Depression in Europe. Geographical distribution among older people

J. R.M. Copeland; A. T.F. Beekman; M. E. Dewey; C. Hooijer; A. Jordan; B. A. Lawlor; A. Lobo; H. Magnusson; A. H. Mann; I. Meller; M. J. Prince; F. Reischies; C. Turrina; M. W. Devries; K. C.M. Wilson; M.W. de Vries

doi:https://doi.org/10.1192/bjp.174.4.312

Depression in Europe. Geographical distribution among older people

J. R.M. Copeland, A. T.F. Beekman, M. E. Dewey, C. Hooijer, A. Jordan, B. A. Lawlor, A. Lobo, H. Magnusson, A. H. Mann, I. Meller, M. J. Prince, F. Reischies, C. Turrina, M. W. Devries, K. C.M. Wilson, M.W. de Vries

Psychiatry (VUmc)

Research output: Contribution to journal › Article › Academic › peer-review

205 Citations (Scopus)

Abstract

Background. This is the first report of results from the EURODEP Programme. Aims. To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged ≥ 65 in nine European centres. Method. The GMS-AGECAT package. Results. Differences in prevalence are apparent, 8.8% (Iceland) to 23.6% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n=13 808) gave an overall prevalence of 12.3%, 14.1% for women and 8.6% for men. Conclusions. Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62-82% of persons had no depressive level. Opportunities for treatment exist.

Original language	English
Pages (from-to)	312-321
Number of pages	10
Journal	British journal of psychiatry
Volume	174
Issue number	APR.
DOIs	https://doi.org/10.1192/bjp.174.4.312
Publication status	Published - 1999

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Copeland, J. R. M., Beekman, A. T. F., Dewey, M. E., Hooijer, C., Jordan, A., Lawlor, B. A., Lobo, A., Magnusson, H., Mann, A. H., Meller, I., Prince, M. J., Reischies, F., Turrina, C., Devries, M. W., Wilson, K. C. M., & de Vries, M. W. (1999). Depression in Europe. Geographical distribution among older people. British journal of psychiatry, 174(APR.), 312-321. https://doi.org/10.1192/bjp.174.4.312

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title = "Depression in Europe. Geographical distribution among older people",

abstract = "Background. This is the first report of results from the EURODEP Programme. Aims. To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged ≥ 65 in nine European centres. Method. The GMS-AGECAT package. Results. Differences in prevalence are apparent, 8.8% (Iceland) to 23.6% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n=13 808) gave an overall prevalence of 12.3%, 14.1% for women and 8.6% for men. Conclusions. Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62-82% of persons had no depressive level. Opportunities for treatment exist.",

author = "Copeland, {J. R.M.} and Beekman, {A. T.F.} and Dewey, {M. E.} and C. Hooijer and A. Jordan and Lawlor, {B. A.} and A. Lobo and H. Magnusson and Mann, {A. H.} and I. Meller and Prince, {M. J.} and F. Reischies and C. Turrina and Devries, {M. W.} and Wilson, {K. C.M.} and {de Vries}, M.W.",

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doi = "https://doi.org/10.1192/bjp.174.4.312",

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Copeland, JRM, Beekman, ATF, Dewey, ME, Hooijer, C, Jordan, A, Lawlor, BA, Lobo, A, Magnusson, H, Mann, AH, Meller, I, Prince, MJ, Reischies, F, Turrina, C, Devries, MW, Wilson, KCM & de Vries, MW 1999, 'Depression in Europe. Geographical distribution among older people', British journal of psychiatry, vol. 174, no. APR., pp. 312-321. https://doi.org/10.1192/bjp.174.4.312

TY - JOUR

T1 - Depression in Europe. Geographical distribution among older people

AU - Copeland, J. R.M.

AU - Beekman, A. T.F.

AU - Dewey, M. E.

AU - Hooijer, C.

AU - Jordan, A.

AU - Lawlor, B. A.

AU - Lobo, A.

AU - Magnusson, H.

AU - Mann, A. H.

AU - Meller, I.

AU - Prince, M. J.

AU - Reischies, F.

AU - Turrina, C.

AU - Devries, M. W.

AU - Wilson, K. C.M.

AU - de Vries, M.W.

PY - 1999

Y1 - 1999

N2 - Background. This is the first report of results from the EURODEP Programme. Aims. To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged ≥ 65 in nine European centres. Method. The GMS-AGECAT package. Results. Differences in prevalence are apparent, 8.8% (Iceland) to 23.6% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n=13 808) gave an overall prevalence of 12.3%, 14.1% for women and 8.6% for men. Conclusions. Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62-82% of persons had no depressive level. Opportunities for treatment exist.

AB - Background. This is the first report of results from the EURODEP Programme. Aims. To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged ≥ 65 in nine European centres. Method. The GMS-AGECAT package. Results. Differences in prevalence are apparent, 8.8% (Iceland) to 23.6% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n=13 808) gave an overall prevalence of 12.3%, 14.1% for women and 8.6% for men. Conclusions. Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62-82% of persons had no depressive level. Opportunities for treatment exist.

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DO - https://doi.org/10.1192/bjp.174.4.312

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SN - 0007-1250

VL - 174

SP - 312

EP - 321

JO - British journal of psychiatry

JF - British journal of psychiatry

IS - APR.

ER -

Depression in Europe. Geographical distribution among older people

Abstract

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