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Delays in depression treatment among Korean population

Authors
Ki, MyungPaik, Jong-WooChoi, Kyeong-SookRyu, Seung-HoHan, ChangsuLee, KangjoonHam, Byung JooChang, Hun SooWon, Eun-SooJun, Tae-YounLee, Min-Soo
Issue Date
12월-2014
Publisher
WILEY
Keywords
age of onset; depression; duration of untreated depression; mental health service; self-recognition
Citation
ASIA-PACIFIC PSYCHIATRY, v.6, no.4, pp.414 - 424
Indexed
SCIE
SSCI
SCOPUS
Journal Title
ASIA-PACIFIC PSYCHIATRY
Volume
6
Number
4
Start Page
414
End Page
424
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/96560
DOI
10.1111/appy.12140
ISSN
1758-5864
Abstract
IntroductionDelays in mental health service utilization for patients with depression have been observed globally. To elucidate some aspects of delays, age-related associations with a series of variables representing different stages of mental health service use were studied concurrently. MethodsA total of 1,433 patients with depression participated in a nationwide Korean Depressive Patient Survey through the collaboration of 70 psychiatric clinics and hospitals. Using logistic and Poisson regression, we investigated whether there is variation in the associations by age. ResultsPatients with depression in South Korea spent 3.4 years on average before starting a first depression treatment after the onset of depression, and 58% of them entered depression treatment in the first year of onset. Early onset appeared to lower the chance of early depression treatment: e.g., adjusted odds ratio (OR)s for onset age of 40-54, 25-39 and <25 versus 55 were 0.65 (95% CI=0.44, 0.94), 0.36 (95% CI=0.16, 0.81) and 0.18 (95% CI=0.06, 0.48), respectively. In contrast, favorable associations of early onset with self-recognition as depression and number of nonpsychiatric clinics attended before visiting psychiatrist were found. Younger cohorts were associated with more positive attitudes toward all mental health utilization measures. DiscussionDelays in depression treatment are lengthy in South Korea. Those with early onset are more likely to have delayed depression treatment but are more willing to seek help from a psychiatrist once they sought for the treatment.
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