The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison

Depression is a major public health concern. Depressed individuals have received increasing treatment with antidepressants in Western countries. In this study, we examine the relationship among individual symptoms (sadness, worry and unhappiness), human development factors and antidepressant use in...

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Main Authors: Roger T. Mulder, Anthony F. Jorm
Format: Article
Language:English
Published: Cambridge University Press 2023-11-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472423005768/type/journal_article
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author Roger T. Mulder
Anthony F. Jorm
author_facet Roger T. Mulder
Anthony F. Jorm
author_sort Roger T. Mulder
collection DOAJ
description Depression is a major public health concern. Depressed individuals have received increasing treatment with antidepressants in Western countries. In this study, we examine the relationship among individual symptoms (sadness, worry and unhappiness), human development factors and antidepressant use in 29 OECD countries. We report that increased antidepressant prescribing is not associated with decreased prevalence of sadness, worry or unhappiness. However, income, education and life expectancy (measured using the Human Development Index) are associated with lower prevalence of all these symptoms. This suggests that increasing spending on depression treatment may not be as effective as general public health interventions at reducing depression in communities.
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spelling doaj.art-6fa6f81961064a8783d69a28305adf7c2023-10-10T07:07:46ZengCambridge University PressBJPsych Open2056-47242023-11-01910.1192/bjo.2023.576The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparisonRoger T. Mulder0https://orcid.org/0000-0002-8147-5838Anthony F. Jorm1https://orcid.org/0000-0002-1424-4116Department of Psychological Medicine, University of Otago, Christchurch, New ZealandMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, AustraliaDepression is a major public health concern. Depressed individuals have received increasing treatment with antidepressants in Western countries. In this study, we examine the relationship among individual symptoms (sadness, worry and unhappiness), human development factors and antidepressant use in 29 OECD countries. We report that increased antidepressant prescribing is not associated with decreased prevalence of sadness, worry or unhappiness. However, income, education and life expectancy (measured using the Human Development Index) are associated with lower prevalence of all these symptoms. This suggests that increasing spending on depression treatment may not be as effective as general public health interventions at reducing depression in communities.https://www.cambridge.org/core/product/identifier/S2056472423005768/type/journal_articleAntidepressantsdepressive disordersepidemiologystatistical methodologyrating scales
spellingShingle Roger T. Mulder
Anthony F. Jorm
The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
BJPsych Open
Antidepressants
depressive disorders
epidemiology
statistical methodology
rating scales
title The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
title_full The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
title_fullStr The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
title_full_unstemmed The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
title_short The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison
title_sort impact of antidepressants and human development measures on the prevalence of sadness worry and unhappiness cross national comparison
topic Antidepressants
depressive disorders
epidemiology
statistical methodology
rating scales
url https://www.cambridge.org/core/product/identifier/S2056472423005768/type/journal_article
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