Antidepressant utilization in Canada

Beck, Cynthia A.; Patten, Scott B.; Williams, Jeanne V. A.; Jian Li Wang; Currie, Shawn R.; Maxwell, Colleen J.; El-Guebaly, Nady; Wang, Jian Li
October 2005
Social Psychiatry & Psychiatric Epidemiology;Oct2005, Vol. 40 Issue 10, p799
Academic Journal
journal article
Objective: Antidepressant utilization can be used as an indicator of appropriate treatment for major depression. The objective of this study was to characterize antidepressant utilization in Canada, including the relationships of antidepressant use with sociodemographic variables, past-year and lifetime depression, number of past depressive episodes, and other possible indications for antidepressants.Method: We examined data from the Canadian Community Health Survey (CCHS) Cycle 1.2. The CCHS was a nationally representative mental health survey (N=36,984) conducted in 2002 that included a diagnostic instrument for past-year and lifetime major depressive episodes and other psychiatric disorders and a record of past-year antidepressant use.Results: Overall, 5.8% of Canadians were taking antidepressants, higher than the annual prevalence of major depressive episode (4.8%) in the survey. Among persons with a past-year major depressive episode, the frequency of antidepressant use was 40.4%. After application of adjustments for probable successful outcomes of treatment, the estimated frequency of antidepressant use for major depression was more than 50%. Frequency of antidepressant treatment among those with a history of depression but without a past-year episode increased with the number of previous episodes. Among those taking antidepressants over the past year, only 33.1% had had a past-year episode of major depression. Migraine, fibromyalgia, anxiety disorder, or past depression was present in more than 60% of those taking antidepressants without a past-year episode of depression.Conclusions: The CCHS results suggest that antidepressant use has increased substantially since the early 1990s, and also that these medications are employed extensively for indications other than depression.


Related Articles

  • Economic implications of treatment-resistant depression among employees. Greenberg, Paul; Corey-Lisle, Patricia K.; Birnbaum, Howard; Marynchenko, Maryna; Claxton, Ami // PharmacoEconomics;2004, Vol. 22 Issue 6, p363 

    Background: Conservative estimates indicate between 10% and 20% of all individuals with major depressive disorders (MDDs) fail to respond to conventional antidepressant therapies. Amongst those with MDD, individuals with treatment-resistant depression (TRD) have been found to be...

  • Sertraline in the treatment of panic disorder. Londborg, P. D.; Wolkow, R.; Smith, W. T.; Duboff, E.; England, D.; Ferguson, J.; Rosenthal, M.; Weise, C. // British Journal of Psychiatry;Jul98, Vol. 173, p54 

    Background This study compared the efficacy and safety of sertraline to placebo in treating panic disorder. Method 178 out-patients with panic disorder who exhibited at least four panic attacks during the four weeks prior to screening and three during the two weeks of lead-in were randomly...

  • Comparison of the outcome and treatment of psychosis in people of Caribbean origin living in the UK and British Whites. Report from the UK700 trial. McKenzie, K.; Samele, C.; van Horn, E.; Tattan, T.; van Os, J.; Murray, Robin; Murray, R // British Journal of Psychiatry;Feb2001, Vol. 178, p160 

    Background: The comparative outcome of psychosis in British Whites and UK African-Caribbeans is unclear. Some report that African-Caribbeans have worse outcome, whereas others claim better symptomatic outcome and a more benign course.Aims: To compare the course, outcome...

  • Trends in service use and treatment for mental disorders in adults throughout Great Britain. Brugha, Traolach S.; Bebbington, Paul E.; Singleton, Nicola; Melzer, David; Jenkins, Rachel; Lewis, Glyn; Farrell, Michael; Bhugra, Dinesh; Lee, Alison; Meltzer, Howard // British Journal of Psychiatry;Nov2004, Vol. 185, p378 

    Background: Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets.Aims: To investigate changes in mental health services and treatment in Britain over a 7-year period.Method: National surveys...

  • Stigma in response to mental disorders: a comparison of Australia and Japan. Griffiths, Kathleen M.; Nakane, Yoshibumi; Christensen, Helen; Yoshioka, Kumiko; Jorm, Anthony F.; Nakane, Hideyuki // BMC Psychiatry;2006, Vol. 6, p21 

    Background: There are few national or cross-cultural studies of the stigma associated with mental disorders. Australia and Japan have different systems of psychiatric health care, and distinct differences in cultural values, but enjoy similar standards of living. This study seeks to compare the...

  • Predictors of service use and social conditions in patients with psychotic disorders. Malla, Ashok K.; Norman, Ross M.G.; Scholten, Derek; Malla, A K; Norman, R M; Scholten, D // Canadian Journal of Psychiatry;Apr2000, Vol. 45 Issue 3, p269 

    Objective: To determine independent predictors of outcome on 3 separate dimensions--namely, relapse and service use, employment, and living conditions--in patients with psychotic disorders.Method: One hundred and thirty-four patients, most with a diagnosis of...

  • PSICOPATOLOGÍA Y CEREBRO: DESDE LOS DEMONIOS A LOS NEUROTRANSMISORES. Freidin, Esteban; Fernández, Gerardo; Pitón, Daniel // Suma Psicológica;sep2004, Vol. 11 Issue 2, p231 

    Mental disorders have always been a matter of social importance, and the way they have been conceptualized has varied in diverse historical times and contexts. However, since the second half of the 19th century, the idea that mental processes, either normal or abnormal ones, are brain processes,...

  • Response to: comments on psychiarty and the control of dangerousness: on the apotropaic function of the term "mental illness". Szasz, T. // Journal of Medical Ethics;Aug2003, Vol. 29 Issue 4, p237 

    Presents a response to the comments on the article "Psychiatry and the Control of Dangerousness: On the Apotropaic function of the term "Mental Illness."

  • Turning the tide.  // New Zealand Doctor;3/23/2005, p10 

    Provides information on the Tidal Model which is use in the treatment of early stage mental illness. Features of the Tidal Model; Explanation on the holistic narrative; Web site address.

  • PAPEL DE LA EXPERIENCE EN LA ACEPTACIÓN VS. RECHAZO DEL PACIENTE CON ESQUIZOFRENIA. Senra-Rivera, Carmen; de Arriba-Rossetto, Alessandra; Seoane-Pesqueira, Gloria // Revista Latinoamericana de Psicología;2008, Vol. 40 Issue 1, p73 

    This research analyzes the influence of different types and degrees of experience with mental illness regarding acceptance vs. rejection of mental disorders and of the patient with schizophrenia. 236 university students were involved in the study by filling a social distance scale related with a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics