Prevalence of depressive symptoms and predictors of treatment among U.S. adults from 2005 to 2010

Wittayanukorn, Saranrat; Qian, Jingjing; Hansen, Richard A.

doi:10.1016/j.genhosppsych.2013.12.009

Cited by 74 publications

(57 citation statements)

References 45 publications

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“…Wittayanukorn et al [2], using NHANES data, estimated the prevalence of depressive symptoms and type of treatment across PHQ-9 symptom severity in the U.S. population. They found that approximately 70 % of individuals with any depressive symptoms and over half of those with moderate to severe depression did not receive any treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Depression is one of the most important mental disorders, both due to its high prevalence worldwide and also because of the commonly chronic course of its presentation (leading to a high lifetime prevalence), with a significant burden for individuals’ lives and public health systems [1, 2]. Data from the Global Burden of Disease Study – 2010 showed that depression is the leading contributor, accounting for 2.5 % of Disability Adjusted Life Years (DALYs), and the second leading cause of disability, accounting for 8.2 % of Years Lived with Disability (YLDs).…”

Section: Introductionmentioning

confidence: 99%

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Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Lopes

Hellwig

Silva

et al. 2016

Int J Equity Health

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BackgroundDespite depression being one of the most prevalent mental disorders in the world, access to treatment is still insufficient, especially in low- and middle-income countries. The aim of this study is to investigate differences in access to treatment for depression according to socio-demographic characteristics, geographical area and multi-morbidity in a nationally representative sample of individuals with depression.MethodsThis study analyses data from the National Health Survey (Pesquisa Nacional de Saúde – PNS), a Brazilian household-based nationwide survey, which comprises 60,202 adults (aged 18 years or older). Depression was evaluated through the Patient Health Questionnaire-9 (PHQ-9). Prevalence Ratios and corresponding 95 % confidence intervals (95%CI) were calculated using Poisson regression.ResultsThe general prevalence of depression was 7.9 % (95 % CI 7.5 to 8.3). Among those with depression, 78.8 % did not receive any treatment, and 14.1 % received only pharmacotherapy. Multivariable analyses showed that being female, white, aged between 30 and 69 years, living in regions other than the North, having higher education and having multi-morbidities were independently associated with higher likelihood of access to any treatment.ConclusionsMost Brazilians with clinically relevant depressive symptoms are not receiving any treatment. Access to care is unequal, with the poor and those living in low resource areas having higher difficulties to access mental health care. Understanding these disparities is important for the provision of effective interventions aimed at reducing the prevalence of depression and inequities in access to mental health care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Lopes

Hellwig

Silva

et al. 2016

Int J Equity Health

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“…0.0001); which confirms previous research findings that reported higher likelihood of depression as well as worse treatment outcomes among poor people. 79 After adjusting for the previously mentioned covariates, income seems to have a significant association with the PCS-12, but not with the MCS-12 (Tables 3 and 4). Further, participants who received both AAPs and antidepressants agents were more likely to be unemployed than those who received antidepressant agents only (75.816% vs. 51.501%, P !…”

Section: Discussionmentioning

confidence: 92%

Do depressed patients on adjunctive atypical antipsychotics demonstrate a better quality of life compared to those on antidepressants only? A comparative cross-sectional study of a nationally representative sample of the US population

AlRuthia

Hong

Solomon

2015

Research in Social and Administrative Pharmacy

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“…10 Among the psychological difficulties, depressive symptoms are of significant public health concern. 13 Often beginning in adolescence and extending to midlife, depressive symptoms influence physical health 14,16 and social support from family and friends. 17 Several studies have also found a direct association between a history of depressive mood and later underuse of medical services.…”

Section: Historical and Predisposing Factorsmentioning

confidence: 99%

Psychosocial Factors Related to Underuse of Medical Services

et al. 2016

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In this longitudinal study, we applied structural equation modeling (SEM) to examine the historical, predisposing, enabling/barrier, and need factors as related to the underuse of medical services during early midlife. We gathered longitudinal data on a prospective cohort of community-dwelling men and women (N = 548) followed from adolescence to early midlife. The findings supported a mediational model: A mutually affectionate parent-child relationship in early adolescence was inversely related to underuse of medical services in early midlife via the mediational roles played by later predisposing factors (i.e., depressive mood and cigarette smoking), need factor (i.e., physical health problems), barriers (i.e., financial difficulty), and enabling factors (i.e., social support for health services in early midlife). In addition, satisfaction with medical services in the neighborhood had an association with less underuse of medical services in early midlife. Family therapy focused on an increase in the affectionate relationship between the adolescents and his/her parents and cognitive-behavioral treatment of depressive mood may lead to a decrease in the underuse of medical services.

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Prevalence of depressive symptoms and predictors of treatment among U.S. adults from 2005 to 2010

Cited by 74 publications

References 45 publications

Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Do depressed patients on adjunctive atypical antipsychotics demonstrate a better quality of life compared to those on antidepressants only? A comparative cross-sectional study of a nationally representative sample of the US population

Psychosocial Factors Related to Underuse of Medical Services

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