Cover Image

Core Symptoms of Major Depressive Disorder among Palliative Care Patients

A valid method to diagnose depression in palliative care has not been established. In this study, we aim to determine the prevalence of depression and the discriminant validity of the items of four sets of diagnostic criteria in palliative care. This is a cross-sectional study on 240 palliative care...

Full description

Saved in:
Bibliographic Details
Main Authors: Ng, Su Huey, Ng, Chong Guan, Gill, Jesjeet Singh, Koh, Ong Hui, Sulaiman, Ahmad Hatim, Kanagasundram, Sharmilla
Format: Article
Published: MDPI 2018
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/21856/
https://doi.org/10.3390/ijerph15081758
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.21856
record_format eprints
spelling my.um.eprints.218562019-08-07T04:42:43Z http://eprints.um.edu.my/21856/ Core Symptoms of Major Depressive Disorder among Palliative Care Patients Ng, Su Huey Ng, Chong Guan Gill, Jesjeet Singh Koh, Ong Hui Sulaiman, Ahmad Hatim Kanagasundram, Sharmilla R Medicine A valid method to diagnose depression in palliative care has not been established. In this study, we aim to determine the prevalence of depression and the discriminant validity of the items of four sets of diagnostic criteria in palliative care. This is a cross-sectional study on 240 palliative care patients where the presence of depression was based on the Diagnostic and Statistical Manual of Mental Disorders, DSM–IV Criteria, Modified DSM–IV Criteria, Cavanaugh Criteria, and Endicott’s Criteria’s. Anxiety, depression, and distress were measured with Hospital Anxiety and Depression Scale and Distress Thermometer. The prevalence of depression among the palliative care patients was highest based on the Modified DSM–IV Criteria (23.3%), followed by the Endicott’s Criteria (13.8%), DSM–IV Criteria (9.2%), and Cavanaugh Criteria (5%). There were significant differences (p < 0.05) in the depressive symptoms showed by DSM–IV item 1 (dysphoric mood), item 2 (loss of interest or pleasure), and Endicott’s criteria item 8 (brooding, self-pity, or pessimism) among the palliative patients, even after adjustment for the anxiety symptoms and distress level. We found that dysphoric mood, loss of interest, and pessimism are the main features of depression in palliative patients. These symptoms should be given more attention in identifying depression in palliative care patients. MDPI 2018 Article PeerReviewed Ng, Su Huey and Ng, Chong Guan and Gill, Jesjeet Singh and Koh, Ong Hui and Sulaiman, Ahmad Hatim and Kanagasundram, Sharmilla (2018) Core Symptoms of Major Depressive Disorder among Palliative Care Patients. International Journal of Environmental Research and Public Health, 15 (8). p. 1758. ISSN 1660-4601 https://doi.org/10.3390/ijerph15081758 doi:10.3390/ijerph15081758
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Ng, Su Huey
Ng, Chong Guan
Gill, Jesjeet Singh
Koh, Ong Hui
Sulaiman, Ahmad Hatim
Kanagasundram, Sharmilla
Core Symptoms of Major Depressive Disorder among Palliative Care Patients
description A valid method to diagnose depression in palliative care has not been established. In this study, we aim to determine the prevalence of depression and the discriminant validity of the items of four sets of diagnostic criteria in palliative care. This is a cross-sectional study on 240 palliative care patients where the presence of depression was based on the Diagnostic and Statistical Manual of Mental Disorders, DSM–IV Criteria, Modified DSM–IV Criteria, Cavanaugh Criteria, and Endicott’s Criteria’s. Anxiety, depression, and distress were measured with Hospital Anxiety and Depression Scale and Distress Thermometer. The prevalence of depression among the palliative care patients was highest based on the Modified DSM–IV Criteria (23.3%), followed by the Endicott’s Criteria (13.8%), DSM–IV Criteria (9.2%), and Cavanaugh Criteria (5%). There were significant differences (p < 0.05) in the depressive symptoms showed by DSM–IV item 1 (dysphoric mood), item 2 (loss of interest or pleasure), and Endicott’s criteria item 8 (brooding, self-pity, or pessimism) among the palliative patients, even after adjustment for the anxiety symptoms and distress level. We found that dysphoric mood, loss of interest, and pessimism are the main features of depression in palliative patients. These symptoms should be given more attention in identifying depression in palliative care patients.
format Article
author Ng, Su Huey
Ng, Chong Guan
Gill, Jesjeet Singh
Koh, Ong Hui
Sulaiman, Ahmad Hatim
Kanagasundram, Sharmilla
author_facet Ng, Su Huey
Ng, Chong Guan
Gill, Jesjeet Singh
Koh, Ong Hui
Sulaiman, Ahmad Hatim
Kanagasundram, Sharmilla
author_sort Ng, Su Huey
title Core Symptoms of Major Depressive Disorder among Palliative Care Patients
title_short Core Symptoms of Major Depressive Disorder among Palliative Care Patients
title_full Core Symptoms of Major Depressive Disorder among Palliative Care Patients
title_fullStr Core Symptoms of Major Depressive Disorder among Palliative Care Patients
title_full_unstemmed Core Symptoms of Major Depressive Disorder among Palliative Care Patients
title_sort core symptoms of major depressive disorder among palliative care patients
publisher MDPI
publishDate 2018
url http://eprints.um.edu.my/21856/
https://doi.org/10.3390/ijerph15081758
_version_ 1643691679025201152
score 13.211869

Similar Items