Utility of the concept of minor depressive disorder: evidence from a large rural community sample in a developing country setting.

Journal: Journal of affective disorders

Volume: 104

Issue: 1-3

Year of Publication: 2008

Affiliated Institutions:  King's College London, Institute of Psychiatry, London, UK. Abe.Wassie@iop.kcl.ac.uk

Abstract summary 

Evidence on the utility of the minor depressive disorder diagnostic construct in rural communities and developing countries is scarce.To assess the utility and validity of definitive minor depressive disorder in Ethiopia by determining its impact and sociodemographic correlates.Assessment of 68,378 adults, aged 15-49 years, living in a largely rural district in Ethiopia using the Composite International Diagnostic Interview.The lifetime prevalence of minor depressive disorder was 2.2% (95% CI=2.1%, 2.3%). Age, marital status, education and unemployment independently predicted minor depressive disorder. Over 80% of cases used health services, 55.1% experienced persistent thoughts of death and 14.6% attempted suicide.Findings are based on lifetime estimates.Minor depressive disorder is an important public health problem in rural Ethiopia, as shown by the associated high health service use and risk behaviour. Sociodemographic correlates suggest aetiological continuity with major depression. Thus our findings extend the clinical and public health utility of this diagnostic construct to rural community and developing country settings.

Authors & Co-authors:  Fekadu Abebaw A Alem Atalay A Medhin Girmay G Shibre Teshome T Cleare Anthony A Prince Martin M Kebede Derege D

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 
SSN : 0165-0327
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Netherlands