Use of antidepressants in the treatment of major depressive disorder in primary care during a period of economic crisis

Neuropsychiatric Disease and Treatment
Antoni Sicras-Mainar, Ruth Navarro-Artieda

Abstract

To describe antidepressant (AD) use in the treatment of major depressive disorder during a period of economic crisis. This was a retrospective, observational study using population-based databases. Two periods were considered: 1) 2008-2009, precrisis, and 2) 2012-2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment). Patients were followed up for 12 months. The main measures were use (defined daily doses), epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05. In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8%) discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made. Primary heal...Continue Reading

Citations

Jul 8, 2016·The Psychiatric Quarterly·Cesare Maria CornaggiaWalter Maffenini
Jul 4, 2018·The International Journal of Social Psychiatry·Amanda RitchieVincent Io Agyapong
Nov 26, 2019·Applied Health Economics and Health Policy·Alexandrina Stoyanova, Jaime Pinilla
Jul 25, 2019·International Journal of Environmental Research and Public Health·Marc SaezAntonio Daponte
Nov 14, 2018·Epidemiology and Psychiatric Sciences·M SilvaG Cardoso
Apr 30, 2021·Journal of Public Health·C Zilidis, N V Angelopoulos

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