Epidemiology of depression

The epidemiology of depression has been studied across the world. Depression is a major cause of morbidity and mortality worldwide, as the epidemiology has shown.[1] Lifetime prevalence estimates vary widely, from 3% in Japan to 17% in India. Epidemiological data shows higher rates of depression in the Middle East, North Africa, South Asia and the United States than in other regions and countries.[2] For most countries among the 10 studied, the number of people who experience depression during their lifetimes falls within an 8–12% range.[3][4]

In North America, the probability of having a major depressive episode within any year-long period is 3–5% for males and 8–10% for females.[5][6]

Demographic dynamics

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Population studies have consistently shown major depression to be about twice as common in women as in men, although it is not yet clear why this is so.[7] The relative increase in occurrence is related to pubertal development rather than chronological age, reaches adult ratios between the ages of 15 and 18, and appears associated with psychosocial more than hormonal factors.[7]

People are most likely to suffer their first depressive episode between the ages of 30 and 40, and there is a second, smaller peak of incidence between ages 50 and 60.[8] The risk of major depression is increased with neurological conditions such as stroke, Parkinson's disease, or multiple sclerosis and during the first year after childbirth.[9] The risk of major depression has also been related to environmental stressors faced by population groups such as war combatants or physicians in training.[10][11]

It is also more common after cardiovascular illnesses, and is related to a poor outcome of cardiovascular diseases.[12][13] Studies conflict on the prevalence of depression in the elderly, but most data suggest there is a reduction in this age group.[14] Depressive disorders are most common in urban than in rural population and, in general, the prevalence is higher in groups with adverse socio-economic factors (for example in homeless people).[15]

Data on the relative prevalence of major depression among different ethnic groups have reached no clear consensus. However, the only known study to have covered dysthymia in the US specifically found it to be more common in African and Mexican Americans than in European Americans.[16]

Projections indicate that depression may be the second leading cause of life lost after heart disease by 2020.[17]

In 2016, a study, published by JAMA Psychiatry, and written by Charlotte Wessel Skovlund, found an association between hormonal contraception and depression.[18]

By country and category

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Age-standardised disability-adjusted life year (DALY) rates per 10,000 inhabitants in 2017.[19]

