Country variations in depressive symptoms profile in Asian countries

Findings of the Research on Asia Psychotropic Prescription (REAP) studies

Kok Yoon Chee, Adarsh Tripathi, Ajit Avasthi, Mian Yoon Chong, Yu Tao Xiang, Kang Sim, Tian Mei Si, Shigenobu Kanba, Yan Ling He, Min Soo Lee, Helen Fung-Kum Chiu, Shu Yu Yang, Hironori Kuga, Pichet Udormatn, Roy A. Kallivayalil, Andi J. Tanra, Margarita Maramis, Sandeep Grover, Loi Fei Chin, Rahima Dahlan & 7 others Mohd Fadzli Mohamad Isa, Esther Gunaseli M. Ebenezer, Norhayati Nordin, Winston W. Shen, Naotaka Shinfuku, Chay Hoon Tan, Norman Sartorius

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. Methods: The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. Results: The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). Discussion: This study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries.

Original languageEnglish
Pages (from-to)276-285
Number of pages10
JournalAsia-Pacific Psychiatry
Volume7
Issue number3
DOIs
Publication statusPublished - Sep 1 2015

Fingerprint

Prescriptions
Depression
Research
Neurobehavioral Manifestations
Depressive Disorder
Indonesia
Malaysia
Singapore
Sleep Initiation and Maintenance Disorders
Hong Kong
Thailand
Korea
Taiwan
Cognition
Psychiatry
India
China
Japan
Demography

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Country variations in depressive symptoms profile in Asian countries : Findings of the Research on Asia Psychotropic Prescription (REAP) studies. / Chee, Kok Yoon; Tripathi, Adarsh; Avasthi, Ajit; Chong, Mian Yoon; Xiang, Yu Tao; Sim, Kang; Si, Tian Mei; Kanba, Shigenobu; He, Yan Ling; Lee, Min Soo; Fung-Kum Chiu, Helen; Yang, Shu Yu; Kuga, Hironori; Udormatn, Pichet; Kallivayalil, Roy A.; Tanra, Andi J.; Maramis, Margarita; Grover, Sandeep; Chin, Loi Fei; Dahlan, Rahima; Mohamad Isa, Mohd Fadzli; Ebenezer, Esther Gunaseli M.; Nordin, Norhayati; Shen, Winston W.; Shinfuku, Naotaka; Tan, Chay Hoon; Sartorius, Norman.

In: Asia-Pacific Psychiatry, Vol. 7, No. 3, 01.09.2015, p. 276-285.

Research output: Contribution to journalArticle

Chee, KY, Tripathi, A, Avasthi, A, Chong, MY, Xiang, YT, Sim, K, Si, TM, Kanba, S, He, YL, Lee, MS, Fung-Kum Chiu, H, Yang, SY, Kuga, H, Udormatn, P, Kallivayalil, RA, Tanra, AJ, Maramis, M, Grover, S, Chin, LF, Dahlan, R, Mohamad Isa, MF, Ebenezer, EGM, Nordin, N, Shen, WW, Shinfuku, N, Tan, CH & Sartorius, N 2015, 'Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies', Asia-Pacific Psychiatry, vol. 7, no. 3, pp. 276-285. https://doi.org/10.1111/appy.12170
Chee, Kok Yoon ; Tripathi, Adarsh ; Avasthi, Ajit ; Chong, Mian Yoon ; Xiang, Yu Tao ; Sim, Kang ; Si, Tian Mei ; Kanba, Shigenobu ; He, Yan Ling ; Lee, Min Soo ; Fung-Kum Chiu, Helen ; Yang, Shu Yu ; Kuga, Hironori ; Udormatn, Pichet ; Kallivayalil, Roy A. ; Tanra, Andi J. ; Maramis, Margarita ; Grover, Sandeep ; Chin, Loi Fei ; Dahlan, Rahima ; Mohamad Isa, Mohd Fadzli ; Ebenezer, Esther Gunaseli M. ; Nordin, Norhayati ; Shen, Winston W. ; Shinfuku, Naotaka ; Tan, Chay Hoon ; Sartorius, Norman. / Country variations in depressive symptoms profile in Asian countries : Findings of the Research on Asia Psychotropic Prescription (REAP) studies. In: Asia-Pacific Psychiatry. 2015 ; Vol. 7, No. 3. pp. 276-285.
@article{189ed3643da7467a8b8b01eaf7ac13dc,
title = "Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies",
abstract = "Introduction: This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. Methods: The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. Results: The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). Discussion: This study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries.",
author = "Chee, {Kok Yoon} and Adarsh Tripathi and Ajit Avasthi and Chong, {Mian Yoon} and Xiang, {Yu Tao} and Kang Sim and Si, {Tian Mei} and Shigenobu Kanba and He, {Yan Ling} and Lee, {Min Soo} and {Fung-Kum Chiu}, Helen and Yang, {Shu Yu} and Hironori Kuga and Pichet Udormatn and Kallivayalil, {Roy A.} and Tanra, {Andi J.} and Margarita Maramis and Sandeep Grover and Chin, {Loi Fei} and Rahima Dahlan and {Mohamad Isa}, {Mohd Fadzli} and Ebenezer, {Esther Gunaseli M.} and Norhayati Nordin and Shen, {Winston W.} and Naotaka Shinfuku and Tan, {Chay Hoon} and Norman Sartorius",
year = "2015",
month = "9",
day = "1",
doi = "10.1111/appy.12170",
language = "English",
volume = "7",
pages = "276--285",
journal = "Asia-Pacific Psychiatry",
issn = "1758-5864",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Country variations in depressive symptoms profile in Asian countries

T2 - Findings of the Research on Asia Psychotropic Prescription (REAP) studies

AU - Chee, Kok Yoon

AU - Tripathi, Adarsh

AU - Avasthi, Ajit

AU - Chong, Mian Yoon

AU - Xiang, Yu Tao

AU - Sim, Kang

AU - Si, Tian Mei

AU - Kanba, Shigenobu

AU - He, Yan Ling

AU - Lee, Min Soo

AU - Fung-Kum Chiu, Helen

AU - Yang, Shu Yu

AU - Kuga, Hironori

AU - Udormatn, Pichet

AU - Kallivayalil, Roy A.

AU - Tanra, Andi J.

AU - Maramis, Margarita

AU - Grover, Sandeep

AU - Chin, Loi Fei

AU - Dahlan, Rahima

AU - Mohamad Isa, Mohd Fadzli

AU - Ebenezer, Esther Gunaseli M.

AU - Nordin, Norhayati

AU - Shen, Winston W.

AU - Shinfuku, Naotaka

AU - Tan, Chay Hoon

AU - Sartorius, Norman

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Introduction: This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. Methods: The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. Results: The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). Discussion: This study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries.

AB - Introduction: This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. Methods: The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. Results: The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). Discussion: This study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries.

UR - http://www.scopus.com/inward/record.url?scp=84937163470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937163470&partnerID=8YFLogxK

U2 - 10.1111/appy.12170

DO - 10.1111/appy.12170

M3 - Article

VL - 7

SP - 276

EP - 285

JO - Asia-Pacific Psychiatry

JF - Asia-Pacific Psychiatry

SN - 1758-5864

IS - 3

ER -