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Depression status, medical comorbidity and resource costs: evidence from an international study of major depression in primary care (LIDO)

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

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Identification Number: 10.1192/02-224

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
Personal Social Services Research Unit
LSE Health
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Research centres and groups > NIHR School for Social Care Research
Date Deposited: 05 Sep 2008 13:29
Last Modified: 20 May 2020 00:56
URI: http://eprints.lse.ac.uk/id/eprint/15098

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