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Point prevalence of major depression in Estonia. Results from the 2006 Estonian Health Survey

Published online by Cambridge University Press:  16 April 2020

A. Kleinberg ,
A. Aluoja  and
V. Vasar
A. Kleinberg*
Affiliation:
Department of Psychiatry, University of Tartu, Raja 31, Tartu50417, Estonia
A. Aluoja
Affiliation:
Department of Psychiatry, University of Tartu, Raja 31, Tartu50417, Estonia
V. Vasar
Affiliation:
Department of Psychiatry, University of Tartu, Raja 31, Tartu50417, Estonia
*
*Corresponding author. Tel.: +372 51 36 217; fax: +372 6 977 143. E-mail address: [email protected] (A. Kleinberg).
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Abstract

Aim

The study focuses on the point prevalence of major depressive episode in the Estonian population in 2006 and assesses the relationship of sociodemographic factors, health status indicators, alcohol use, and previous depressive episodes to major depression.

Methods

The present major depressive episode was assessed within the nationally representative, cross-sectional 2006 Estonian Health Survey (EHIS 2006), in which non-institutionalized individuals aged 18–84 years (n = 6105) were interviewed using the Mini-International Neuropsychiatric Interview (MINI).

Results

The point prevalence of major depressive episode in the Estonian population was 5.6%. Depression was higher among females, in the non-Estonian ethnic group, among people older than 40 years, and in the lower-income group.

Conclusions

The point prevalence of major depressive episodes was comparable with the results of other population surveys, being a little higher than the average. Age, income, ethnicity, health status, self-rated health, and previous depressive episode were independent associates of depression.

Keywords

Point prevalenceMajor depressionAssociated factorsHealth survey
Type
Depression
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 485 - 490
Copyright
Copyright © Elsevier Masson SAS 2010

