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Epidemiological overview of major depressive disorder in Scandinavia using nationwide registers

Pasman, Joëlle A. (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Meijsen, Joeri J. (författare)
Institute of Biological Psychiatry, Mental Health Center Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark
Haram, Marit (författare)
Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, Norway
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Kowalec, Kaarina (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden; College of Pharmacy, University of Manitoba, Canada
Harder, Arvid (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Xiong, Ying (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Nguyen, Thuy-Dung (författare)
Karolinska Institutet
Jangmo, Andreas (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden; Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway
Shorter, John R. (författare)
Institute of Biological Psychiatry, Mental Health Center Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark; Department of Science and Environment, Roskilde University, Denmark
Bergstedt, Jacob (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden; Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Das, Urmi (författare)
College of Pharmacy, University of Manitoba, Canada
Zetterberg, Richard (författare)
Institute of Biological Psychiatry, Mental Health Center Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark
Tate, Ashley (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Lichtenstein, Paul (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Larsson, Henrik, 1975- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Odsbu, Ingvild (författare)
The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark
Werge, Thomas (författare)
Institute of Biological Psychiatry, Mental Health Center Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark; Lundbeck Foundation GeoGenetics Centre, GLOBE Institute, University of Copenhagen, Copenhagen, Denmark
Reichborn-Kjennerud, Ted (författare)
Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway
Andreassen, Ole A. (författare)
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; NORMENT Centre, Institute of Clinical Medicine, University of Oslo and Division of Mental Health and Addiction, Oslo University Hospital, Norway
Sullivan, Patrick F. (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden; K.G. Jebsen Centre for Neurodevelopmental Disorders, University of Oslo and Oslo University Hospital, Oslo, Norway
Buil, Alfonso (författare)
Institute of Biological Psychiatry, Mental Health Center Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark
Tesli, Martin (författare)
Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway; Departments of Genetics and Psychiatry, University of North Carolina at Chapel Hill, NC, USA; Centre of Research and Education in Forensic Psychiatry, Oslo University Hospital, Oslo, Norway
Lu, Yi (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Lua, Y (författare)
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Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden Institute of Biological Psychiatry, Mental Health Center Sct Hans, Mental Health Services Copenhagen, Roskilde, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH), Copenhagen, Denmark (creator_code:org_t)
Elsevier, 2023
2023
Engelska.
Ingår i: The Lancet Regional Health. - : Elsevier. - 2666-7762. ; 29
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BACKGROUND: Major depressive disorder (MDD) is a common psychiatric disorder associated with a high disease burden. This study gives a comprehensive overview of the prevalence, outcomes, treatment, and genetic epidemiology of MDD within and across the Scandinavian countries.METHODS: This study has aimed to assess and compare across Norway, Denmark, and Sweden 1) the prevalence and trajectories of MDD and comorbidity, 2) outcomes and treatment, and 3) heritability (Denmark and Sweden only). The analyses leveraged data on 272,944 MDD cases (and 6.2 million non-cases) from Norway, Sweden, and Denmark in specialist care in national longitudinal health registers covering 1975-2013. Relying on harmonized public data global comparisons of socioeconomic and health metrics were performed to assess to what extent findings are generalizable.FINDINGS: MDD ranked among the most prevalent psychiatric disorders. For many cases, the disorder trajectory was severe, with varying proportions experiencing recurrence, developing comorbid disorders, requiring inpatient treatment, or dying of suicide. Important country differences in specialist care prevalence and treatment were observed. Heritability estimates were moderate (35-48%). In terms of socioeconomic and health indices, the Scandinavian nations were comparable to one another and grouped with other Western nations.INTERPRETATION: The Scandinavian countries were similar with regards to MDD epidemiological measures, but we show that differences in health care organization need to be taken into consideration when comparing countries. This study demonstrates the utility of using comprehensive population-wide registry data, outlining possibilities for other applications. The findings will be of use to policy makers for developing better prevention and intervention strategies.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Nyckelord

Electronic health records
Epidemiology
Heritability
Major depressive disorder
National patient register

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