Introduction
Methods
Study setting
Sample
Data collection
Analysis of data
Results
Sample characteristics
Number of subjects | 441 |
---|---|
Age (average) (SD) | 46.17 (14.9) |
Sex (Percent) | |
Male | 160 (36.3) |
Female | 281 (63.7) |
Marital status (Percent) | |
Married | 353 (80.0) |
Widowed | 22 (5.0) |
Single | 66 (15.0) |
Occupation (Percent) | |
Government/Enterprise/Institutions administrators | 74 (16.8) |
Professional and Technical personnel | 54 (12.2) |
Clerk | 40 (9.1) |
Business/Service personnel | 14 (3.2) |
Self-employed workers or merchants | 35 (7.9) |
Individual industrialist and businessman | 5 (1.1) |
Retired | 146 (33.1) |
Unemployed | 44 (10.0) |
Student | 25 (5.7) |
Others | 4 (0.9) |
Educational level (Percent) | |
Junior middle school and blew | 123 (27.9) |
Technical (secondary) school/High school | 101 (22.9) |
Junior college | 84 (19.0) |
University | 109 (24.7) |
Graduate and above | 24 (5.4) |
Region (Percent) | |
Beijing | 100 (22.6) |
Tianjin | 92 (20.9) |
Hebei | 88 (20.0) |
Shanxi | 76 (17.2) |
Inner Mongolia | 85 (19.3) |
Presenting features and diagnoses in MHP
CCMD-3 diagnostic group | Previous psychiatric history | |
---|---|---|
n (%) | n (%) | |
Neurosisa (F40-F49) | 102 (23.1) | 11 (20.3) |
Depression (F32.0) | 82 (18.6) | 11 (20.3) |
Somatoform disorders (F45) | 54 (12.2) | 3 (5.6) |
Anxietyb (F41+ F41.1) | 35 (7.9) | 6 (11.1) |
Neurasthenia (F48.0) | 16 (3.6) | 1 (1.9) |
Organic mental disordersc (F00 + F01) | 30 (4.2) | 2 (3.7) |
Insomnia (F51.0) | 26 (5.9) | 7 (13.0) |
Bipolar disorders (F31) | 13 (3.0) | 1 (1.9) |
Schizophrenia (F20) | 5 (1.1) | 2 (3.7) |
Hysterical psychological disorders (F44.8) | 1 (0.2) | 0 |
Status of depression and anxietyd | 77 (17.5) | 10 (18.5) |
Total | 441 (100) | 54 (100) |
CCMD-3 diagnostic group | Male | Female | χ2 | df |
P
|
---|---|---|---|---|---|
n (%) | n (%) | ||||
Depression (F32.0) | 27 (32.9) | 55 (67.1) | 9.56 | 1 | 0.002 |
Neurosis (F40-F49) | 37 (36.3) | 65 (63.7) | 7.69 | 1 | 0.006 |
Anxiety (F41+ F41.1) | 17 (48.6) | 18 (51.4) | 0 03 | 1 | 0.866 |
Somatoform disorders (F45) | 23 (42.6) | 31 (57.4) | 1 185 | 1 | 0.276 |
Neurasthenia (F48.0) | 3 (18.8) | 13 (81.3) | 6.25 | 1 | 0.012 |
Organic mental disorders (F00 + F01) | 5 (16.7) | 25 (83.3) | 13.33 | 1 | <0.001 |
Insomnia (F51.0) | 8 (30.8) | 18 (69.2) | 3846 | 1 | 0.05 |
Schizophreniaa (F20) | 4 (80.0) | 1 (25.0) | |||
Bipolar disorders (F31) | 4 (30.8) | 9 (69.2) | 1.923 | 1 | 0.166 |
Status of depression and anxiety | 32 (41.6) | 45 (58.4) | 2.20 | 1 | 0.138 |
Hysterical psychological disordersa (F44.8) | 0 | 1 (100) | |||
Total | 160 | 281 |
Pathways to care
Social network for patients
