@article{ref1,
title="Detection of major depression in Ugandan primary health care settings using simple questions from a subjective well-being (SWB) subscale",
journal="Social psychiatry and psychiatric epidemiology",
year="2007",
author="Muhwezi, Wilson Winstons and Agren, H. and Musisi, Seggane",
volume="42",
number="1",
pages="61-69",
abstract="OBJECTIVE: To explore whether the 4-item subjective well-being subscale could be used to detect a major depressive illness. Secondly, to describe the prevalence and characteristics of depressed health care attendees at primary healthcare centres. METHOD: Using a descriptive, cross-sectional study design, we interviewed 199 consecutive patients about their socio-demographics, subjective well-being (SWB), major depressive illness symptoms and depression severity. The instruments used were translated into Luganda. RESULTS: Point prevalence of a current Major Depressive Episode (MDE) was 31.6%. Using a one week reference period, we found that experiencing a lot of distress, having less energy or poor health, having poor emotional and psychological adjustment and not being satisfied with life were significantly more common among patients with a current MDE. The 4-item SWB subscale detected depression of up to 87.1% (95% CI: 0.818-0.923). In logistic regression, all four SWB items predicted a current MDE. CONCLUSION: Major depressive illness is a common at primary healthcare level in Uganda. Four simple questions reflecting SWB items have potential to detect diagnosable patients likely to have a current MDE, making general screening procedures less necessary.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-006-0132-5",
url="http://dx.doi.org/10.1007/s00127-006-0132-5"
}