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Table 2 Characteristics of respondents meeting DSM-IV MDE criteria (n = 915) and of clinics where they sought care (n = 65) in the Dialogue Project in 2008

From: Quality of care for major depression and its determinants: a multilevel analysis

Characteristics of respondents

 

Predisposing factors

 

  Age (mean (sd))

43.8 (13.9)

  Sex

 

   Female

75%

   Male

25%

  Education level

 

   High school or less

45%

   College

29%

   University

26%

  Marital status

 

   Married / living common-law

51%

   Widowed / separated / divorced

22%

   Single

28%

Enabling factors

  Perception of Economic Situation

 

   Poor or Very Poor

30%

   Well off / meet basic needs

70%

  Have a family physician

 

   Yes

83%

   No

17%

  Have a supplementary insurance coverage

 

   Yes

58%

   No

42%

Need factors

  Severity of depressive symptoms (HADS depression sub-scale (mean (sd))

7.7 (4.4)

  At least one comorbid Anxiety Disorder(GAD, Agoraphobia, SP, PD)

   Yes

55%

   No

45%

  Perceived Mental Health as

 

   Poor or Moderate

43%

   Good or Very Good or Excellent

57%

  Depression Episode

 

   in Previous 6 months

75%

   Between 6 and 12 months ago

25%

  First Occurrence of Symptoms

 

   > 5 years

70%

   ≤ 5 years

30%

  Comorbid Chronic Illnesses

 

   0

22%

   1

23%

   2

20%

   3 or more

35%

Characteristics of clinics

  Psychotherapy available on-site

 

   Yes

62%

   No

38%

  Presence of a case manager for patients suffering from anxiety or depressive disorders

 

   Yes

46%

   No

54%

  Number of GP using treatment algorithms with individuals suffering from anxiety or depressive disorders

 

   None/Some

68%

   All/Most

32%

  Inadequate mode of remuneration to offer an “optimal level” of care for patients suffering from anxiety or depressive disorders

   Not at all / Slightly

14%

   Fairly

31%

   Highly

35%

  Lack of time for follow-up to offer an “optimal level” of care for patients suffering from anxiety or depressive disorders

   Not at all / Slightly

14%

   Fairly

46%

   Highly

40%