psykiatri(Swepub:umu)atal0006 (författare)
Medhin, GirmayAklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia (författare)
Shibre, TeshomeDepartment of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia (författare)
Cleare, AnthonyKing's College London, Institute of Psychiatry, London, UK (författare)
Prince, MartinKing's College London, Institute of Psychiatry, London, UK (författare)
Kebede, DeregeWorld Health Organization, Regional Office for Africa, Brazzaville, Congo (författare)
Umeå universitetPsykiatri (creator_code:org_t)

Ingår i:Journal of Affective Disorders: Elsevier BV104:1-3, s. 111-1180165-03271573-2517

Av författaren/redakt...: Fekadu, Abebaw; Alem, Atalay; Medhin, Girmay; Shibre, Teshome; Cleare, Anthony; Prince, Martin; visa fler...; Kebede, Derege; visa färre...

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