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Antidepressant use in 27 European countries: associations with sociodemographic, cultural and economic factors

Lewer, D., O'Reilly, C., Mojtabai, R. and Evans-Lacko, S. (2015) Antidepressant use in 27 European countries: associations with sociodemographic, cultural and economic factors. British Journal of Psychiatry, 207 (3). pp. 221-226. ISSN 0007-1250

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Identification Number: 10.1192/bjp.bp.114.156786

Abstract

Background Prescribing of antidepressants varies widely between European countries despite no evidence of difference in the prevalence of affective disorders. Aims To investigate associations between the use of antidepressants, country-level spending on healthcare and country-level attitudes towards mental health problems. Method We used Eurobarometer 2010, a large general population survey from 27 European countries, to measure antidepressant use and regularity of use. We then analysed the associations with country-level spending on healthcare and country-level attitudes towards mental health problems. Results Higher country spending on healthcare was strongly associated with regular use of antidepressants. Beliefs that mentally ill people are ‘dangerous’ were associated with higher use, and beliefs that they ‘never recover’ or ‘have themselves to blame’ were associated with lower and less regular use of antidepressants. Conclusions Contextual factors, such as healthcare spending and public attitudes towards mental illness, may partly explain variations in antidepressant use and regular use of these medications.

Item Type: Article
Official URL: http://bjp.rcpsych.org/
Additional Information: © 2015 The Royal College of Psychiatrists
Divisions: Personal Social Services Research Unit
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RS Pharmacy and materia medica
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 06 Aug 2015 09:08
Last Modified: 20 Jun 2019 02:05
URI: http://eprints.lse.ac.uk/id/eprint/62956

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