Prevalence of symptoms, ever having received a diagnosis and treatment of depression and anxiety, and associations with health service use amongst the general population in two Russian cities

BMC Psychiatry

Sarah Cook¹  David A. Leon²  Alexander V. Kudryavtsev³  Glyn Lewis⁴  Natalia Bobrova⁵  Lyudmila Saburova⁶  Diana Denisova⁷  Sofia Malyutina⁸ 

[1] Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway;Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK;Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway;Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK;International Laboratory for Population and Health, National Research University Higher School of Economics, Moscow, Russian Federation;Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway;Northern State Medical University, Arkhangelsk, Russian Federation;Division of Psychiatry, University College London, London, UK;Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK;Institute of Philosophy and Law, Ural Branch of the Russian Academy of Sciences, Ekaterinburg, Russian Federation;Research Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russian Federation;Research Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russian Federation;Novosibirsk State Medical University, Russian Ministry of Health, Novosibirsk, Russian Federation;

关键词: Russian Federation;    Depression;    Anxiety;    Mental disorders;    Treatment of mental disorders;    Anti-depressants;    Anxiolytics;   

DOI  :  10.1186/s12888-020-02938-w

来源: Springer

【 摘 要 】

BackgroundLittle is known about the burden of common mental disorders in Russia despite high levels of suicide and alcohol-related mortality. Here we investigated levels of symptoms, self-reports of ever having received a diagnosis and treatment of anxiety and depression in two Russian cities.MethodsThe study population was men and women aged 35–69 years old participating in cross-sectional population-based studies in the cities of Arkhangelsk and Novosibirsk (2015–18). Participants completed an interview which included the PHQ-9 and GAD-7 scales, questions on whether participants had ever received a diagnosis of depression or anxiety, and health service use in the past year. Participants also reported current medication use and medications were coded in line with the WHO anatomical therapeutic classification (ATC). Depression was defined as PHQ-9 ≥ 10 and Anxiety as GAD-7 ≥ 10.ResultsAge-standardised prevalence of PHQ-9 ≥ 10 was 10.7% in women and 5.4% in men (GAD-7 ≥ 10 6.2% in women; 3.0% in men). Among those with PHQ-9 ≥ 10 17% reported ever having been diagnosed with depression (equivalent finding for anxiety 29%). Only 1.5% of those with PHQ-9 ≥ 10 reported using anti-depressants and 0.6% of those with GAD-7 ≥ 10 reported using anxiolytics. No men with PHQ-9 ≥ 10 and/or GAD-7 ≥ 10 reported use of anti-depressants or anxiolytics. Use of health services increased with increasing severity of both depression and anxiety.ConclusionThere was a large gap between symptoms and reporting of past diagnosis and treatment of common mental disorders in two Russian cities. Interventions aimed at improving mental health literacy and reducing stigma could be of benefit in closing this substantial treatment gap.

【 授权许可】

CC BY