Komorbidität von Diabetes mellitus und Depression in Deutschland

Maske, Ulrike; Scheidt‐Nave, Christa; Busch, Markus; Jacobi, Frank; Weikert, Beate; Riedel‐Heller, Steffi G.; Hapke, Ulfert

doi:10.1055/s-0034-1369955

Cited by 8 publications

(12 citation statements)

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“…Yet, the overlap of the two measures was only moderate, and, in agreement with previous research [2, 4, 9, 10], prevalence of major depression was highest in younger age adults and of clinician-diagnosed depression in middle-aged and older adults [1]. These findings suggest that there are substantial differences between DSM-IV-based major depression and a clinician-diagnosed depression and, as a consequence, that the presence of major depression may not be inferred with accuracy from the respondent’s report of a previous clinician diagnosis.…”

Section: Introductionsupporting

confidence: 92%

“…In many large-scale health surveys, the prevalence of depression is assessed by asking participants whether they have been diagnosed with depression by a health professional in the past 12 months [1–4]. This simple measure has various preconditions such as previous health care utilization of the respondent, reporting depressive symptoms to a health professional, understanding the question asked in the survey, and admitting the diagnosis in the survey interview.…”

Section: Introductionmentioning

confidence: 99%

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Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

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BackgroundRespondents’ report of a previously diagnosed depression by a health professional is frequently used to estimate depression prevalence. This study contributes to a better understanding of survey results based on this measure by comparing it with a comprehensive standardized diagnostic interview.MethodsData came from the cross-sectional nationwide German Health Interview and Examination Survey for Adults (DEGS1) and its mental health module (DEGS1-MH, n = 4483). In DEGS1, participants were asked whether they have been diagnosed with depression by a physician or psychotherapist (last 12-month). DSM-IV-based 12-month major depressive disorder (MDD) and other mental disorders were assessed with the German version of the Composite International Diagnostic Interview (CIDI). Time lag between both assessments was 6 weeks (median).Results73.4% of participants reporting clinician-diagnosed depression met criteria for any mental disorder in the CIDI (any affective disorder: 51.8%, any anxiety disorder: 54.7%). The proportion of participants reporting a clinician-diagnosed depression who met MDD criteria was highest among those aged 18–29 years (62.6%) and decreased with age (65–79 years: 29.8%). Among participants with MDD, the proportion with clinician-diagnosed depression was 33.0%, highest among those aged 45–64 years (49.3%) and lowest among those aged 18–29 years (22.7%) and 30–44 years (20.3%). MDD severity was positively associated with clinician-diagnosed depression.ConclusionsRespondents’ report of a clinician-diagnosed depression and major depression assessed with the CIDI substantially differ. Concordance of both measures varies with age and severity of depressive symptoms. Health surveys should assess a range of depression indicators in order to cover a wide spectrum.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1203-8) contains supplementary material, which is available to authorized users.

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Section: Introductionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

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“…nutrition, smoking) and/or other comorbidities in study groups. 5 While depression and anxiety are known to be associated with several somatic diseases, especially those of chronic and/or disabling character, [7][8][9] psychosocial comorbidities in AE only recently gained strong attention. 10 AE was reported to be associated with increased odds of clinical depression, depressive symptoms, antidepressant use and suicidality.…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety and quality of life in subjects with atopic eczema in a population‐based cross‐sectional study in Germany

Treudler¹,

Zeynalova

Riedel-Heller

et al. 2020

Acad Dermatol Venereol

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Background Atopic eczema (AE) may be associated with several mental health problems. In Germany, existing data from selected patient cohorts may lead to misestimation of the problem. Objectives We aimed to cross‐sectionally determine associations of AE with depression, anxiety, quality of life (QoL) and social interactions in subjects from the population‐based LIFE‐Adult‐Study. Methods Subjects underwent standardized interviews (medical history) and answered standardized questionnaires [Centre of Epidemiologic studies‐Depression scale (CES‐D), Generalized Anxiety Disorder (GAD‐7), Lubben Social Network Scale (LSNS), Short Form Health Survey (SF‐8)]. We compared data from subjects with AE with those from subjects with selected other chronic/disabling diseases (cardiovascular, diabetes, cancer) and adjusted for selected sociodemographic parameters. Multivariate binary logistic regression was used for categorical variables, linear regression for continuous variables. Results Out of 9104 adults included (57% female, median age 54 years), 372 (4.1%) had a history of AE. Compared with controls, subjects with AE showed higher scores for depressive symptoms (9.3% vs. 6.3%; P < 0.001) and anxiety (8.4% vs. 5.6%, P < 0.001). Odds ratio (OR) was 1.5 [CI 1.0; 2.3] (P = 0.031) for depression, which was comparable to OR in patients with a history of cancer (OR 1.6 [1–2.3], P = 0.001. OR for anxiety in AE was 1.5 [1.0; 2.2], P < 0.049, which was slightly higher than in diabetes mellitus (OR 1.2) and stroke (OR 1.4). Other than in diabetes and/or stroke, we did not find a significant association between AE and social isolation. QoL scores were lower in AE than in controls (mean 46.9 vs. 48.0, P < 0.001 for physical and 50.6 vs. 52.5, P < 0.001 for mental components). Conclusions Subjects with AE showed higher values for depression and anxiety as well as lower QoL scores compared to controls. With regard to depression, odds in AE and cancer were hardly different. Medical care of AE patients should therefore include mental health evaluation and treatment if indicated.

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“…In addition to these different approaches, population surveys in the US (Reeves et al, 2011), Canada (Betancourt et al, 2014), Germany Buttery et al, 2014;Maske et al, 2014) and other countries frequently employ questions about the history of health professional-diagnosed depression to capture the reality of clinical practice and the communication of depression diagnosis experienced by respondents.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of DSM-IV-TR major depressive disorder, self-reported diagnosed depression and current depressive symptoms among adults in Germany

Maske

Buttery

Beesdo‐Baum

et al. 2016

Journal of Affective Disorders

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Komorbidität von Diabetes mellitus und Depression in Deutschland

Cited by 8 publications

References 20 publications

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

Depression, anxiety and quality of life in subjects with atopic eczema in a population‐based cross‐sectional study in Germany

Prevalence and correlates of DSM-IV-TR major depressive disorder, self-reported diagnosed depression and current depressive symptoms among adults in Germany

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