Chisholm, Daniel, Diehr, Paula, Knapp, Martin 
ORCID: 0000-0003-1427-0215, Patrick, Donald, Treglia, Michael and Simon, Gregory
(2003)
Depression status, medical comorbidity and resource costs: evidence from an international study of major depression in primary care (LIDO).
British Journal of Psychiatry, 183 (2).
pp. 121-131.
ISSN 0007-1250
Abstract
Background: Despite the burden of depression, there remain few data on its economic consequences in an international context. Aims: To explore the relationship between depression status (with and without medical comorbidity), work loss and health care costs, using cross-sectional data from a multi-national study of depression in primary care. Method: Primary care attendees were screened for depression. Those meeting eligibility criteria were categorised according to DSM–IV criteria for major depressive disorder and comorbid status. Unit costs were attached to self-reported days absent from work and uptake of health care services. Results: Medical comorbidity was associated with a 17–46% increase in health care costs in five of the six sites, but a clear positive association between costs and clinical depression status was identified in only one site. Conclusions: The economic consequences of depression are influenced to a greater (and considerable) extent by the presence of medical comorbidity than by symptom severity alone.
| Item Type: | Article |
|---|---|
| Official URL: | http://bjp.rcpsych.org |
| Additional Information: | © 2003 Royal College of Psychiatrists |
| Divisions: | Social Policy Care Policy and Evaluation Centre LSE Health |
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare. Criminology R Medicine > RA Public aspects of medicine |
| Date Deposited: | 05 Sep 2008 13:29 |
| Last Modified: | 01 Nov 2024 04:17 |
| URI: | http://eprints.lse.ac.uk/id/eprint/15098 |
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