Have education and publicity about depression made a difference? Comparison of prevalence, service use and excess costs in South Australia: 1998 and 2004
Have education and publicity about depression made a difference? Comparison of prevalence, service use and excess costs in South Australia: 1998 and 2004
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DOI：
10.1080/00048670601050465
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发表时间：
2007-01-01
影响因子：
4.6
通讯作者：
Hawthorne, Graerne
中科院分区：
文献类型：
--
作者：
Goldney, Robert D.;Fisher, Laura J.;Hawthorne, Graerne
目的：确定抑郁症的变化，其管理和相关的额外费用，1998年至2004年在南澳大利亚。方法：2004年对3015名年龄在15岁及以上的随机抽样的南澳大利亚人口进行了面对面的健康综合调查，并将其与1998年使用相同方法进行的调查进行了比较。主要观察指标为精神障碍初级保健评估心境模块（PRIME-MD）检测的抑郁患病率；使用保健服务；由生活质量评估评估的与健康有关的生活质量；超额成本估算和人口统计数据。结果：抑郁症的总体患病率没有显著变化，但其他抑郁症的受访者患病率明显下降，重度抑郁症的受访者患病率无显著上升。在PRIME-MD抑郁症状的平均数量上没有显著差异。据报告，抑郁症患者和非抑郁症患者更多地使用非医疗服务和抗抑郁药。与抑郁相关的额外成本显著增加。结论：1998年至2004年间，南澳大利亚社区的抑郁症患病率及其相关发病率和经济负担没有显著改善，尽管开展了一些专业和社区教育项目。如果没有这些努力和本调查中报告的增加的治疗，可能会有抑郁症患病率的增加和更大的经济负担。然而，也有可能是提供抑郁症治疗的社区服务未能实施已被证明有效的研究策略。
Objective: To identify changes in depression, its management and associated excess costs, between 1998 and 2004 in South Australia.Methods: A face-to-face Health Omnibus Survey was conducted in 2004 among 3015 randomly selected participants aged 15 years and over, who were a random and representative sample of the South Australian population, and this was compared with a survey conducted in 1998 that used the same methodology. The main outcome measures were prevalence of depression detected by the Mood Module of the Primary Care Evaluation of Mental Disorders (PRIME-MD); use of health services; health-related quality of life assessed by the Assessment of Quality of Life; estimates of excess costs and demographic data.Results: There was no significant change in the overall prevalence of depression, although there was a significant decrease in respondents with other depressions, and a non-significant increase in those with major depression. No significant differences in the mean number of PRIME-MD depression symptoms were reported. Greater use of predominantly non-medical treatment services and antidepressants were reported by both those with depression and those without depression. There was a marked increase in the associated excess costs of depression.Conclusions: There has been no significant improvement in the prevalence of depression and its associated morbidity and financial burden in the South Australian community between 1998 and 2004, despite a number of professional and community education programmes. It is possible that without these efforts and the increased treatment reported on in this survey, there may have been an increase in the prevalence of depression and an even greater financial burden. However, it is also possible that community services for the provision of treatment for depression have not been able to implement research strategies that have been demonstrated to be effective.