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References

Alonso, J, Angermeyer, MC, Bernert, S, Bruffaerts, R, Brugha, TS, Bryson, Het al.Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 2004; 420: 21–27.Google Scholar
Aluoja, A, Leinsalu, M, Shlik, J, Vasar, V, Luuk, KSymptoms of depression in the Estonian population: prevalence, sociodemographic correlates and social adjustment. J Affect Disord 2004; 78: 27–35.CrossRefGoogle ScholarPubMed
Angst, JFortnightly review. A regular review of the long-term follow up of depression. BMJ 1997; 315: 1143–1146.CrossRefGoogle ScholarPubMed
Ansseau, M, Fishler, B, Dierick, M, Albert, A, Leyman, S, Mignon, ASocioeconomic correlates of generalized anxiety disorder and major depression in primary care: the GADIS II study (Generalized Anxiety and Depression Impact Survey II). Depress Anxiety 2008; 25: 506–513.CrossRefGoogle Scholar
Ayuso-Mateos, JL, Vázquez-Barquero, JL, Dowrick, C, Lehtinen, V, Dalgard, OS, Casey, Pet al.Depressive disorders in Europe: prevalence figures from the ODIN study. Br J Psychiatry 2001; 179: 308–316.10.1192/bjp.179.4.308CrossRefGoogle ScholarPubMed
Bijl, RV, van Zessen, G, Ravelli, APrevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 1998; 33: 587–595.CrossRefGoogle Scholar
Blazer, D, Burchett, B, Service, C, George, LKThe association of age and depression among the elderly: an epidemiologic exploration. J Gerontol 1991; 46: M210–M215.CrossRefGoogle ScholarPubMed
Blazer, DG, Kessler, RC, McGonagle, KA, Swartz, MSThe prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey. Am J Psychiatry 1994; 151: 979–986.Google Scholar
Blay, SL, Andreoli, SB, Fillenbaum, GG, Gastal, FLDepression morbidity in later life: prevalence and correlates in a developing country. Am J Geriatr Psychiatry 2007;15(9):790–799.CrossRefGoogle Scholar
Bobak, M, Pikhart, H, Pajak, A, Kubinova, R, Malyutina, S, Sebakova, Het al.Depressive symptoms in urban population samples in Russia, Poland and the Czech Republic. Br J Psychiatry 2006; 188: 359–365.CrossRefGoogle ScholarPubMed
Bolton, JM, Robinson, J, Sareen, JSelf-medication of mood disorders with alcohol and drugs in the National Epidemiologic Survey on Alcohol and Related Conditions. J Affect Disord 2009; 115: 367–375.CrossRefGoogle ScholarPubMed
Burcusa, SL, Iacono, WGRisk for recurrence in depression. Clin Psychol Rev 2007; 27: 959–985.CrossRefGoogle ScholarPubMed
Cairney, J, Krause, NThe social distribution of psychological distress and depression in older adults. J Aging Health 2005; 17: 807–835.CrossRefGoogle ScholarPubMed
Christensen, H, Jorm, AF, Mackinnon, AJ, Korten, AE, Jacomb, PA, Henderson, ASet al.Age differences in depression and anxiety symptoms: a structural equation modeling analysis of data from a general population sample. Psychol Med 1999; 29: 325–339.CrossRefGoogle Scholar
Egede, LEMajor depression in individuals with chronic medical disorders: prevalence, correlates and association with health resource utilization, lost productivity and functional disability. Gen Hosp Psychiatry 2007; 29: 409–416.CrossRefGoogle ScholarPubMed
Esposito, E, Wang, JL, Adair, CE, Williams, JV, Dobson, K, Schopflocher, Det al.Frequency and adequacy of depression treatment in a Canadian population sample. Can J Psychiatry 2007; 52: 780–789.CrossRefGoogle Scholar
European Commission Statistical Office of the European Union (Eurostat). Inequality of income distribution Gini coefficient [Internet] [updated 2010 May 31; cited 2010 May 31]. Available from: http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_sic2&lang=en.Google Scholar
Fryers, T, Brugha, T, Morgan, Z, Smith, J, Hill, T, Carta, Met al.Prevalence of psychiatric disorder in Europe: the potential and reality of meta-analysis. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 899–905.CrossRefGoogle ScholarPubMed
Fryers, T, Melzer, D, Jenkins, R, Brugha, TThe distribution of the common mental disorders: social inequalities in Europe. Clin Pract Epidemol Ment Health 2005 10.1186/1745-0179-1-14CrossRefGoogle ScholarPubMed
Gadalla, TMComparison of users and non-users of mental health services among depressed women: a national study. Women Health 2008; 47: 1–19.CrossRefGoogle ScholarPubMed
Hasin, DS, Goodwin, RD, Stinson, FS, Grant, BFEpidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry 2005; 62: 1097–1106.CrossRefGoogle ScholarPubMed
Hämäläinen, J, Poikolainen, K, Isometsä, E, Kaprio, J, Heikkinen, M, Lindeman, Set al.Major depressive episode related to long unemployment and frequent alcohol intoxication. Nord J Psychiatry 2005; 59: 486–491.Google Scholar
Katon, WClinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry 2003; 54: 216–226.10.1016/S0006-3223(03)00273-7CrossRefGoogle ScholarPubMed
Kessing, LVRecurrence in affective disorder II. Effect of age and gender. Br J Psychiatry 1998; 172: 29–34.Google ScholarPubMed
Kessler, RC, Berglund, P, Demler, O, Jin, R, Koretz, D, Merikangas, KRet al.National Comorbidity Survey Replication. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 2003; 289: 3095–3105.CrossRefGoogle Scholar
