Op-194 Research Of Depressive Disorders Into Four Groups Subjects In The Obrenovac District.

Author(s): 
Snezana Jankovic
Health Centre Obrenovac/Department of GP Medicine Faculty Belgrade
Text: 
Background: The GP is the first doctor who has to recognize the symptoms of depression. Up to 70% of cases are not recognized as depression. The life-time riskĀ· for depression is 16.2% (7- 12% for males, 20-25% for females). Incidence for depressive disorders in Serbia is 7.0 per 1000 (5,19-males; 8.72-females), in Belgrade : 7.21 (5.14-males; 9.0-females).
Aims: to recognize depressive-disorder in four different groups of subjects: dialysis patients, medicine's workers in HC Obrenovac, patients in GP-ambulance, Obrenovac's citizens with causal selection; to research difference between the groups; to emphasize the importance for screening depression and creating preventive programs.
Method: During November-December 2006, we tested 771 subjects (38%male, 62%female) in four different groups. Instrument for research:
Patient Health Questionnaire (PHQ-9).
Results: shows that 53.8% of subjects are without depressive symptoms, 18.7% have sub clinical-depression, 15 .4 % have mild-depression, 8.2% have medial-depression and 3.9% have severe-depression. 27.5% of all subjects have some type of depression. The lowest percent of manifested-depression is 9.0% between citizens with causal selection. Without depressive disorder are 76.6% subjects in group of citizens, what is statistics significant higher than other groups. Difference for distribution of severe and mild-depression between groups of dialysis
patients and patients in GP-ambulance does not exist. The highest percent subjects with severe depression: 7 .2% is in the group of dialysis's patients
Conclusion: we observed high percentage of subjects who have depression in this research. It is very important to prevent, recognize and treat depressive disorders.
Literature: 
OP-194
RESEARCH OF DEPRESSIVE DISORDERS INTO FOUR GROUPS SUBJECTS IN THE OBRENOVAC DISTRICT.