DOI: https://doi.org/10.36347/sjams.2026.v14i07.003

Pages: 1018-1024

Background: Major Depressive Disorder (MDD) is a major global health problem causing disability and reduced quality of life. It affects millions worldwide, with higher burden in low- and middle-income countries like Bangladesh due to limited mental health services and stigma. Sociodemographic factors such as age, gender, education, occupation, and residence significantly influence its occurrence and severity. This study explores the sociodemographic profile and clinical severity of MDD patients in a tertiary care setting. Objectives: To assess sociodemographic characteristics and clinical severity of Major Depressive Disorder patients attending a tertiary care hospital. Methods: This hospital-based cross-sectional study was conducted at Sylhet MAG Osmani Medical College Hospital from September 2018 to July 2019 among 68 MDD patients. Data were collected using a structured questionnaire and DASS depression scale through face-to- face interviews. Sociodemographic and clinical information was recorded. SPSS version 18 was used for analysis with descriptive statistics and Chi-square test. Ethical approval and informed consent were obtained, ensuring confidentiality and voluntary participation. Result: A total of 68 patients were included, with a mean age of 33.5 ± 7.98 years. Most were aged 31–40 years (45.6%) and 21–30 years (38.2%). Housewives were the largest occupational group (48.5%). Urban residents predominated (67.6%). Most had primary education (42.6%) and middle income (44.1%). Extremely severe depression was most common (57.4%). Among all subgroups, over half consistently showed extremely severe depression, and 48.5% had no prior treatment history. Conclusion: MDD predominantly affects young adults, especially housewives and unemployed, with severe illness and significant treatment gaps in care-seeking behavior.