title: Prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China.
abstract: OBJECTIVE
  To determine the prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China.
  
  
  METHODS
  A total of 513 patients were randomly selected from 1923 inpatients from three general hospitals and evaluated with a Chinese version of the Structured Clinical Interview for Diagnostic and Statistical Manual-IV Axis I disorders by eight psychiatrists. Logistic regression was used to identify factors that were associated with depression.
  
  
  RESULTS
  The prevalence (95% confidence interval) of all current depressive disorders and major depressive disorder (MDD) was found to be 16.2% (13.0-19.4%) and 9.4% (6.8-11.9%), respectively. The correlates for depression include higher hospital class, divorce/being widowed/separation, low family income, chronic diseases, lack of medical insurance, dwelling in rural area, suffering from severe illness and multiple hospitalization history. None of the patients with current MDD were detected, treated or referred to psychiatric consultation.
  
  
  CONCLUSIONS
  The prevalence of depression among inpatients of general hospitals in Wuhan, China, was high. None of the depressive patients were recognized or treated for depression, indicating a serious neglect of depression in general hospitals. Our studies suggest an urgent need to improve clinicians' ability to detect and treat depression.
authors.affiliation: Affiliated Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan Mental Health Center, Wuhan, Hubei, PR China.
authors.forename: Bao-liang
authors.initials: BL
authors.lastname: Zhong
authors.forename: Hong-hui
authors.initials: HH
authors.lastname: Chen
authors.forename: Jian-fang
authors.initials: JF
authors.lastname: Zhang
authors.forename: Han-ming
authors.initials: HM
authors.lastname: Xu
authors.forename: Cong
authors.initials: C
authors.lastname: Zhou
authors.forename: Fan
authors.initials: F
authors.lastname: Yang
authors.forename: Jin
authors.initials: J
authors.lastname: Song
authors.forename: Jun
authors.initials: J
authors.lastname: Tang
authors.forename: Yang
authors.initials: Y
authors.lastname: Xu
authors.forename: Sheng
authors.initials: S
authors.lastname: Zhang
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Lei
authors.initials: L
authors.lastname: Zhou
mesh_terms: D002681:China / Q000453:epidemiology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology*; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007406:Interview, Psychological; D016015:Logistic Models; D008297:Male; D008875:Middle Aged