Observational studyMedicine2019
Why is the recognition rate of psychological distress under-estimated in general hospitals? A cross-sectional observational study in China.
Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Augmenting Mental Health Support for Patients Accessing Different Degrees of Formal Psychiatric Care through a Supportive Text Messaging Program: Protocol for a Randomized Controlled Trial.Methods and protocols · 2023Article
- Long-term psychological profile of general population following COVID-19 outbreak: symptom trajectories and evolution of psychopathological network.Epidemiology and psychiatric sciences · 2022Article
- Impact of sleep quality on post-stroke anxiety in stroke patients.Brain and behavior · 2020Article
- Prevalence and correlates of somatization in anxious individuals in a Chinese online crisis intervention during COVID-19 epidemic.Journal of affective disorders · 2020Article
- Psychological distress surveillance and related impact analysis of hospital staff during the COVID-19 epidemic in Chongqing, China.Comprehensive psychiatry · 2020Article
- Prevalence of and Risk Factors Associated With Mental Health Symptoms Among the General Population in China During the Coronavirus Disease 2019 Pandemic.JAMA network open · 2020Article
- Case report of a patient with suspected COVID-19 with depression and fever in an epidemic stress environment.General psychiatry · 2020Article
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Authors and funding
12 authors.
Funding
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Abstract
This study aimed to investigate the recognition rate of psychological distress in general hospitals in China and to examine the main associated factors.Using a cross-sectional study design, the questionnaires were administered to a total of 1329 inpatients from a tertiary hospital. The Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder 7-item scale (GAD-7), the Patient Health Questionnaire (PHQ-15) and the Whiteley-7 (WI-7) were used to assess patients' mental health status. Two subjective questions were used to identify the awareness of psychological distress in patients and doctors.The frequency of psychological distress measured by the questionnaires was high in our sample (53.4%). However, the recognition rates of both patients (34.9%) and by doctors (39.1%) was low. The concordance rate between patients and doctors of whether the patient had psychological distress or not was extremely poor (Kappa = 0.089, P = .001). Factors associated with the poor concordance rate included patients' annual household income and clinically significant self-reported symptoms of anxiety and hypochondriasis.The recognition rate of psychological distress was underestimated and this may be related to a lack of awareness of mental disturbances and patients' low annual household income.
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