Prevalence of depression in Europe using two different PHQ-8 scoring methods
Introduction The prevalence of depression based on the Patient Health Questionnaire-8 (PHQ-8) may vary depending on the scoring method. Objectives 1) To describe the prevalence of depression in Europe using two PHQ-8 scoring methods. 2) To identify the countries with the highest prevalence accordi...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822007635/type/journal_article |
| _version_ | 1797616231818199040 |
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| author | J. Arias De La Torre G. Vilagut A. Ronaldson A. Serrano-Blanco J. Valderas V. Martín A. Dregan I. Bakolis J. Alonso |
| author_facet | J. Arias De La Torre G. Vilagut A. Ronaldson A. Serrano-Blanco J. Valderas V. Martín A. Dregan I. Bakolis J. Alonso |
| author_sort | J. Arias De La Torre |
| collection | DOAJ |
| description |
Introduction
The prevalence of depression based on the Patient Health Questionnaire-8 (PHQ-8) may vary depending on the scoring method.
Objectives
1) To describe the prevalence of depression in Europe using two PHQ-8 scoring methods. 2) To identify the countries with the highest prevalence according to each method.
Methods
Data from 27 countries included in the European Health Survey (EHIS-2) for the year 2014/2015 were used (n=258,888). All participants who completed the PHQ-8 were included. The prevalence of depression and its 95% Confidence Interval (95%CI) were calculated overall for the whole of Europe and for each country using a PHQ-8≥10 cut-off point and the PHQ-8 algorithm scoring method. Weights derived from the complex sample design were considered for their calculation.
Results
The overall prevalence of depression for all Europe was lower using the PHQ-8>=10 cut-off point (6.38%, 95%CI 6.24-6.52) than the PHQ-8 algorithm (7.01%, 95%CI, 6.86-7.16). Using the PHQ-8≥10 cut-off point, the highest prevalence was observed in Iceland (10.33%, 95%CI, 9.33-11.32), Luxembourg (9.74%, 95%CI, 8.76-10.72) and Germany (9.24%, 95%CI, 8.82-9.66). Using the PHQ-8 algorithm the highest rates were observed in Hungary (10.99%, 95%CI,10.14-11.84), Portugal (10.63%, 95%CI, 9.96-11.29) and Iceland (9.80%, 95%CI, 8.77-10.83).
Conclusions
There is variability in the prevalence of depression rates in Europe according to the PHQ-8 scoring method. These findings suggest the necessity of identify the method of choice for each country comparing with a gold standard measure (clinical diagnosis). Countries with consistent higher prevalence of depression based on PHQ-8 regardless of scoring method deserve further study.
Disclosure
This work has been funded by CIBERESP (ESP21PI05)
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| first_indexed | 2024-03-11T07:38:27Z |
| format | Article |
| id | doaj.art-c7ac87fbec714e6b9273585ac7bff4ac |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:38:27Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-c7ac87fbec714e6b9273585ac7bff4ac2023-11-17T05:09:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S299S29910.1192/j.eurpsy.2022.763Prevalence of depression in Europe using two different PHQ-8 scoring methodsJ. Arias De La Torre0G. Vilagut1A. Ronaldson2A. Serrano-Blanco3J. Valderas4V. Martín5A. Dregan6I. Bakolis7J. Alonso8King’s College London, Health Services And Population Research, London, United KingdomIMIM, Hspr, Barcelona, SpainKing’s College London, Health Services And Population Research, London, United KingdomPSSJD, Institut De Recerca Sant Joan De Déu, Barcelona, SpainUniversity of Singapore, Medicine, Singapore, SingaporeUniversidad de León, Biomedical Sciences, León, SpainKing’s College London, Psychological Medicine, London, United KingdomKing’s College London, Health Services And Population Research, London, United KingdomIMIM, Hspr, Barcelona, Spain Introduction The prevalence of depression based on the Patient Health Questionnaire-8 (PHQ-8) may vary depending on the scoring method. Objectives 1) To describe the prevalence of depression in Europe using two PHQ-8 scoring methods. 2) To identify the countries with the highest prevalence according to each method. Methods Data from 27 countries included in the European Health Survey (EHIS-2) for the year 2014/2015 were used (n=258,888). All participants who completed the PHQ-8 were included. The prevalence of depression and its 95% Confidence Interval (95%CI) were calculated overall for the whole of Europe and for each country using a PHQ-8≥10 cut-off point and the PHQ-8 algorithm scoring method. Weights derived from the complex sample design were considered for their calculation. Results The overall prevalence of depression for all Europe was lower using the PHQ-8>=10 cut-off point (6.38%, 95%CI 6.24-6.52) than the PHQ-8 algorithm (7.01%, 95%CI, 6.86-7.16). Using the PHQ-8≥10 cut-off point, the highest prevalence was observed in Iceland (10.33%, 95%CI, 9.33-11.32), Luxembourg (9.74%, 95%CI, 8.76-10.72) and Germany (9.24%, 95%CI, 8.82-9.66). Using the PHQ-8 algorithm the highest rates were observed in Hungary (10.99%, 95%CI,10.14-11.84), Portugal (10.63%, 95%CI, 9.96-11.29) and Iceland (9.80%, 95%CI, 8.77-10.83). Conclusions There is variability in the prevalence of depression rates in Europe according to the PHQ-8 scoring method. These findings suggest the necessity of identify the method of choice for each country comparing with a gold standard measure (clinical diagnosis). Countries with consistent higher prevalence of depression based on PHQ-8 regardless of scoring method deserve further study. Disclosure This work has been funded by CIBERESP (ESP21PI05) https://www.cambridge.org/core/product/identifier/S0924933822007635/type/journal_articlePrevalenceDepressionEuropePHQ-8 |
| spellingShingle | J. Arias De La Torre G. Vilagut A. Ronaldson A. Serrano-Blanco J. Valderas V. Martín A. Dregan I. Bakolis J. Alonso Prevalence of depression in Europe using two different PHQ-8 scoring methods European Psychiatry Prevalence Depression Europe PHQ-8 |
| title | Prevalence of depression in Europe using two different PHQ-8 scoring methods |
| title_full | Prevalence of depression in Europe using two different PHQ-8 scoring methods |
| title_fullStr | Prevalence of depression in Europe using two different PHQ-8 scoring methods |
| title_full_unstemmed | Prevalence of depression in Europe using two different PHQ-8 scoring methods |
| title_short | Prevalence of depression in Europe using two different PHQ-8 scoring methods |
| title_sort | prevalence of depression in europe using two different phq 8 scoring methods |
| topic | Prevalence Depression Europe PHQ-8 |
| url | https://www.cambridge.org/core/product/identifier/S0924933822007635/type/journal_article |
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