Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings: report from the World Health Organization Collaborative Study on Psychological Problems in General Health Care

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dc.contributor.authorGater, R.en
dc.contributor.authorTansella, M.en
dc.contributor.authorKorten, A.en
dc.contributor.authorTiemens, B. G.en
dc.contributor.authorMavreas, V. G.en
dc.contributor.authorOlatawura, M. O.en
dc.date.accessioned2015-11-24T18:51:49Z
dc.date.available2015-11-24T18:51:49Z
dc.identifier.issn0003-990X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18313
dc.rightsDefault Licence-
dc.subjectAgoraphobia/epidemiologyen
dc.subjectAnxiety Disorders/*epidemiologyen
dc.subjectConfidence Intervalsen
dc.subjectCross-Cultural Comparisonen
dc.subjectData Collectionen
dc.subjectDepressive Disorder/*epidemiologyen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectOdds Ratioen
dc.subjectPanic Disorder/epidemiologyen
dc.subjectPrevalenceen
dc.subjectPrimary Health Care/*statistics & numerical dataen
dc.subjectPsychiatric Status Rating Scales/statistics & numerical dataen
dc.subjectRegression Analysisen
dc.subjectSampling Studiesen
dc.subjectSex Factorsen
dc.subjectWorld Healthen
dc.subjectWorld Health Organizationen
dc.titleSex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings: report from the World Health Organization Collaborative Study on Psychological Problems in General Health Careen
heal.abstractBACKGROUND: Understanding the relevance of biological and social factors to sex differences in the prevalence and detection of depressive and anxiety disorders has been impaired by the lack of standardized research methods across cultures. METHOD: Prevalence rates of depressive and anxiety disorders were assessed using a 2-stage design from 26,969 patients attending for primary care in 15 centers from 4 continents. Logistic regression analysis was used to examine sex differences in prevalence and detection across centers. RESULTS: Odds ratios for women compared with men of current depression (1.60; 95% confidence interval [CI], 1.37-1.86) and agoraphobia or panic (1.63; 95% CI, 1.18-2.20) were consistent across centers. The odds ratio for generalized anxiety varied among centers: 3 groups of centers were identified with odds ratios of 0.46 (95% CI, 0.27-0.78), 1.34 (95% CI, 1.08-1.66), and 3.09 (95% CI, 1.60-5.89). There was no sex difference in the detection of depressive and anxiety disorders by physicians across centers. CONCLUSIONS: The absence of a sex-by-center effect for current depression and agoraphobia or panic disorder is consistent with biological and psychosocial factors, either interacting or working alone, that have a similar final effect across cultures. It does not support the idea that sex differences in prevalence are caused by local psychosocial factors that vary from country to country. The variation in the odds ratio for generalized anxiety disorder offers some support to the idea that there are local differences between the centers contributing to the sex difference in rates. Patients' sex does not appear to affect the likelihood of current depression and anxiety being detected by primary care physicians.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/9596043-
heal.journalNameArch Gen Psychiatryen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1998-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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