It is increasingly evident that the incidence of depression in
China can no longer be ignored because of its pervasive im-
pact on the workplace and society. In this context it is par-
ticularly important to study the incidence and management of
depression in privately owned enterprises because of the ra-
pid growth in this sector, which now contributes to more than
80% of employment and gross domestic product.34 Because
these enterprises are rapidly developing, with high-pressure
work cultures yet underdeveloped management systems,35
mental health issues among employees are becoming in-
creasingly evident.36,37 Mental health services to address these
issues are underdeveloped in China, with a lack of training