Prevalence and correlates of major depressive disorder: a systematic review.

Prevalence and correlates of major depressive disorder: a systematic review.
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DOI:
10.1590/1516-4446-2020-0650
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发表时间:
2020-11
期刊:
Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
影响因子:
--
通讯作者:
Cervilla JA
Cervilla JA
中科院分区:
其他
文献类型:
--
作者:
Gutiérrez-Rojas L;Porras-Segovia A;Dunne H;Andrade-González N;Cervilla JA

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重度抑郁症(MDD)是最严重的精神疾病之一,它对社会产生了重大影响。本文旨在为重度抑郁症的流行病学提供最新的科学证据。对PubMed和MEDLINE数据库进行了系统的文献综述,以确定关于重度抑郁症患病率及其相关因素的文章。搜索仅限于2001年1月至2018年12月之间发表的手稿。本综述共纳入63篇文章。重度抑郁症的终生患病率从2%到21%不等,在一些欧洲国家发病率最高,在一些亚洲国家发病率最低。主要的社会人口学相关因素是分居/离婚的婚姻状况和女性性别。在审查的研究中,虐待儿童、亲密伴侣暴力以及与其他身体和精神障碍的共病也始终与重度抑郁症有关。重度抑郁症在世界范围内非常普遍。在该疾病的患病率以及某些社会人口学相关性方面存在显著的地区差异。重度抑郁症还与身体和精神健康问题高度并存。
Major depressive disorder (MDD) is one of the most disabling mental illnesses and it has a significant impact on society. This review aims to provide updated scientific evidence about the epidemiology of MDD. A systematic literature review of the PubMed and MEDLINE databases was performed to identify articles on the prevalence of MDD and its correlates. The search was restricted to manuscripts published between January 2001 and December 2018. Sixty-three articles were included in the review. The lifetime prevalence of MDD ranged from 2 to 21%, with the highest rates found in some European countries and the lowest in some Asian countries. The main sociodemographic correlates were separated/divorced marital status and female gender. Child abuse, intimate partner violence, and comorbidity with other physical and mental disorders also were consistently associated with MDD across the reviewed studies. MDD is a highly prevalent condition worldwide. There are remarkable interregional differences in the disorder’s prevalence, as well as in certain sociodemographic correlates. MDD is also highly comorbid with physical and mental health problems.
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