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2 results

  • Depression in Europe: Geographical distribution among older people

  • J. R. M. Copeland, A. T. F. Beekman, M. E. Dewey, C. Hooijer, A. Jordan, B. A. Lawlor, A. Lobo, H. Magnusson, A. H. Mann, I. Meller, M. J. Prince, F. Reischies, C. Turrina, M. W. Devries, K. C. M. Wilson
  • Journal:
    The British Journal of Psychiatry / Volume 174 / Issue 4 / April 1999
    Published online by Cambridge University Press:
    02 January 2018, pp. 312-321
    Print publication:
    April 1999
  • Background

    This is the first report of results from the EURODEP Programme.

    Aims

    To assess the prevalence of depression judged suitable for intervention in randomised samples of those aged ⩾65 in nine European centres.

    Method

    The GMS-AGECAT package.

    Results

    Differences in prevalence are apparent, 8.8% (Iceland) to 23.6% (Munich). When sub-cases and cases are added together, five high- and four low-scoring centres emerge. Women predominated over men. Proportions of sub-cases to cases revealed striking differences but did not explain prevalence. There was no constant association between prevalence and age. A meta-analysis (n=13 808) gave an overall prevalence of 12. 3%, 14.1% for women and 8.6% for men.

    Conclusions

    Considerable variation occurs in the levels of depression across Europe, the cause for which is not immediately obvious. Case and sub-case levels taken together show greater variability, suggesting that it is not a matter of case/sub-case selection criteria, which were standardised by computer. Substantial levels of depression are shown but 62–82% of persons had no depressive level. Opportunities for treatment exist.