Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-16T13:02:30.512Z Has data issue: false hasContentIssue false
  • English
  • Français

A European Perspective on Depression in the Community: The DEPRES Study

Published online by Cambridge University Press:  07 November 2014

Saena Arbabzadeh-Bouchez ,
Andre Tylee  and
Jean-Pierre Lépine
Get access Rights & Permissions [Opens in a new window]

Abstract

Depression is one of the most prevalent disorders in the general population, causing personal and social disability and impairment. Major studies assessing the diagnosis and management of depression have shown that it is often underdiagnosed and undertreated. A pan-European study aimed at assessing the extent and consequences of depression in six different countries is reported in this article. Different types of depressive profiles are analyzed and their respective management has been compared. The importance of improving diagnosis and treatment of depression is underlined. Appropriate management of depression depends on the recognition of depressive symptoms by patients, their possibility of seeking care, and the ability of the primary care physician to recognize the disorder and prescribe the appropriate medicines. Improvement in all of these fields is necessary.

Type
Feature Article
Information
CNS Spectrums , Volume 7 , Issue 2 , February 2002 , pp. 120 - 126
Copyright
Copyright © Cambridge University Press 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Murray, CJ, Lopez, AD. Regional patterns of disability-free life expectancy and disability-adjusted life expectancy: global Burden of Disease Study. Lancet. 1997;349:1347–1352.CrossRefGoogle ScholarPubMed
2.Angst, J, Dobler-Mikola, A. The Zurich study. III. Diagnosis of depression. Eur Arch Psychiatry Neurol Sci. 1984;234:30–37.CrossRefGoogle ScholarPubMed
3.Bland, RC, Orn, H, Newman, SC. Lifetime prevalence of psychiatric disorders in Edmonton. Acta Psychiatr Scand Suppl. 1988;338:24–32.CrossRefGoogle ScholarPubMed
4.Canino, GJ, Bird, HR, Shrout, PE, et al.The prevalence of specific psychiatric disorders in Puerto Rico. Arch Gen Psychiatry. 1987;44:727–735.CrossRefGoogle ScholarPubMed
5.Eaton, WWDrymon, A, Weissman, MM. Panic and phobias. In: Robins, LN, Regier, DA, eds. Psychiatric Disorders in America: The Epidemiologic Catchment Area Study. New York, NY; The Free Press; 1991:155–179.Google Scholar
6.Faravelli, C, Guerrini Degl'Innocenti, B, Aiazzi, L, Incerpi, G, Pallanti, S. Epidemiology of mood disorders: a community survey in Florence. J Affect Disord. 1990;20:135–141.CrossRefGoogle ScholarPubMed
7.Hwu, HG, Yeh, EK, Chang, LY. Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule. Acta Psychiatr Scand. 1989;79:136–147.CrossRefGoogle ScholarPubMed
8.Joyce, PR, Oakley-Browne, MA, Wells, JE, Bushnell, JA, Hornblow, AR. Birth cohort trends in major depression: increasing rates and earlier onset in New Zealand. J Affect Disord. 1990;18:83–89.CrossRefGoogle ScholarPubMed
9.Kessler, RC, Nelson, CB, McGonagle, KA, Liu, J, Swartz, M, Blazer, DG. Comorbidity of DSM-III-R major depressive disorder in the general population: results from the US National Comorbidity Survey. Br J Psychiatry Suppl. 1996:30;17–30.CrossRefGoogle Scholar
10.Lépine, JP, Wittchen, HU, Essau, CA, et al.Lifetime and current comorbidity of anxiety and affective disorders: results from the international WHO/ADAMHA CIDI field trials. Int J Methods Psychiatry Res. 1993;3:67–77.Google Scholar
11.Lépine, JP, Gastpar, M, Mendlewicz, J, Tylee, A. Depression in the community: the first pan-European study, DEPRES (Depression Research in European Society). Int Clin Psychopharmacol. 1997;12:19–29.CrossRefGoogle ScholarPubMed
12.Davidson, JR, Meltzer-Brody, SE. The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? J Clin Psychiatry. 1999;60(suppl 7):4–9.Google ScholarPubMed
13.Robins, LN, Locke, BZ, Regier, DA. An overview of psychiatric disorders in America. In: Robins, LN, Regier, DA, eds. Psychiatric Disorders in America: The Epidemiologic Catchment Area Study. New York, NY; The Free Press; 1991.Google Scholar
14.Keller, MB, Klerman, GL, Lavori, PW, et al.Treatment received by depressed patients. JAMA. 1982;248:1848–1855.CrossRefGoogle ScholarPubMed
15.Kessler, RC, McGonagle, KA, Zhao, S, et al.Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8–19.CrossRefGoogle ScholarPubMed
16.Katon, W, Von Korff, M, Lin, E, Bush, T, Ormel, J. Adequacy and duration of antidepressant treatment in primary care. Med Care. 1992;30:67–76.CrossRefGoogle ScholarPubMed
17.Wells, KB, Katon, W, Rogers, B, Camp, P. Use of minor tranquilizers and antidepressant medications by depressed outpatients: results from the medical outcomes study. Am J Psychiatry. 1994;151:694–700.Google ScholarPubMed
18.Goethe, JW, Szarek, BL, Cook, WL. A comparison of adequately vs. inadequately treated depressed patients. J Nerv Ment Dis. 1988;176:465–470.CrossRefGoogle ScholarPubMed
19.Keller, MB, Lavori, PW, Rice, J, Coryell, W, Hirschfeld, RM. The persistent risk of chronicity in recurrent episodes of nonbipolar major depressive disorder: a prospective follow-up. Am J Psychiatry. 1986;143:24–28.Google ScholarPubMed
20.Tylee, A, Gastpar, M, Lepine, JP, Mendlewicz, J. DEPRES II (Depression Research in European Society II): a patient survey of the symptoms, disability and current management of depression in the community. DEPRES Steering Committee. Int Clin Psychopharmacol. 1999;14:139–151.Google Scholar
21.Tylee, A, Gastpar, M, Lepine, JP, Mendlewicz, J. Identification of depressed patient types in the community and their treatment needs: findings from the DEPRES II (Depression Research in European Society II) survey. DEPRES Steering Committee. Int Clin Psychopharmacol. 1999;14:153–165.Google ScholarPubMed
22.Rupp, A. The economic consequences of not treating depression. Br J Psychiatry Suppl. 1995;27:29–33.CrossRefGoogle Scholar