Kategorie 1990 2017 Absolute change Relative change
Afghanistan 439.81 443.57 +3.75 <1%
Albanien 306.48 308.44 +1.96 <1%
Algerien 454.02 455.36 +1.34 <1%
Amerikanisch-Samoa 299.00 301.44 +2.43 <1%
Andean Latin America 395.14 395.61 +0.47 <1%
Andorra 462.69 466.65 +3.96 <1%
Angola 300.38 307.07 +6.68 +2%
Antigua und Barbuda 423.69 423.07 –0.63 >–1%
Argentinien 554.67 555.27 +0.60 <1%
Armenien 235.57 235.64 +0.07 <1%
Australasia 588.29 588.66 +0.36 <1%
Australien 564.71 564.13 –0.58 >–1%
Österreich 473.10 470.30 –2.81 >–1%
Aserbaidschan 237.12 235.03 –2.09 >–1%
Bahamas 426.25 425.91 –0.34 >–1%
Bahrain 428.36 426.75 –1.61 >–1%
Bangladesch 390.09 399.43 +9.34 +2%
Barbados 427.13 425.42 –1.71 >–1%
Weißrussland 262.09 261.92 –0.16 >–1%
Belgien 454.81 453.91 –0.90 >–1%
Belize 417.94 421.10 +3.16 <1%
Benin 270.23 272.67 +2.43 <1%
Bermuda 425.79 426.62 +0.83 <1%
Bhutan 348.85 351.02 +2.17 <1%
Bolivien 393.70 393.43 –0.27 >–1%
Bosnien und Herzegowina 308.44 307.51 –0.92 >–1%
Botswana 321.91 319.57 –2.34 >–1%
Brasilien 513.45 554.75 +41.30 +8%
Brunei 315.25 318.63 +3.37 +1%
Bulgarien 325.36 325.40 +0.04 <1%
Burkina Faso 269.71 273.79 +4.07 +2%
Burundi 340.21 335.02 –5.19 –2%
Kambodscha 306.36 306.09 –0.26 >–1%
Kamerun 269.81 271.78 +1.97 <1%
Kanada 484.22 450.76 –33.46 –7%
Kap Verde 278.10 274.58 –3.52 –1%
Caribbean 422.38 421.72 –0.66 >–1%
Zentralafrikanische Republik 300.76 303.45 +2.69 <1%
Central Asia 235.74 234.85 –0.89 >–1%
Central Europe 307.09 306.99 –0.09 >–1%
Central Europe, Eastern Europe, and Central Asia 271.76 268.25 –3.51 –1%
Central Latin America 264.02 270.29 +6.27 +2%
Central Sub-Saharan Africa 300.88 304.43 +3.55 +1%
Tschad 270.61 269.81 -0.80 >–1%
Chile 553.66 550.58 –3.08 >–1%
China 289.57 275.39 –14.18 –5%
Kolumbien 244.81 230.00 –14.81 –6%
Komoren 334.19 339.17 +4.98 +1%
Congo 303.07 304.40 +1.33 <1%
Costa Rica 264.62 267.24 +2.62 <1%
Côte d'Ivoire 266.99 269.37 +2.38 <1%
Kroatien 310.58 309.13 –1.45 >–1%
Cuba 421.37 421.70 +0.33 <1%
Zypern 470.31 472.29 +1.98 <1%
Czechia 309.12 307.16 –1.96 >–1%
Democratic Republic of Congo 300.71 303.61 +2.90 <1%
Dänemark 470.42 469.49 –0.93 >–1%
Dschibuti 327.85 330.88 +3.03 <1%
Dominica 422.36 418.16 –4.20 >–1%
Dominikanische Republik 424.23 420.58 –3.65 >–1%
East Asia 290.12 276.32 –13.80 –5%
Eastern Europe 262.88 262.56 –0.32 >–1%
Eastern Sub-Saharan Africa 336.34 340.89 +4.55 +1%
Ecuador 395.69 396.44 +0.75 <1%
Ägypten 398.29 398.86 +0.57 <1%
El Salvador 266.25 270.06 +3.81 +1%
England 395.05 395.14 +0.09 <1%
Äquatorial-Guinea 304.76 303.81 -0.94 >–1%
Eritrea 331.15 339.69 +8.54 +3%
Estland 261.91 261.21 -0.70 >–1%
Eswatini 322.64 318.73 –3.90 –1%
Äthiopien 347.39 349.31 +1.92 <1%
Fidschi 299.92 300.46 +0.54 <1%
Finnland 333.44 329.68 –3.76 –1%
Frankreich 576.00 576.03 +0.03 <1%
Gabun 303.27 306.57 +3.31 +1%
Gambia 268.55 271.49 +2.94 +1%
Georgien 238.24 235.38 –2.87 –1%
Deutschland 564.54 565.03 +0.48 <1%
Ghana 272.17 274.68 +2.51 <1%
Griechenland 512.06 511.19 –0.87 >–1%
Grönland 492.10 500.98 +8.89 +2%
Grenada 423.74 417.51 –6.23 –1%
Guam 299.44 301.30 +1.86 <1%
Guatemala 263.12 267.56 +4.45 +2%
Guinea 271.79 273.08 +1.29 <1%
Guinea-Bissau 271.17 272.76 +1.59 <1%
Guyana 418.26 420.11 +1.84 <1%
Haiti 417.74 420.25 +2.50 <1%
High SDI 462.62 463.66 +1.04 <1%
High-income 489.63 494.52 +4.89 <1%
High-income Asia Pacific 318.28 318.18 –0.10 >–1%
High-middle SDI 329.26 342.11 +12.86 +4%
Honduras 264.60 266.37 +1.77 <1%
Ungarn 308.84 309.31 +0.47 <1%
Island 469.33 469.26 –0.06 >–1%
Indien 309.28 306.76 –2.53 >–1%
Indonesien 304.31 304.18 –0.12 >–1%
Iran 689.12 692.26 –6.25 >–1%
Iraq 427.22 430.09 +2.87 <1%
Irland 506.29 511.29 +5.00 <1%
Israel 274.39 274.00 –0.40 >–1%
Italien 512.79 499.21 –13.58 –3%
Jamaika 424.62 422.32 –2.30 >–1%
Japan 257.27 224.62 –12.69 >–1%
Jordanien 447.61 445.91 –1.70 >–1%
Kasachstan 235.88 236.01 +0.13 <1%
Kenia 337.41 339.52 +2.10 <1%
Kiribati 302.20 303.25 +1.04 <1%
Kuwait 430.22 444.44 +14.22 +3%
Kirgisistan 235.31 235.09 –0.22 >–1%
Laos 388.45 390.62 +2.17 <1%
Latin America and Caribbean 393.06 405.65 +12.59 +3%
Lettland 261.95 261.48 –0.46 >–1%
Libanon 545.72 547.07 +1.35 <1%
