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
Abstract Background Little 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 cit...
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ftdoajarticles:oai:doaj.org/article:17261580c4034d32b434f263d2167504 2023-05-15T15:24:02+02:00 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 Sarah Cook Alexander V. Kudryavtsev Natalia Bobrova Lyudmila Saburova Diana Denisova Sofia Malyutina Glyn Lewis David A. Leon 2020-11-01T00:00:00Z https://doi.org/10.1186/s12888-020-02938-w https://doaj.org/article/17261580c4034d32b434f263d2167504 EN eng BMC http://link.springer.com/article/10.1186/s12888-020-02938-w https://doaj.org/toc/1471-244X doi:10.1186/s12888-020-02938-w 1471-244X https://doaj.org/article/17261580c4034d32b434f263d2167504 BMC Psychiatry, Vol 20, Iss 1, Pp 1-11 (2020) Russian Federation Depression Anxiety Mental disorders Treatment of mental disorders Anti-depressants Psychiatry RC435-571 article 2020 ftdoajarticles https://doi.org/10.1186/s12888-020-02938-w 2022-12-31T02:19:48Z Abstract Background Little 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. Methods The 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. Results Age-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. Conclusion There 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. Article in Journal/Newspaper Arkhangelsk Directory of Open Access Journals: DOAJ Articles BMC Psychiatry 20 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Russian Federation Depression Anxiety Mental disorders Treatment of mental disorders Anti-depressants Psychiatry RC435-571 |
spellingShingle |
Russian Federation Depression Anxiety Mental disorders Treatment of mental disorders Anti-depressants Psychiatry RC435-571 Sarah Cook Alexander V. Kudryavtsev Natalia Bobrova Lyudmila Saburova Diana Denisova Sofia Malyutina Glyn Lewis David A. Leon 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 |
topic_facet |
Russian Federation Depression Anxiety Mental disorders Treatment of mental disorders Anti-depressants Psychiatry RC435-571 |
description |
Abstract Background Little 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. Methods The 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. Results Age-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. Conclusion There 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. |
format |
Article in Journal/Newspaper |
author |
Sarah Cook Alexander V. Kudryavtsev Natalia Bobrova Lyudmila Saburova Diana Denisova Sofia Malyutina Glyn Lewis David A. Leon |
author_facet |
Sarah Cook Alexander V. Kudryavtsev Natalia Bobrova Lyudmila Saburova Diana Denisova Sofia Malyutina Glyn Lewis David A. Leon |
author_sort |
Sarah Cook |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12888-020-02938-w https://doaj.org/article/17261580c4034d32b434f263d2167504 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_source |
BMC Psychiatry, Vol 20, Iss 1, Pp 1-11 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12888-020-02938-w https://doaj.org/toc/1471-244X doi:10.1186/s12888-020-02938-w 1471-244X https://doaj.org/article/17261580c4034d32b434f263d2167504 |
op_doi |
https://doi.org/10.1186/s12888-020-02938-w |
container_title |
BMC Psychiatry |
container_volume |
20 |
container_issue |
1 |
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1766354597220188160 |