Depression in Europe. Geographical distribution among older people.

Autor: Copeland, J. R. M., Beekman, A. T. F., Dewey, M. E., Hooijer, C., Jordan, A., Lawlor, B. A., Lobo, A., Magnusson, H., Mann, A. H., Meller, I., Prince, M. J., Reischies, F., Turrina, C., Devries, M. W., Wilson, K. C. M., Copeland, J R, Beekman, A T, Wilson, K C
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Zdroj: British Journal of Psychiatry; Apr99, Vol. 174, p312-321, 10p, 10 Graphs, 1 Map
Abstrakt: Background: This is the first report of results from the EURODEP Programme.Aims: To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged > or = 65 in nine European centres.Method: The GMS-AGECAT package.Results: Differences in prevalence are apparent, 8.8% (Iceland) to 236% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n = 13,808) gave an overall prevalence of 12.3%, 14.1% for women and 8.6% for men.Conclusions: Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62-82% of persons had no depressive level. Opportunities for treatment exist. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index