2015-10-24Zeitschriftenartikel DOI: 10.1016/j.jad.2015.10.006
Prevalence and correlates of DSM-IV-TR major depressive disorder, self-reported diagnosed depression and current depressive symptoms among adults in Germany
Maske, Ulrike E.
Buttery, Amanda K.
Background: While standardized diagnostic interviews using established criteria are the gold standard for assessing depression, less time consuming measures of depression and depressive symptoms are commonly used in large population health surveys. We examine the prevalence and health-related correlates of three depression measures among adults aged 18–79 years in Germany. Methods: Using cross-sectional data from the national German Health Interview and Examination Survey for Adults (DEGS1) (n=7987) and its mental health module (DEGS1-MH) (n=4483), we analysed prevalence and socio-demographic and health-related correlates of (a) major depressive disorder (MDD) established by Composite International Diagnostic Interview (CIDI) using DSM-IV-TR criteria (CIDI–MDD) in the last 12 months, (b) self-reported physician or psychotherapist diagnosed depression in the last 12 months, and (c) current depressive symptoms in the last two weeks (PHQ-9, score ≥10). Results: Prevalence of 12-month CIDI–MDD was 4.2% in men and 9.9% in women. Prevalence of 12-month self-reported health professional-diagnosed depression was 3.8% and 8.1% and of current depressive symptoms 6.1% and 10.2% in men and women, respectively. Case-overlap between measures was only moderate (32–45%). In adjusted multivariable analyses, depression according to all three measures was associated with lower self-rated health, lower physical and social functioning, higher somatic comorbidity (except for women with 12-month CIDI–MDD), more sick leave and higher health service utilization. Limitations: Persons with severe depression may be underrepresented. Associations between CIDI–MDD and correlates and overlap with other measures may be underestimated due to time lag between DEGS1 and DEGS1-MH. Conclusions: Prevalence and identified cases varied between these three depression measures, but all measures were consistently associated with a wide range of adverse health outcomes.
No license information
Show related Items with similar Title, Author, Creator or Subject.
2009-06-25ZeitschriftenartikelThe role of the inflammatory markers ferritin, transferrin and fibrinogen in the relationship between major depression and cardiovascular disorders The German Health Interview and Examination SurveyBaune, B. T.; Neuhauser, Hannelore; Ellert, Ute; Berger, KlausObjective: To determine levels of inflammation (ferritin, transferrin and fibrinogen) in major depression (MDD) and comorbid cardiovascular disease (CVD) in an adult population. Method: In 4181 participants of the German ...
2013-09-30Berichte und sonstige TexteDiagnosis Depression: Differences in Women and Men Müters, Stephan; Hoebel, Jens; Lange, CorneliaThe focus of this issue of GBE kompakt is depression. Depressive disorders are among the most significant mental disorders. Due to their frequency, complications and consequences, they are of outstanding importance with ...
2018-12-20ZeitschriftenartikelTime trends in depression prevalence and health-related correlates: results from population-based surveys in Germany 1997–1999 vs. 2009–2012 Bretschneider, Julia; Janitza, Silke; Jacobi, Frank; Thom, Julia; Hapke, Ulfert; Kurth, Tobias; Maske, Ulrike E.Background Although an “epidemic” of depression is frequently claimed, empirical evidence is inconsistent, depending on country, study design and depression assessment. Little is known about changes in depression over ...