Durations, diagnoses and steps in the pathway
Diagnoses group | Direct pathway | Indirect pathway | ||
---|---|---|---|---|
(CCMD-3) | ||||
No of patients | Week | No of | Week | |
Median (mean) | patients | Median (mean) | ||
Depression | 20 | 117.6 (246.4) | 62 | 108.9 (270.1) |
Neurosis | 28 | 95.9 (180.6) | 74 | 150.3 (350.3) |
Anxiety | 8 | 42.4.8 (72.4) | 27 | 213.5 (325.8) |
Insomnia | 10 | 84.9 (554.6) | 16 | 320.3 (511.0) |
Somatoform disorders | 6 | 143.8 (320.6) | 48 | 119.8 (256.2) |
Neurasthenia | 4 | 126.4 (115.4) | 12 | 326.8 (409.2) |
Bipolar disorders | 5 | 74.1 (73.2) | 8 | 315.8 (438.4) |
Organic mental disorders | 12 | 564.3 (648.9) | 18 | 213.3 (457.1) |
Schizophrenia | 0 | 0 | 5 | 217.9 (344.2) |
Hysterical psychological disorders | 0 | 0 | 1 | 26.14 |
Status of depression or anxiety | 18 | 111.1 (210.8) | 59 | 148.1 (278.9) |
Total | 111 | 330 |
Main diseases/features diagnosed by PLGA | First care (no. of patients) | Delays and steps | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Total n | MHP n (%) | TGH n (%) | SGH n (%) | CHC n (%) | TCM n (%) | Community doctor n (%) | Private clinics n (%) | Psychiatric hospital n (%) | Onset to first carer (weeks) median (mean) | First care to MHP (weeks) median (mean) | Steps needed mean (SD) | |
Depression episode | 82 | 20 (24.4) | 32 (39.0) | 17 (20.7) | 1 (1.0) | 2 (2.4) | 1 (1.2) | 2 (2.4) | 4 (4.9) | 11 (126.6) | 98.6 (187.9) | 3.46 (1.84) |
Neurosis | 102 | 28 (27.5) | 42 (41.2) | 22 (21.6) | 2 (5.3) | 6 (5.9) | 1 (1.0) | 1 (1.0) | 0 | 13 (109) | 99.7 (204.3) | 3.1 (1.48) |
Anxiety | 35 | 8 (22.9) | 15 (42.9) | 7 (20.0) | 1 (2.9) | 2 (5.8) | 0 | 1 (2.9) | 1 (2.9) | 69.5 (325.5) | 77.1 (229.8) | 3.2 (1.00) |
Insomnia | 26 | 10 (38.5) | 11 (42.3) | 1 (3.8) | 2 (7.6) | 1 (3.8) | 0 | 0 | 1 (3.8) | 61 (402) | 114.6 (204.5) | 2.93 (1.40) |
Somatoform disorders | 54 | 6 (11.1) | 29 (53.7) | 12 (22.2) | 1 (1.9) | 4 (7.5) | 0 | 1 (1.9) | 1 (1.9) | 4 (65.4) | 104.4 (222) | 3.5 (1.87) |
Neurasthenia | 16 | 4 (25.0) | 9 (56.3) | 1 (6.3) | 0 | 2 (12.5) | 0 | 0 | 0 | 39 (168) | 168 (224) | 2.4 (0.96) |
Organic mental disorders | 30 | 12 (40) | 11 (36.7) | 6 (20) | 0 | 1 (3.3) | 0 | 0 | 0 | 69.5 (325) | 77.1 (229.8) | 2.37 (1.33) |
Bipolar disorders | 13 | 5 (38.5) | 5 (38.5) | 0 | 1 (7.7) | 0 | 0 | 0 | 2 (15.4) | 39 (61.4) | 248.5 (412.6) | 3.23 (2.89) |
Schizophrenia | 5 | 0 | 1 (20) | 0 | 1 (20) | 0 | 0 | 1 (20) | 2 (40) | 42.3 (57.4) | 0 | 1 |
Hysterical psychological disorders | 1 | 0 | 1 (100) | 0 | 0 | 0 | 0 | 0 | 0 | 70 | 8 | 3 |
The status of depression or anxiety | 77 | 18 (23.4) | 31 (40.3) | 15 (19.5) | 4 (5.2) | 1 (1.3) | 0 | 3 (3.9) | 5 (6.5) | 9 (79.8) | 107.1 (246.4) | 2.9 (1.76) |