Depression in the Italian community: epidemiology and socio-economic implications

Battaglia, Agatino; Dubini, A; Mannheimer, R; Pancheri, P.

doi:10.1097/00004850-200405000-00003

Cited by 25 publications

(8 citation statements)

References 23 publications

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“…Although the prevalence of late-life depression reported by several studies varies from lower than 1% to more than 35% [ 1 - 3 ], depression is one of the major health problems in the elderly, and the burden of inadequately treated late-life depression is substantial [ 2 , 4 ]. The World Health Organization predicted that depression would be the second greatest cause of disease burden by the year 2020 [ 5 , 6 ], probably due to the remarkably accelerating rate of population aging [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Association between Family Mealtime and Depression in Elderly Koreans

Kang

Kim

et al. 2018

Korean J Fam Med

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BackgroundSeveral studies have revealed the frequency of family mealtimes to be inversely associated with depressive symptoms in adolescents. However, there have been few studies in older populations. This cross-sectional study investigated the association between family mealtime frequency and depressive symptoms in elderly Koreans.MethodsThis study analyzed 4,959 elderly men and women (aged 65 years or older) who participated in the Korea National Health and Nutrition Examination Survey. Self-administered questionnaires were used to assess depressive status, family mealtime frequency, and covariates. Multiple logistic regression analysis was performed to evaluate the association using the eating alone group as a reference.ResultsAfter adjusting for all covariates, participants who had family meals 3 times a day had fewer depressive symptoms than the eating alone group; adjusted odds ratios (ORs) (95% confidence intervals [CIs]) were 0.72 (0.58– 0.89) for point depressiveness/anxiety and 0.73 (0.56–0.94) for depressiveness lasting for at least 2 weeks. In suicidal ideation, the OR (95% CI) of eating with family twice a day was significant after full adjusting for covariates at 0.67 (0.50–0.88).ConclusionFamily mealtimes were closely associated with depressive symptoms in elderly Koreans, which suggests that maintaining intrafamilial bonding is important for mental health in an older population.

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Section: Introductionmentioning

confidence: 99%

The Association between Family Mealtime and Depression in Elderly Koreans

Kang

Kim

et al. 2018

Korean J Fam Med

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“…A survey of 5,566 subjects conducted by phone, utilizing the Mini-International Neuropsychiatric Interview as a diagnostic instrument, noted that depressed subjects undergo nonpsychiatric diagnostic procedures 3 times more frequently than nondepressed subjects [23] .…”

Section: Introductionmentioning

confidence: 99%

Unexplained Somatic Symptoms during Major Depression: Prevalence and Clinical Impact in a National Sample of Italian Psychiatric Outpatients

Perugi

Canonico²,

Carbonato

et al. 2011

Psychopathology

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Background: The aim of this study was to explore the prevalence and impact of unexplained somatic symptoms during major depression. Sampling and Methods: A total of 560 consecutive outpatients with a major depressive episode according to the DSM-IV (text revision) were evaluated in 30 psychiatric facilities throughout Italy. ‘Unexplained’ somatic symptoms were evaluated using the 30-item Somatic Symptoms Checklist (SSCL-30). Somatic symptoms were considered explained if they were best accounted for as coming from a concomitant physical illness or side effects. Patients evaluated their own mood symptomatology using the Zung questionnaires for depression and anxiety and the Hypomania Checklist-32. Results: According to the SSCL-30, only 90 subjects (16.1%) had no unexplained somatic symptoms, while 231 (41.3%) had 1–5 unexplained symptoms and 239 (42.7%) had more than 5. Asthenia was the most commonly observed unexplained somatic symptom (53% of patients). Unexplained somatic symptoms were more common in females and among those suffering from major depression and depression not otherwise specified rather than in patients with recurrent major depression and bipolar disorders. No relationship between unexplained somatic symptoms and hypomanic features was observed. Conclusions: The presence of a large number of unexplained somatic symptoms is associated with more severe depression and higher rates of misdiagnosis and inappropriate treatment.

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“…Moreover, 34,2% of patients with MDD receiving medical advice had not received any prescription, while 36,8 % had started medical treatments more than once. Furthermore, the number of consultations, of pharmacological treatments and diagnostics were three times bigger in patients with MDD compared to individuals without depressive symptoms, while the number of absences from work lasting more than one week occurring in the last 6 months was four times bigger (Battaglia, Dubini, Mannheimer & Pancheri, 2004). In existing literature, this important diagnostic and therapeutic unmet need has been attributed not only to the poor awareness, social stigma and the mistrust in pharmacological treatments, but also to the great variability in doctors' ability to correctly recognize and interpret the disease symptoms (Lasalvia et al, 2013).…”

Section: Introductionmentioning

confidence: 91%

The Social Cost of Major Depression. A Systematic Review

Coretti¹,

Rumi²,

Cicchetti³

2019

RES

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Major depression (MD) is a major cause of disability and a significant public health problem due to strong physical and mental impairment, possible complications for patients (including suicides), serious social and working problems to the patient and his/her family. We provide an overview of the social cost of Major depression worldwide. We conducted a systematic literature review. Two search engines were queried. Screening of records and summary of evidence was performed by two researchers blindly. The review was conducted in accordance with the standards of the PRISMA guidelines. Twenty studies met the inclusion criteria. Despite the heterogeneity in terms of population, setting and estimation techniques, the studies showed that the largest share of the burden of disease is represented by indirect costs. Among direct healthcare costs, inpatient care represents the most significant item, followed by outpatient care. The average total direct cost of depression ranges between €508 and €24 069, depending on the jurisdiction where the analysis was run and the range of cost items included. Indirect costs range between €1963 and €27 364. Evidence on the cost of MD in some countries is currently lacking. A deeper understanding of the drivers of the economic burden of disease is a crucial starting point for studies concerned with the cost-effectiveness of new treatment strategies.

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Depression in the Italian community: epidemiology and socio-economic implications

Cited by 25 publications

References 23 publications

The Association between Family Mealtime and Depression in Elderly Koreans

The Association between Family Mealtime and Depression in Elderly Koreans

Unexplained Somatic Symptoms during Major Depression: Prevalence and Clinical Impact in a National Sample of Italian Psychiatric Outpatients

The Social Cost of Major Depression. A Systematic Review

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