What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Major depressive disorder (n=544). Primary outcome: Prevalence of depression and functional status.

What does this research mean for the field?

In an industrial community setting, approximately 35% of individuals exhibit symptoms requiring psychiatric screening or active intervention for depression, with a majority showing compromised functional status. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2021Open Access

A community-based study of prevalence and functional status of major depressive disorder in an industrial area

Key Result

In a community-based study of 544 subjects in an industrial area, 35% showed signs of psychiatric morbidity, with 13% requiring active psychiatric intervention for depression.

Study Design

Type

Cross-Sectional (n=544)

Multicenter

Yes

Structured PICO

Population

544 subjects (selected from 2000 screened individuals) in an industrial locale of Pimpri-Chinchwad, India, aged 18-88 years (mean age 34.35), 65.3% female.

Outcome

Prevalence of depression and functional status assessed by General Health Questionnaire (GHQ), Patient Health Questionnaire-9 (PHQ-9), Functional Status Questionnaire (FSQ), and Mini Mental State Examination (MMSE)patient reported

A significant proportion of individuals in an industrial community in India suffer from depression and associated functional impairment, highlighting the need for early psychiatric screening and care.

Abstract

BACKGROUND: Depression is a significant public health issue that needs to be taken care of, as it poses a great economic burden on the society at large. Early identification and treatment of the patients will reduce mental morbidity and disability. AIM: The aim is to study the prevalence and functional status of subjects with major depressive disorder in the community. MATERIALS AND METHODS: After identification of the sample population, the sociodemographic details were recorded. Subsequently, assessment was carried out by General Health Questionnaire (GHQ), Patient Health Questionnaire-9 (PHQ-9), Functional Status Questionnaire (FSQ), and Mini Mental State examination (MMSE). RESULTS: A total of 2000 subjects were screened using the GHQ and PHQ and 544 subjects were selected. These 544 subjects were further assessed with FSQ and MMSE. Out of the 544 subjects, 65.1% had a GHQ score of 20. The PHQ-9 score was found to be 14 in 6.8% subjects. Majority of the sample population was in the warning zone according to the FSQ. The MMSE scores were ≥23 in 86% and ≤22 in 14% of the patients. Over 65% of the subjects were relatively mentally healthy. Out of the remaining 35%, 22% of the subjects required screening for psychiatric disorders and 13% of them did require active psychiatric intervention. CONCLUSIONS: It would be beneficial to the community if a database is created regarding the psychiatric disorders such as depression prevalent in the community and their functional status so that the effective measures can be implemented to minimize the suffering by providing effective psychiatric care at the earliest and follow them up in the long run.

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