Journal of Epidemiology and Global Health

Volume 3, Issue 4, December 2013, Pages 245 - 252

Depression, quality of life and primary care: A cross-sectional study

Authors
Panos Andriopoulosa, *, andriopa@otenet.gr, Maria Lotti-Lykousab, Evelina Pappab, Angelos A. Papadopoulosc, Dimitris Niakasb
aDepartment of Nursing, University of Peloponnesus, Sparta, Greece
bFaculty of Social Sciences, Hellenic Open University, Patras, Greece
cSecond Department of Internal Medicine, “Attikon” University General Hospital, Athens, Greece
*Corresponding author. Address: Orthias Artemidos & Plateon, 23100 Sparta, Greece. Tel.: +30 697339814.
Corresponding Author
Panos Andriopoulosandriopa@otenet.gr
Received 19 March 2013, Revised 13 June 2013, Accepted 18 June 2013, Available Online 18 July 2013.
DOI
https://doi.org/10.1016/j.jegh.2013.06.004How to use a DOI?
Keywords
Primary care, Depression, Zung, SF-12, Quality of life
Abstract

Objective: To estimate the presence of depression and impairment of quality of life in primary care and identify correlations with demographics and chronic diseases.

Materials and methods: 500 people (220 men) that visited the Gytheio Health Center, Greece, participated in the study answering a study questionnaire that included demographic and somatometric data, medical history, the Zung self-rating depression scale (SDS-Zung) and the Short Form 12 (SF-12) scale for quality of life evaluation with a mental component scale (MCS) and a physical component scale (PCS).

Results: 163 persons (32.6% of the study population) had SDS-Zung scores over 50 indicating depressive symptomatology. Of those 22% of the study population (70% women) had no awareness of their problem and were under no treatment; 80 (16% of the study population) had mild depressive symptoms (SDS-Zung: 53.12 ± 0.6 [95% CI]) and physical impairment: MCS12: 44.32 ± 1.9 (95% CI), PCS: 39.16 ± 2.2 (95% CI) (p < 0.005) and 23 (4.6% of study population) had moderate symptoms (SDS-Zung: 63.82 ± 1.34 [95% CI]), with mental and physical impairment: MCS12: 36.99 ± 1.88 (95% CI), PCS: 34.83 ± 5.12 (95% CI) (p < 0.005) adjusted for age, sex and co-morbidities. Arthritis and COPD were associated with depressive symptomatology and physical impairment (p < 0.05) and coronary heart disease and congestive heart failure with physical impairment (p < 0.005). Patients under anti-depressive medication had significant depressive symptomatology and decreased quality of life (p < 0.0005).

Conclusion: The prevalence of both depressive symptomatology and impairment of quality of life is significant and primary care with simple, validated tools can be the setting for identifying and helping such patients.

Copyright
© 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
3 - 4
Pages
245 - 252
Publication Date
2013/07/18
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.1016/j.jegh.2013.06.004How to use a DOI?
Copyright
© 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

TY  - JOUR
AU  - Panos Andriopoulos
AU  - Maria Lotti-Lykousa
AU  - Evelina Pappa
AU  - Angelos A. Papadopoulos
AU  - Dimitris Niakas
PY  - 2013
DA  - 2013/07/18
TI  - Depression, quality of life and primary care: A cross-sectional study
JO  - Journal of Epidemiology and Global Health
SP  - 245
EP  - 252
VL  - 3
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.06.004
DO  - https://doi.org/10.1016/j.jegh.2013.06.004
ID  - Andriopoulos2013
ER  -