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dc.contributor.authorCook, Sarah Anne
dc.contributor.authorKudryavtsev, Alexander V
dc.contributor.authorBobrova, Natalia
dc.contributor.authorSaburova, Lyudmila
dc.contributor.authorDenisova, Diana
dc.contributor.authorMalyutina, Sofia
dc.contributor.authorLewis, Glyn
dc.contributor.authorLeon, David A.
dc.date.accessioned2020-11-20T14:03:26Z
dc.date.available2020-11-20T14:03:26Z
dc.date.issued2020-11-12
dc.description.abstract<i>Background</i> - 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.<p> <p><i>Methods</i> - 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.<p> <p><i>Results</i> - 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.<p> <p><i>Conclusion</i> - 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.en_US
dc.identifier.citationCook SA, Kudryavtsev AV, Bobrova N, Saburova L, Denisova, Malyutina S, Lewis G, Leon DA. 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. BMC Psychiatry. 2020;20en_US
dc.identifier.cristinIDFRIDAID 1848255
dc.identifier.doihttps://doi.org/10.1186/s12888-020-02938-w
dc.identifier.issn1471-244X
dc.identifier.urihttps://hdl.handle.net/10037/19897
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Psychiatry
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titlePrevalence 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 citiesen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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