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Assessment of current clinical practices for major depression in Japan using a web-based questionnaire

Authors Hori H, Yamato K

Received 29 May 2019

Accepted for publication 6 August 2019

Published 1 October 2019 Volume 2019:15 Pages 2821—2832

DOI https://doi.org/10.2147/NDT.S217098

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Dr Taro Kishi


Hikaru Hori,1 Kentaro Yamato2

1Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan; 2JPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., Tokyo, Japan

Correspondence: Kentaro Yamato
JPBU Department of Medical Affairs, Takeda Pharmaceutical Co. Ltd., 1-1 Nihonbashi-honcho 2-chome, Chuo-ku, Tokyo 103-8668, Japan
Tel +81 33 278 3244
Fax +81 33 278 2925
Email kentarou.yamato@takeda.com

Purpose: To investigate the current clinical practice of Japanese physicians in the diagnosis and management of major depression (major depressive disorder [MDD]).
Patients and methods: Japanese physicians specializing in psychiatry or psychosomatic medicine in the medical database of Nihon Ultmarc Inc. (Chuo-Ku, Tokyo, Japan), who had treated ≥30 patients with MDD in the past month were invited to complete a web-based questionnaire from January 15 to 29, 2018. The questionnaire was comprised of 28 questions pertaining to the physician’s background, the criteria and tools used to diagnose MDD during physician–patient consultation, and actual and preferred duration of physician–patient consultation. Responses were given as single answer numerical values or as multiple-choice answers.
Results: From the 518 physicians invited to participate, 340 completed questionnaires were analyzed. Respondents were predominantly male (90%), hospital based (73%), affiliated with the Department of Psychiatry (95%), and members of the Japanese Society of Psychiatry and Neurology (87%). The majority of physicians (84%) agreed that “improvement of cognitive dysfunction caused by major depression is an important factor for patients to return to work” was the most challenging aspect of MDD diagnosis and management. Moreover, 83% of physicians conducted psychological assessments using a cognition evaluation test with most of their patients at the time of MDD diagnosis; the most commonly used tool was the Hasegawa Dementia Scale-Revised. Both hospital-based physicians and general practitioners would prefer to have longer consultations with their patients.
Conclusion: Physicians acknowledge the importance of the assessment and management of cognitive dysfunction in patients with MDD. However, most physicians would prefer to have longer consultation times with their patients for the diagnosis of MDD. In the future, it may be useful to introduce digital tools (eg, THINC-it®) for the initial screening of cognitive dysfunction.

Keywords: Japan, survey, diagnosis, management, major depression disorder

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