Economic costs of minor depression: a population-based study
Economic costs of minor depression: a population-based study
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DOI：
10.1111/j.1600-0447.2006.00851.x
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发表时间：
2007-03-01
影响因子：
6.7
通讯作者：
Beekman, A.
中科院分区：
文献类型：
--
作者：
Cuijpers, P.;Smit, F.;Beekman, A.
目的：虽然许多研究已经证明了轻度抑郁症的临床相关性，但其经济成本尚未得到很好的探讨。在这项研究中，我们探讨了经济成本的未成年人depression.Method：在一个大规模的，以人口为基础的研究在荷兰（n = 5504）的费用进行了比较，未成年人抑郁症的费用与抑郁症和心境恶劣。超额成本，即一种疾病的成本超过其他疾病的成本，是在回归分析的帮助下估计的。计算直接医疗费用、直接非医疗费用和间接非医疗费用。结果：轻度抑郁症的年人均超额费用比基础费用1023美元高出2141美元（95% CI = 753-3529），重度抑郁症的年人均超额费用比基础费用高出3313美元（95% CI = 1234-5390）。每100万居民中轻度抑郁症的经济损失为1.6亿美元/年，略低于重度抑郁症的经济损失（1.92亿美元/年）。结论：轻度抑郁症的经济损失相当大，接近重度抑郁症。
Objective: Although the clinical relevance of minor depression has been demonstrated in many studies, the economic costs are not well explored. In this study, we examine the economic costs of minor depression.Method: In a large-scale, population-based study in the Netherlands (n = 5504) the costs of minor depression were compared with the costs of major depression and dysthymia. Excess costs, i.e. the costs of a disorder over and above the costs attributable to other illnesses, were estimated with help of regression analysis. The direct medical costs, the direct non-medical costs and the indirect non-medical costs were calculated. The year 2003 was used as the reference year.Results: The annual per capita excess costs of minor depression were US$ 2141 (95% CI = 753-3529) higher than the base rate costs of US$ 1023, while the costs of major depression were US$ 3313 (95% CI = 1234-5390) higher than the base rate. The costs of minor depression per 1 million inhabitants were 160 million dollars per year, which is somewhat less than the costs of major depression (192 million dollars per year).Conclusion: The economic costs associated with minor depression are considerable and approach those of major depression.