Depression in Europe

作者：J. R. M. Copeland, Aartjan T.F. Beekman, Michael E. Dewey, C. Hooijer, Ashley C. Jordan, BRIAN A. LAWLOR, A. G. S. Lôbo, H. Magnússon, Anthony H Mann, Ingeborg Meller, Martin James Prince, Friedel Martin Reischies, Cesare Turrina, Marten W. deVries, Ken Wilson · 发表于：The British Journal of Psychiatry · 年份：1999 · DOI：10.1192/bjp.174.4.312 · 被引用次数：236 · 研究领域：Mental Health Treatment and Access、Suicide and Self-Harm Studies、Cardiac Health and Mental Health

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.