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Are men under-treated and women over-treated with antidepressants?: Findings from a cross-sectional survey in Sweden
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0003-4877-506X
Department of Pharmacy, Uppsala University, Uppsala, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
Department of Pharmacy, Uppsala University, Uppsala, Sweden.
2017 (English)In: British journal of psychiatry bulletin, ISSN 1758-3209, Vol. 41, no 1Article in journal (Refereed) Published
Abstract [en]

Aims and method To examine gender differences in self-reported depression and prescribed antidepressants (ADs). The Hospital Anxiety and Depression Scale was used to assess depression, and information on prescribed ADs was obtained from the Swedish Prescribed Drug Register.

Results Depression was reported by 11.7% of the participants (12.3% men and 11.2% women). ADs were prescribed for 7.6% of the participants (5.3% men, 9.8% women). Among men, 1.8% reported depression and used ADs, 10.5% reported depression but did not use ADs, and 3.6% used ADs but did not report depression. The corresponding figures for women were 2.6%, 8.6% and 7.2%.

Clinical implications Men report depression to a greater extent than women but are prescribed ADs to a lesser extent, possibly a sign of under-treatment. Women are prescribed ADs without reporting depression more often than men, possibly a sign of over-treatment. Although the causes remain unclear, diagnostic and treatment guidelines should benefit from considering gender differences in these respects.

Place, publisher, year, edition, pages
2017. Vol. 41, no 1
Keyword [en]
Self-reported depression, Antidepressants, Gender differences, Over-treatment, Under-treatment
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-23026DOI: 10.1192/pb.bp.116.054270OAI: oai:DiVA.org:hig-23026DiVA: diva2:1056114
Note

Distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available from: 2016-12-14 Created: 2016-12-14 Last updated: 2017-03-01Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf