The epidemiology of depression across cultures.

The epidemiology of depression across cultures.
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DOI:
10.1146/annurev-publhealth-031912-114409
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发表时间:
2013
影响因子:
20.8
通讯作者:
Bromet EJ
Bromet EJ
中科院分区:
医学1区
文献类型:
--
作者:
Kessler RC;Bromet EJ

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本文综述了世界各地有关重性抑郁症的患病率、病程、社会人口统计学相关因素以及社会成本的流行病学数据。在这些调查中,重性抑郁症被估计是一种常见疾病。尽管由于涉及实质性和方法性过程的原因,各国对终生患病率和病程的估计差异很大,但跨国数据清楚地记录了有意义的终生患病率,发病年龄差异很大,且终身慢性复发性持续的风险很高。在各国一致发现了重性抑郁症的许多社会人口统计学相关因素,跨国数据还记录了与众多不良后果的关联,包括角色转换困难(例如,教育程度低、青少年生育多、婚姻破裂、就业不稳定)、角色功能降低(例如,婚姻质量低、工作表现差、收入低)、多种继发性疾病的发病、持续和严重程度的风险升高,以及因身体疾病和自杀导致的早亡风险增加。
Epidemiological data are reviewed on the prevalence, course, socio-demographic correlates, and societal costs of major depression throughout the world. Major depression is estimated in these surveys to be a commonly-occurring disorder. Although estimates of lifetime prevalence and course vary substantially across countries for reasons that could involve both substantive and methodological processes, the cross-national data are clear in documenting meaningful lifetime prevalence with wide variation in age-of-onset and high risk of lifelong chronic-recurrent persistence. A number of socio-demographic correlates of major depression are found consistently across countries and cross-national data also document associations with numerous adverse outcomes, including difficulties in role transitions (e.g., low education, high teen child-bearing, marital disruption, unstable employment), reduced role functioning (e.g., low marital quality, low work performance, low earnings), elevated risk of onset, persistence, and severity of a wide range of secondary disorders, and increased risk of early mortality due to physical disorders and suicide.
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