Prevalence of Depression in RCRMC Family Medicine Residency[抑郁症在RCRMC家庭医学住院医师流行](PPT-35).ppt

Prevalence of Depression in RCRMC Family Medicine Residency Bob Chiang, M.D., Kris Lee, M.D., Ted Lee, M.D., Laurie Wellman, Ph.D. June 2009, Moreno Valley, CA INTRODUCTION Depression is a major public health problem and a leading predictor of functional disability and mortality. The annual economic consequences of depression have been estimated at 83 billion dollars in the US.6 Prevalence of Depression14 General population 4.5% Medical students/residents 15% Prevalence of Depression Prevalence of Depression Prevalence of Depression INTRODUCTION A stressful environment is a known risk factor for depression; yet there is no protocol established for early detection of and intervention for depression in family medicine residencies. Suicide in Physicians Depression in interns leads to suicidal ideation, marital problems, inability to work and thoughts of leaving medicine.9 Physicians who make suicide attempts are much more likely than nonphysicians to succeed. 12 Drug Abuse in Physicians Drug Abuse in Physicians BACKGROUND DSM-IV Diagnostic Criteria for Major Depressive Episode7 5 (or more) symptoms present during the same 2-week period, change from previous functioning; at least 1symptoms is either depressed mood or loss of interest or pleasure. 1. depressed mood most of the day, nearly every day. 2. markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day 3. significant weight loss when not dieting or weight gain or decrease or increase in appetite nearly every day. 4. insomnia or hypersomnia nearly every day 5. psychomotor agitation or retardation nearly every day 6. fatigue or loss of energy nearly every day 7. feelings of worthlessness or excessive or inappropriate guilt nearly every day 8. diminished ability to think or concentrate, or indecisiveness, nearly every day 9. recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a s