Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
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DOI：
10.1016/j.jad.2020.03.031
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发表时间：
2020-05-15
影响因子：
6.6
通讯作者：
Smith, Lee
中科院分区：
文献类型：
--
作者：
Cao, Chao;Hu, Liang;Smith, Lee
PurposeTo更新抑郁症在美国的患病率，并确定是否存在误解的抑郁症评估自我报告与验证的工具由训练有素的professionals.MethodsWe管理提取的数据，社会人口特征，生活方式因素，医疗条件，抑郁症状，和自我报告的抑郁情绪从国家健康和营养检查调查（NHANES）研究2015-2018。我们分别计算了经验证的工具PHQ-9（评分≥10）评估的抑郁症状和自报抑郁的加权患病率和95%CI。然后，我们进行了多变量逻辑回归，以确定他们的社会人口和生活方式的相关性。最后，我们计算的协议PHQ-9评估抑郁症状和自我报告的抑郁情绪，以检查可能的misperception.ResultsThe目前的分析包括了10,257名成年人（WeightedN= 215,964,374）年龄在20岁及以上。2015年至2018年，美国抑郁症状（PHQ-9评分≥10）的患病率为8.0%。分别有19.7%和11.3%的成年人报告每月至少一次和每周至少一次感到抑郁。在美国，抑郁经历在很大程度上被误解（Kappa一致性= 50.98%，Cohen 'sKappa = 0.16，p < 0.001）。特别是，估计有110万美国成年人有抑郁症状，但从未感到抑郁。几个一致的人口和行为的相关性，确定在两个措施，即：年龄，性别，种族/民族，贫困和坐的时间。ConclusionsA高患病率的抑郁症被发现，和误解的抑郁症存在于美国成年人口。我们的研究结果强调，迫切需要卫生专业人员考虑患者的社会经济地位和生活方式因素，以减轻抑郁症的负担。
PurposeTo update the prevalence of depression in the US and identify whether misperception exists in depression assessed by self-report versus validated tools administered by trained professionals.MethodsWe extracted data on sociodemographic characteristics, lifestyle factors, medical conditions, depressive symptoms, and self-reported depressive feeling from National Health and Nutrition Examination Survey (NHANES) study 2015–2018. We calculated the weighted prevalence and 95% CI of depressive symptoms assessed by a validated tool PHQ-9 (score≥10) and self-reported depression respectively. Then, we performed multivariable logistic regressions to identify their sociodemographic and lifestyle correlates. Finally, we calculated the agreement between PHQ-9 assessed depressive symptoms and self-reported depressive feeling to examine possible misperception.ResultsThe present analysis included a total of 10,257 adults (WeightedN= 215,964,374) aged 20 years and older. Prevalence of depressive symptoms (PHQ-9 score ≥10) were 8.0% from 2015 to 2018 in the US. 19.7% and 11.3% adults reported feeling depressed at least once a month and at least once a week, respectively. Depressive experience was largely misperceived in the US (Kappa agreement = 50.98%, Cohen's Kappa = 0.16,p< 0.001). Particularly, an estimated 1.1 million US adults had depressive symptoms but never felt being depressed. Several consistent demographic and behavioral correlates were identified across the two measures, namely: age, sex, race/ethnicity, poverty and sitting time.ConclusionsA high prevalence of depression was found, and misperception of depression exists among the US adult population. Our findings highlight an urgent need for health professionals to reduce the burden of depression with considering patients’ socioeconomic status and lifestyle factors.