Lesotho 320.94 318.40 –2.54 >–1%
Liberia 266.73 267.44 +0.71 <1%
Libyen 443.86 449.94 +6.08 +1%
Litauen 261.63 261.43 –0.19 >–1%
Low SDI 326.04 329.76 +3.72 +1%
Low-middle SDI 332.91 337.68 +4.77 +1%
Luxemburg 468.43 467.04 –1.39 >–1%
Madagaskar 332.44 336.98 +4.53 +1%
Malawi 335.11 341.69 +6.58 +2%
Malaysia 392.10 389.83 –2.26 >–1%
Malediven 295.24 291.29 –3.96 –1%
Mali 268.90 270.70 +1.80 <1%
Malta 472.67 468.46 –4.21 >–1%
Marshallinseln 299.32 299.31 –0.02 >–1%
Mauretanien 272.46 273.97 +1.51 <1%
Mauritius 303.11 302.78 –0.33 >–1%
Mexiko 271.36 289.05 +17.69 +7%
Micronesia (country) 299.20 299.84 +0.64 <1%
Middle SDI 306.44 306.98 +0.54 <1%
Moldawien 260.72 261.03 +0.31 <1%
Mongolei 233.62 234.85 +1.23 <1%
Montenegro 309.18 308.71 –0.47 >–1%
Marokko 452.71 453.82 +1.11 <1%
Mosambik 336.20 341.61 +5.41 +2%
Myanmar 300.93 307.06 +6.13 +2%
Namibia 320.84 322.18 +1.34 <1%
Nepal 348.75 359.13 +10.38 +3%
Niederlande 579.45 578.84 –0.62 >–1%
Neuseeland 705.21 722.98 +17.77 +3%
Nicaragua 264.58 265.73 +1.15 <1%
Niger 271.34 272.82 +1.47 <1%
Nigeria 268.96 272.57 +3.61 +1%
North Africa and Middle East 448.40 450.80 +2.39 <1%
North America 561.85 561.25 –0.60 >–1%
North Korea 304.06 297.84 –6.22 –2%
North Macedonia 308.26 307.40 –0.86 >–1%
Northern Ireland 651.12 660.19 +9.07 +1%
Nördliche Marianen 296.39 300.91 +4.52 +2%
Norwegen 673.49 665.89 –7.59 –1%
Oceania 296.33 297.51 +1.18 <1%
Oman 421.68 413.70 –7.97 –2%
Pakistan 349.19 353.29 +4.10 +1%
Palestine 455.01 451.42 –3.59 >–1%
Panama 263.33 264.25 +0.92 <1%
Papua-Neuguinea 294.77 296.24 +1.48 <1%
Paraguay 553.15 552.96 –0.19 >–1%
Peru 395.29 395.88 +0.59 <1%
Philippinen 302.25 302.49 +0.24 <1%
Polen 309.40 309.37 –0.04 >–1%
Portugal 472.59 473.61 +1.01 <1%
Puerto Rico 427.30 425.85 –1.45 >–1%
Katar 403.81 391.06 –12.75 –3%
Rumänien 292.12 292.61 +0.49 <1%
Russland 262.99 262.58 –0.42 >–1%
Ruanda 338.57 343.75 +5.18 +2%
St. Lucia 424.55 421.42 –3.13 >–1%
St. Vincent und die Grenadinen 421.10 417.18 –3.92 >–1%
Samoa 299.55 300.51 +0.96 <1%
São Tomé and Príncipe 273.98 273.61 –0.37 >–1%
Saudi-Arabien 430.80 435.29 +4.49 +1%
Scotland 421.09 419.01 –2.08 >–1%
Senegal 271.34 271.99 +0.66 <1%
Serbien 308.40 307.93 –0.47 >–1%
Seychellen 305.21 300.90 –4.30 –1%
Sierra Leone 271.01 270.96 –0.05 >–1%
Singapur 319.22 326.20 +6.98 +2%
Slowakei 309.64 309.22 –0.42 >–1%
Slowenien 309.55 306.52 –3.03 >-1%
Salomonen 296.00 298.91 +2.91 <1%
Somalia 327.47 333.31 +5.84 +2%
Südafrika 367.94 365.43 –2.51 >–1%
South Asia 320.86 320.95 +0.09 <1%
Südkorea 338.46 335.96 –2.50 >–1%
South Sudan 317.40 329.08 +11.67 +4%
Southeast Asia 291.86 292.91 +1.05 <1%
Southeast Asia, East Asia, and Oceania 289.93 280.40 –9.53 –3%
Southern Latin America 554.25 554.08 –0.18 >–1%
Southern Sub-Saharan Africa 349.41 348.08 –1.33 >–1%
Spanien 444.92 463.69 +18.77 +4%
Sri Lanka 301.85 307.85 +6.00 +2%
Sub-Saharan Africa 307.47 308.98 +1.51 <1%
Sudan 452.15 452.80 +0.65 <1%
Surinam 419.61 421.18 +1.57 <1%
Schweden 469.30 467.41 –1.89 >–1%
Schweiz 468.85 468.55 –0.30 >–1%
Syria 452.10 453.39 +1.29 <1%
Taiwan 307.25 306.89 –0.36 >–1%
Tadschikistan 234.35 232.74 –1.62 >–1%
Tansania 335.95 341.24 +5.30 +2%
Thailand 305.63 306.91 +1.28 <1%
Timor 295.90 300.52 +4.63 +2%
Togo 272.10 274.16 +2.05 <1%
Tonga 302.76 302.51 –0.25 >–1%
Trinidad und Tobago 419.97 419.20 –0.77 >–1%
Tropical Latin America 514.41 554.73 +40.32 +8%
Tunesien 455.67 459.67 +4.00 <1%
Türkei 342.96 352.71 +9.74 +3%
Turkmenistan 236.15 233.30 –2.85 –1%
Uganda 317.76 330.35 +12.59 +4%
Ukraine 263.10 262.92 –0.18 >–1%
Vereinigte Arabische Emirate 390.77 386.30 –4.46 –1%
Vereinigtes Königreich 406.06 406.09 +0.03 <1%
Vereinigte Staaten 570.31 573.38 +3.06 <1%
United States Virgin Islands 428.12 428.10 –0.02 >–1%
Uruguay 555.13 557.10 +1.96 <1%
Usbekistan 234.56 234.50 –0.05 >–1%
Vanuatu 295.97 298.94 +2.97 +1%
Venezuela 265.18 264.86 –0.32 >–1%
Vietnam 192.79 192.17 –0.62 >–1%
Wales 423.11 421.79 –1.32 >–1%
Western Europe 502.89 499.26 –3.63 >–1%
Western Sub-Saharan Africa 269.65 272.36 +2.70 +1%
World 348.53 345.69 –2.84 >–1%
Jemen 442.49 446.34 +3.85 <1%
Sambia 334.01 337.31 +3.30 <1%
Simbabwe 286.38 286.72 +0.34 <1%

