Prevalence of Depression in the Community from 30 Countries between 1994 and 2014.

Prevalence of Depression in the Community from 30 Countries between 1994 and 2014.
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1994 年至 2014 年间 30 个国家社区抑郁症患病率

DOI:
10.1038/s41598-018-21243-x
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发表时间:
2018-02-12
期刊:
影响因子:
4.6
通讯作者:
Ho RC
Ho RC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Lim GY;Tam WW;Lu Y;Ho CS;Zhang MW;Ho RC

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抑郁症的患病率可能受到过去二十年来精神病学实践的变化和在线心理健康信息的可用性的影响。本研究旨在评估1994年至2014年期间不同国家社区抑郁症的总患病率,并探索按地理,方法和社会经济因素分层的患病率变化。共确定了90项研究,并符合纳入标准(n = 1,112,573名成人),其中68项研究涉及单点患病率,9项研究涉及1年患病率,13项研究涉及终生患病率。一项随机效应模型荟萃分析计算了抑郁症的总患病率、一年患病率和终生患病率,其患病率分别为12.9%、7.2%和10.8%。在女性(14.4%)、人类发展指数(HDI)中等的国家(29.2%)、2004年至2014年发表的研究(15.4%)以及使用自我报告工具评估抑郁症时(17.3%),抑郁症的点患病率显著较高。通过荟萃回归和亚组分析确定了异质性,并确定应答率、女性百分比和发表年份分别对抑郁症患病率有贡献。这项荟萃分析允许在在线健康信息出现的时代对抑郁症的患病率进行基准测试,以促进未来的比较。
The prevalence of depression may be affected by changes in psychiatric practices and the availability of online mental health information in the past two decades. This study aimed to evaluate the aggregate prevalence of depression in communities from different countries between 1994 and 2014 and to explore the variations in prevalence stratified by geographical, methodological and socio-economic factors. A total of 90 studies were identified and met the inclusion criteria (n = 1,112,573 adults) with 68 studies on single point prevalence, 9 studies on one-year prevalence, and 13 studies on lifetime prevalence of depression. A random-effects model meta-analysis that was performed to calculate the aggregate point, one-year and lifetime prevalence of depression calculated prevalences of 12.9%, 7.2% and 10.8% respectively. Point prevalence of depression was significantly higher in women (14.4%), countries with a medium human development index (HDI) (29.2%), studies published from 2004 to 2014 (15.4%) and when using self-reporting instruments (17.3%) to assess depression. Heterogeneity was identified by meta-regression and subgroup analysis, and response rate, percentage of women and year of publication, respectively, were determined contribute to depression prevalence. This meta-analysis allows benchmarking of the prevalence of depression during the era when online health information emerged, facilitating future comparisons.
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发表时间: 2002-05-01
影响因子: 4
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