Secular trends in the prevalence of major and subthreshold depression among 55–64-year olds over 20 years

Jeuring, Hans W.; Comijs, Hannie C.; Deeg, Dorly J. H.; Stek, Max L.; Huisman, Martijn; Beekman, Aartjan

doi:10.1017/s0033291717003324

Cited by 37 publications

(38 citation statements)

References 62 publications

(88 reference statements)

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“…Several recent studies extending into the 2000s and 2010s report declining frequency of minor or any depression among older persons . A Dutch study on 55‐ to 65‐year‐olds reported a decrease in past‐year subthreshold depression (comparable to minor depression in our study) between 2002 and 2012 for both sexes combined, but an increase in major depression from 1992 and 2002 . Studies on major depression among older persons conducted during the same period report stable prevalence .…”

Section: Discussionsupporting

confidence: 61%

“…However, age‐ and sex‐specific projections are uncertain as the prevalence of depression may change over time . An increase in depression is suggested for younger and middle‐aged populations. Among older adults, the prevalence of major depression has been found to be stable , while milder forms of depression have been reported to increase , decrease , or fluctuate over time.…”

Section: Introductionmentioning

confidence: 99%

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Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians

Sterner

Gudmundsson

Sigström

et al. 2019

Acta Psychiatr Scand

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Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians Rydberg Sterner T, Gudmundsson P, Sigstr€ om R, Ahlner F, Seidu N, Zettergren A, Kern S, € Ostling S, Waern M, Skoog I. Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians Objectives: We evaluated birth-cohort differences in depressive symptom burden, prevalence of depression diagnoses, and neuroticism, among Swedish 70-year-olds examined between 1976 and 2016. Methods: We used a repeated cross-sectional design examining four representative population samples of Swedish 70-year-olds (total n = 2279) with identical methods in 1976-77 (n = 392), 1992-93 (n = 226), 2000-02 (n = 487), and 2014-16 (n = 1166). Depressive symptom burden was rated with the Montgomery Asberg Depression Rating Scale. Major depression was diagnosed according to DSM-5, and minor depression according to DSM-IV-TR research criteria. Neuroticism was rated with the Eysenck Personality Inventory.Results: For women in 2014-16, MADRS score (4.4 vs. 6.1 vs. 5.8; P < 0.05) and neuroticism (6.6 vs. 7.7 vs. 9.2; P < 0.05) were lower compared with 1992-93 and 1976-77, and the prevalence of any depression was lower compared with 2000-02 and 1992-93 (10.9% vs. 16.9% vs. 18.1%; P < 0.05). For men, we observed no birth-cohort differences in depression, while neuroticism was found to be lower in 2014-16 compared with 1976-77 among men without depression (5.1 vs. 5.9; P < 0.01). The sex difference for MADRS and neuroticism declined between 1976-77 and 2014-16 (cohort*sex P < 0.05). Conclusions: Depressive burden and neuroticism decreased in 70-yearold women between 1976 and 2016. Significant outcomes• Projections for depression rates in the population are uncertain as the prevalence may change over time and may differ between birth-cohorts. Our results show fluctuating prevalence between 1976 and 2016, however a decrease only statistically significant for women.• Our findings show a decreased sex ratio in depression and neuroticism between 1976 and 2016, suggesting that environmental factors may play a role when contradicting time trend results for men and women are reported among studies. Limitations• The 1922 birth-cohort only includes women, which limited our ability to investigate time trends in men to the same extent.• Some subgroups in our analyses (e.g., men and women with major depression) were small, which limited the statistical power and may have generated false-negative results.

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Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians

Sterner

Gudmundsson

Sigström

et al. 2019

Acta Psychiatr Scand

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“…The fact that face‐to‐face interviews conducted in the WMHJ yielded a relatively low prevalence of CMD while self‐report questionnaires conducted in the CSLC yielded relatively high proportions of distress might suggest the possibility of underreporting. However, it is also known that the prevalence of diagnosable mental disorders is not always consistent with the prevalence of subthreshold mental disorders . It is possible that countries with a lower prevalence of diagnosable mental disorders, like Japan, may have a higher prevalence of subthreshold mental disorders.…”

Section: Cross‐national Comparison Of Cmd Prevalencementioning

confidence: 99%

“…However, it is also known that the prevalence of diagnosable mental disorders is not always consistent with the prevalence of subthreshold mental disorders. 43 It is possible that countries with a lower prevalence of diagnosable mental disorders, like Japan, may have a higher prevalence of subthreshold mental disorders.…”

Section: Cross-national Comparison Of Cmd Prevalencementioning

confidence: 99%

Prevalence of mental disorders and mental health service use in Japan

Nishi

Ishikawa

Kawakami

2019

Psychiatry Clin Neurosci

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A high disease burden of mental disorders has been noted worldwide, including Japan. It is important to monitor mental disorder prevalence trends and the use of mental health services over time using epidemiological data and to plan appropriate policies and measures that consider mental health in each country. This review outlines the prevalence trends of common mental disorders (CMD) and the use of mental health services in Japan from the 2000s to the 2010s and compares them with those in other countries. This review clarifies that the prevalence of CMD in Japan has been relatively stable in the past decade. The 12‐month prevalence of mental health service use has increased about 1.2 times to 1.6 times in the past 10–15 years. Thus, it is very likely that the rise in mental health service use contributes to increased patient numbers. Regarding cross‐national comparison, the prevalence rate of CMD in Japan is much lower compared to rates in the USA and Europe. The 12‐month prevalence of mental health service use was also lower in Japan compared to prevalence rates in other high‐income countries. Mental health epidemiology has clarified that the prevalence of CMD worldwide has remained unchanged, even though mental health service use has increased in high‐income countries. Thus, the gap in treatment quality and prevention should be addressed in the future.

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“…The existing therapeutic relationship with the physician is an important part of the management of irritable bowel syndrome and can be used to reassure the patient that they can follow the diet and to enhance compliance with diet therapy. 37,38 Patients frequently ask questions regarding the use of alcohol. Alcohol can cause gastrointestinal symptoms by itself.…”

Section: Instructing Patients On the Fodmap Dietmentioning

confidence: 99%

Dietary Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols (FODMAPs) and Gastrointestinal Disease

Vakil

2018

Nut in Clin Prac

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FODMAP is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. Dietary modification of FODMAPs has been shown to have significant effects on the physiology of the gastrointestinal tract and improves symptoms of abdominal pain, distention, and bloating in patients with irritable bowel syndrome. Structured withdrawal and reintroduction of FODMAPs supervised by a dietitian is the optimal practice for dietary FODMAP modification in irritable bowel syndrome. FODMAPs are present in enteral feeding formulas and may have a role in diarrhea and bloating in tube-fed patients. Emerging areas of research include the effects of dietary modification of FODMAPs on the microbiome, micronutrient absorption, and caloric intake. FODMAP dietary modification is an emerging area in other gastrointestinal disorders and is of relevance to all practicing dietitians.

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Secular trends in the prevalence of major and subthreshold depression among 55–64-year olds over 20 years

Cited by 37 publications

References 62 publications

Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians

Depression and neuroticism decrease among women but not among men between 1976 and 2016 in Swedish septuagenarians

Prevalence of mental disorders and mental health service use in Japan

Dietary Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols (FODMAPs) and Gastrointestinal Disease

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