Frequency and adequacy of depression treatment in a Canadian population sample.

摘要: Objective: Population-based data about depression treatment are largely restricted to estimates of the frequency antidepressant (AD) use. Such frequencies difficult interpret in absence information dosages, reasons for taking medications, and participation nonpharmacologic treatment. The objective this study was describe pattern major (MD) Alberta. Method: Telephone survey methods were employed. Random digit dialing used select a sample 3345 household residents aged 18 64 years A computer-assisted telephone interview that included Mini Neuropsychiatric Diagnostic Interview questions pharmacotherapy psychotherapy administered. Estimates weighted design features population demographics. Results: point prevalence MD 4.4% (95% confidence interval [CI], 3.4% 5.5%), overall current AD use 7.4% (95%CI, 6.2% 8.6%). ADs taken most commonly, serotonin-specific reuptake inhibitors, at therapeutic dosages 87.4% time. Most (80.7%) those reported them more than 1 year. receiving counselling, psychotherapy, or talk therapy 3.9% 14.3% respondents with MD. However, these subjects unable name type counselling they receiving. Conclusions: When compared previous estimates, results suggest continued progress delivery evidence-based care population. There is room additional improvement, especially provision (Can J Psychiatry 2007;52:780-789) Information on funding support author affiliations appears end article. Clinical Implications * now greater depressive disorders. This be partially owing medications other maintenance users standard adequate durations. health system effective its pharmacologic treatments depression. much improvement delivery. Limitations may have been vulnerable selection bias. Only brief diagnostic measure could interview. relied self-report concerning medication Key Words: disorder, antidepressive agents, cross-sectional studies Abbreviations article CBT cognitive-behavioural CI CIDI Composite International DDD defined daily dosage MINI NCS National Comoribidity Survey SRI serotonin inhibitors TCA tricyclic antidepressants impact considerable, because high prevalence: 5% general will experience an episode any given year.1-3 magnified by peak individuals under 45 years,3 critical period education, establishment careers relationships, as well economic productivity. Although exist, it has generally felt undertreated. replication NCS-R United States only 57.3% past-year disorder received treatment.1 Comparable Canada.4 countries lower.5,6 Deficiencies relate diagnosis, inadequate treatment, lack patient follow-up. …