title: Prevalence, correlates and recognition of depression in Chinese inpatients with cancer.
abstract: OBJECTIVE
  To determine the prevalence, correlates and recognition rates of depressive disorders (DDs) in Chinese inpatients with cancer.
  
  
  METHODS
  Four hundred and sixty cancer inpatients were recruited from the oncology ward of a university hospital in Beijing, China. Patients were interviewed with a Chinese version of the Mini International Neuropsychiatric Interview 5.0 by eight trained psychiatrists. Case records of inpatients with DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) DDs were reviewed to determine whether treating oncologists made a diagnosis of depression, prescribed antidepressant medications and/or recommended psychiatric consultation/referral.
  
  
  RESULTS
  The 1-month prevalence rates (95% confidence intervals) of DDs and major depressive disorder (MDD) were 25.9% (21.9%-29.9%) and 12.6% (9.6%-15.6%), respectively. In our multiple logistic regression analysis, being unmarried [odds ratio (OR)=1.41], cancer stage of metastasis (OR=2.35), time since cancer diagnosis ≤20 months (OR=2.05), frequent pain (OR=1.99~6.83) and being scored between two and four on the Eastern Cooperative Oncology Group Scale (OR=2.25~4.97) were independently associated with depression. Only 6.9% of patients with MDD were recognized by treating oncologists.
  
  
  CONCLUSIONS
  DDs are very common among Chinese inpatients with cancer. The high prevalence rate and low recognition rate of depression in cancer patients indicate a pressing need for routine screening, evaluation and treatment of depression in this patient population.
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Libo
authors: L
authors: Zhao
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Xiurong
authors: X
authors: Li
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Zhiguo
authors: Z
authors: Zhang
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Chunqing
authors: C
authors: Song
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Caihong
authors: C
authors: Guo
authors: Department of Interventional Radiology, Beijing You'an Hospital, Capital Medical University Beijing, China.
authors: Yinghua
authors: Y
authors: Zhang
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Ying
authors: Y
authors: Zhang
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Li
authors: L
authors: Li
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Guilong
authors: G
authors: Lu
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China.
authors: Guowen
authors: G
authors: Zheng
authors: Department of Oncology, Beijing Shunyi Hospital, Beijing, China.
authors: Kesong
authors: K
authors: Wang
authors: Department of Oncology, The Luhe Teaching Hospital of the Capital Medical University, Beijing, China.
authors: Wenzhong
authors: W
authors: Pei
authors: Department of Oncology, Daxing Hospital Affiliated to Capital Medical University, Beijing, China. Electronic address: drhanlei@163.com.
authors: Lei
authors: L
authors: Han
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology*; D015995:Prevalence; D055815:Young Adult
keywords: Cancer; Correlate; Depression; Inpatient; Recognition