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Prevalence and variability of depressive symptoms in Europe: update using representative data from the second and third waves of the European Health Interview Survey (EHIS-2 and EHIS-3)

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dc.contributor.author Arias-de la Torre, Jorge
dc.contributor.author Vilagut Saiz, Gemma, 1975-
dc.contributor.author Ronaldson, Amy
dc.contributor.author Bakolis, Ioannis
dc.contributor.author Dregan, Alex
dc.contributor.author Martín, Vicente
dc.contributor.author Martinez-Alés, Gonzalo
dc.contributor.author Molina, Antonio J.
dc.contributor.author Serrano-Blanco, Antoni
dc.contributor.author Valderas Martínez, José María
dc.contributor.author Viana, Maria Carmen
dc.contributor.author Alonso Caballero, Jordi
dc.date.accessioned 2023-12-05T07:10:46Z
dc.date.available 2023-12-05T07:10:46Z
dc.date.issued 2023
dc.identifier.citation Arias-de la Torre J, Vilagut G, Ronaldson A, Bakolis I, Dregan A, Martín V, Martinez-Alés G, Molina AJ, Serrano-Blanco A, Valderas JM, Viana MC, Alonso J. Prevalence and variability of depressive symptoms in Europe: update using representative data from the second and third waves of the European Health Interview Survey (EHIS-2 and EHIS-3). Lancet Public Health. 2023 Nov;8(11):e889-e898. DOI: 10.1016/S2468-2667(23)00220-7
dc.identifier.issn 2468-2667
dc.identifier.uri http://hdl.handle.net/10230/58443
dc.description.abstract Background: Assessing the prevalence of clinically relevant depressive symptoms and their possible variation by country and over time could be a valuable resource to inform the development of public health policies and preventive resources to reduce mental health burden. We aimed to assess cross-national differences in the point prevalence of clinically relevant depressive symptoms in Europe in 2018-20, and to evaluate point prevalence differences between countries and over time between 2013-15 and 2018-20. Methods: In this population-based study, data from participants in the second and third waves of the European Health Interview Survey (EHIS-2 from 2013 to 2015 and EHIS-3 from 2018 to 2020) from 30 European countries were used (n=542 580). From the total sample, 283 692 participants belonging to EHIS-3 were included in the study (52·4% women and 47·5% men). The non-response in EHIS-3 ranged by country, from 12% to 78%. Point prevalence of clinically relevant depressive symptoms was evaluated using a cutoff score of 10 or more for the 8-item version of the Patient Health Questionnaire. Crude prevalence ratios and adjusted prevalence ratios (aPRs) were obtained to assess differences in the prevalence between countries and over time within countries. Findings: The point prevalence of clinically relevant depressive symptoms in Europe in 2018-20 was 6·54% (95% CI 6·34-6·73), ranging across countries from 1·85% (1·53-2·17) in Greece to 10·72% (10·04-11·40) in Sweden. Compared with the other European countries, those with the lowest aPRs were Greece, Serbia, and Cyprus and those with the highest aPRs were Belgium, Slovenia, and Croatia. A small but significant increase in the prevalence between EHIS-2 and EHIS-3 was observed (aPR 1·11 [1·07-1·14]). A wide variability over time in the point prevalence within countries was observed, ranging from an aPR of 0·63 (0·54-0·74) in Hungary to 1·88 (1·53-2·31) in Slovenia. Interpretation: This study, based on large and representative datasets and a valid and reliable screening tool for the assessment of depression, indicates that the point prevalence of clinically relevant depressive symptoms in Europe from 2013 to 2020 remains relatively stable, with wide variability between countries. These findings could be considered a baseline for monitoring the prevalence of clinically relevant depressive symptoms in Europe, and could inform policy for the development of preventive strategies for depression both at a country and European level. Funding: Center for Biomedical Research in Epidemiology and Public Health Network and AGAUR.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Lancet Public Health. 2023 Nov;8(11):e889-e898
dc.rights © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license (https://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.other Salut mental
dc.subject.other Depressió psíquica
dc.subject.other Símptomes
dc.title Prevalence and variability of depressive symptoms in Europe: update using representative data from the second and third waves of the European Health Interview Survey (EHIS-2 and EHIS-3)
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/S2468-2667(23)00220-7
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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