See also

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References

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  1. ^ "The world health report 2001 – Mental Health: New Understanding, New Hope". WHO website. World Health Organization. 2001. Archived from the original on December 11, 2004. Retrieved 2008-10-19.
  2. ^ Ferrari, Alize J.; Charlson, Fiona J.; Norman, Rosana E.; Patten, Scott B.; Freedman, Greg; Murray, Christopher J.L.; Vos, Theo; Whiteford, Harvey A. (2013). "Burden of Depressive Disorders by Country, Sex, Age, and Year: Findings from the Global Burden of Disease Study 2010". PLOS Medicine. 10 (11): e1001547. doi:10.1371/journal.pmed.1001547. PMC 3818162. PMID 24223526.
  3. ^ Andrade L, Caraveo-A. (24 March 2006) [2003]. "The epidemiology of major depressive episodes: Results from the International Consortium of Psychiatric Epidemiology (ICPE) surveys". Int J Methods Psychiatr Res. 12 (1): 3–21. doi:10.1002/mpr.138. PMC 6878531. PMID 12830306.
  4. ^ Kessler RC, Berglund P, Demler O (2003). "The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R)". JAMA. 289 (203): 3095–105. doi:10.1001/jama.289.23.3095. PMID 12813115.{{cite journal}}: CS1 maint: multiple names: authors list (link)
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  6. ^ Murphy JM, Laird NM, Monson RR, Sobol AM, Leighton AH (2000). "A 40-year perspective on the prevalence of depression: The Stirling County Study". Archives of General Psychiatry. 57 (3): 209–15. doi:10.1001/archpsyc.57.3.209. PMID 10711905.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  7. ^ a b Kuehner, C (2003). "Gender differences in unipolar depression: An update of epidemiological findings and possible explanations". Acta Psychiatrica Scandinavica. 108 (3): 163–74. doi:10.1034/j.1600-0447.2003.00204.x. PMID 12890270. S2CID 19538251.
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  11. ^ Douglas A. Mata; Marco A. Ramos, Narinder Bansal, Rida Khan, Constance Guille, Emanuele Di Angelantonio & Srijan Sen (2015). "Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis". JAMA. 314 (22): 2373–2383. doi:10.1001/jama.2015.15845. PMC 4866499. PMID 26647259.{{cite journal}}: CS1 maint: multiple names: authors list (link)
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