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Non-fatal disease burden for subtypes of depressive disorder: population-based epidemiological study.
- Source :
- BMC Psychiatry; 5/12/2016, Vol. 16, p1-10, 10p, 2 Diagrams, 1 Chart
- Publication Year :
- 2016
-
Abstract
- Background: Major depression is the leading cause of non-fatal disease burden. Because major depression is not a homogeneous condition, this study estimated the non-fatal disease burden for mild, moderate and severe depression in both single episode and recurrent depression. All estimates were assessed from an individual and a population perspective and presented as unadjusted, raw estimates and as estimates adjusted for comorbidity. Methods: We used data from the first wave of the second Netherlands-Mental-Health-Survey-and-Incidence-Study (NEMESIS-2, n = 6646; single episode Diagnostic and Statistical Manual (DSM)-IV depression, n = 115; recurrent depression, n = 246). Disease burden from an individual perspective was assessed as 'disability weight * time spent in depression' for each person in the dataset. From a population perspective it was assessed as 'disability weight * time spent in depression *number of people affected'. The presence of mental disorders was assessed with the Composite International Diagnostic Interview (CIDI) 3.0. Results: Single depressive episodes emerged as a key driver of disease burden from an individual perspective. From a population perspective, recurrent depressions emerged as a key driver. These findings remained unaltered after adjusting for comorbidity. Conclusions: The burden of disease differs between the subtype of depression and depends much on the choice of perspective. The distinction between an individual and a population perspective may help to avoid misunderstandings between policy makers and clinicians. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1471244X
- Volume :
- 16
- Database :
- Complementary Index
- Journal :
- BMC Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 115344853
- Full Text :
- https://doi.org/10.1186/s12888-016-0843-4