Prevalence and correlates of DSM-IV-TR major depressive disorder, self-reported diagnosed depression and current depressive symptoms among adults in Germany. 2016

Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
Robert Koch Institute, Dept. of Epidemiology and Health Monitoring, Berlin, Germany; Institute for Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany.

BACKGROUND While standardized diagnostic interviews using established criteria are the gold standard for assessing depression, less time consuming measures of depression and depressive symptoms are commonly used in large population health surveys. We examine the prevalence and health-related correlates of three depression measures among adults aged 18-79 years in Germany. METHODS Using cross-sectional data from the national German Health Interview and Examination Survey for Adults (DEGS1) (n=7987) and its mental health module (DEGS1-MH) (n=4483), we analysed prevalence and socio-demographic and health-related correlates of (a) major depressive disorder (MDD) established by Composite International Diagnostic Interview (CIDI) using DSM-IV-TR criteria (CIDI-MDD) in the last 12 months, (b) self-reported physician or psychotherapist diagnosed depression in the last 12 months, and (c) current depressive symptoms in the last two weeks (PHQ-9, score ≥10). RESULTS Prevalence of 12-month CIDI-MDD was 4.2% in men and 9.9% in women. Prevalence of 12-month self-reported health professional-diagnosed depression was 3.8% and 8.1% and of current depressive symptoms 6.1% and 10.2% in men and women, respectively. Case-overlap between measures was only moderate (32-45%). In adjusted multivariable analyses, depression according to all three measures was associated with lower self-rated health, lower physical and social functioning, higher somatic comorbidity (except for women with 12-month CIDI-MDD), more sick leave and higher health service utilization. CONCLUSIONS Persons with severe depression may be underrepresented. Associations between CIDI-MDD and correlates and overlap with other measures may be underestimated due to time lag between DEGS1 and DEGS1-MH. CONCLUSIONS Prevalence and identified cases varied between these three depression measures, but all measures were consistently associated with a wide range of adverse health outcomes.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D003865 Depressive Disorder, Major Disorder in which five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Symptoms include: depressed mood most of the day, nearly every daily; markedly diminished interest or pleasure in activities most of the day, nearly every day; significant weight loss when not dieting or weight gain; Insomnia or hypersomnia nearly every day; psychomotor agitation or retardation nearly every day; fatigue or loss of energy nearly every day; feelings of worthlessness or excessive or inappropriate guilt; diminished ability to think or concentrate, or indecisiveness, nearly every day; or recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt. (DSM-5) Depression, Involutional,Major Depressive Disorder,Melancholia, Involutional,Paraphrenia, Involutional,Psychosis, Involutional,Depressive Disorders, Major,Involutional Depression,Involutional Melancholia,Involutional Paraphrenia,Involutional Paraphrenias,Involutional Psychoses,Involutional Psychosis,Major Depressive Disorders,Paraphrenias, Involutional,Psychoses, Involutional
D005260 Female Females
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006306 Health Surveys A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area. Abortion Surveys,Abortion Survey,Health Survey,Survey, Abortion,Survey, Health,Surveys, Abortion,Surveys, Health
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
July 2013, The Journal of clinical psychiatry,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
July 2005, Journal of psychiatric research,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
February 2002, The Journal of clinical psychiatry,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
July 2003, Journal of affective disorders,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
January 2008, Journal of American college health : J of ACH,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
February 2007, Journal of affective disorders,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
January 2004, Journal of clinical psychology,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
May 2013, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
January 1990, American journal of preventive medicine,
Ulrike E Maske, and Amanda K Buttery, and Katja Beesdo-Baum, and Steffi Riedel-Heller, and Ulfert Hapke, and Markus A Busch
March 2010, The Journal of clinical psychiatry,
Copied contents to your clipboard!