Kivelä, SL, Pahkala, KDepressive disorder as a predictor of physical disability in old age. J Am Geriatr Soc 2001; 49: 290–296.CrossRefGoogle ScholarPubMed
Kolchakova, PY, Akabaliev, VHA study of the effect of age on depressivity in Bulgarian urban population. Folia Med (Plovdiv) 2003; 45: 11–15.Google ScholarPubMed
Kopp, MS, Skrabski, A, Szedmák, SPsychosocial risk factors, inequality and self-rated morbidity in a changing society. Soc Sci Med 2000; 51: 1351–1361.CrossRefGoogle Scholar
Ladin, KRisk of late-life depression across 10 European Union countries: deconstructing the education effect. J Aging Health 2008; 20: 653–670.CrossRefGoogle ScholarPubMed
Ladin, K, Daniels, N, Kawachi, IExploring the relationship between absolute and relative position and late-life depression: evidence from 10 European countries. Gerontologist 2010; 50: 48–59.CrossRefGoogle ScholarPubMed
Lecrubier, Y, Sheehan, DV, Weiller, E, Amorim, P, Bonora, I, Harnett Sheehan, Ket al.The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry 1997; 12: 224–231.CrossRefGoogle Scholar
Lehtinen, V, Sohlman, B, Kovess-Masfety, VLevel of positive mental health in the European Union: results from the Eurobarometer 2002 survey. Clin Pract Epidemiol Ment Health 2005 10.1186/1745-0179-1-9CrossRefGoogle ScholarPubMed
Lehtinen, V, Sohlman, B, Nummelin, T, Salomaa, M, Ayuso-Mateos, JL, Dowrick, CThe estimated incidence of depressive disorder and its determinants in the Finnish ODIN sample. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 778–784.CrossRefGoogle ScholarPubMed
Leinsalu, MSocial variation in self-rated health in Estonia: a cross-sectional study. Soc Sci Med 2002; 55: 847–861.CrossRefGoogle ScholarPubMed
Leinsalu, M, Vågerö, D, Kunst, AEIncreasing ethnic differences in mortality in Estonia after the collapse of the Soviet Union. J Epidemiol Community Health 2004; 58: 583–589.CrossRefGoogle ScholarPubMed
Lindeman, S, Hämäläinen, J, Isometsä, E, Kaprio, J, Poikolainen, K, Heikkinen, Met al.The 12-month prevalence and risk factors for major depressive episode in Finland: representative sample of 5993 adults. Acta Psychiatr Scand 2000; 102: 178–184.CrossRefGoogle ScholarPubMed
Mackenbach, JP, Stirbu, I, Roskam, AJ, Schaap, MM, Menvielle, G, Leinsalu, Met al.Socioeconomic inequalities in health in 22 European countries. N Engl J Med 2008; 358: 2468–2481.CrossRefGoogle ScholarPubMed
Mathers, CD, Bernard, C, Moesgaard Iburg, K, Inoue, M, Ma Fat, D, Shibuya, Ket al. Global Burden of Disease in 2002: data sources, methods and results. Global Programme on Evidence for Health Policy Discussion Paper No. 54, World Health Organization [Internet]. 2003 [cited May 31]. Available from: www.who.int/entity/healthinfo/paper54.pdf.Google Scholar
Oja, L, Matsi, A, Leinsalu, M Estonian Health Interview Survey. Methodological Report. Tallinn: National Institute for Health Development [Internet]. 2008 [cited May 31]. Available from: http://www2.tai.ee/ETeU/met_51.pdf.Google Scholar
Olsen, LR, Mortensen, EL, Bech, PPrevalence of major depression and stress indicators in the Danish general population. Acta Psychiatr Scand 2004; 109: 96–103.Google ScholarPubMed
Patten, SBLong-term medical conditions and major depression in a Canadian population study at waves 1 and 2. J Affect Disord 2001; 63: 35–41.CrossRefGoogle Scholar
Patten, SB, Sedmak, B, Russell, MLMajor depression: prevalence, treatment utilization and age in Canada. Can J Clin Pharmacol 2001; 8: 133–138.Google ScholarPubMed
Patten, SB, Wang, JL, Williams, JV, Currie, S, Beck, CA, Maxwell, CJDescriptive epidemiology of major depression in Canada. Can J Psychiatry 2006; 51: 84–90.CrossRefGoogle ScholarPubMed
Paykel, ES, Brugha, T, Fryers, TSize and burden of depressive disorders in Europe. Eur Neuropsychopharmacol 2005; 5: 411–423.CrossRefGoogle Scholar
Rummo, TL, Aasvee, K Õpilaste heaolu ja tervis. Lapsed-Children. Statistics Estonia, Tallinn; 2008.Google Scholar
Saks, K, Kolk, H, Allev, R, Soots, A, Kõiv, K, Paju, Iet al.Health status of the older population in Estonia. Croat Med J 2001; 42: 663–668.Google ScholarPubMed
Steptoe, A, Tsuda, A, Tanaka, Y, Wardle, JDepressive symptoms, socioeconomic background, sense of control, and cultural factors in university students from 23 countries. Int J Behav Med 2007; 14: 97–107.CrossRefGoogle ScholarPubMed
Virtanen, M, Koskinen, S, Kivimäki, M, Honkonen, T, Vahtera, J, Ahola, Ket al.Contribution of non-work and work-related risk factors to the association between income and mental disorders in a working population: the Health 2000 Study. Occup Environ Med 2008; 65: 171–178.CrossRefGoogle Scholar
Wang, JLRural-urban differences in the prevalence of major depression and associated impairment. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 19–25.CrossRefGoogle ScholarPubMed
Wittchen, HU, Carter, RM, Pfister, H, Montgomery, SA, Kessler, RCDisabilities and quality of life in pure and comorbid generalized anxiety disorder and major depression in a national survey. Int Clin Psychopharmacol 2000; 15: 319–328.CrossRefGoogle ScholarPubMed
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