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International Journal of Public Health

, Volume 55, Issue 5, pp 479–488 | Cite as

Depressive symptoms among adults 18–69 years in Italy: results from the Italian behavioural risk factor surveillance system, 2007

  • Nancy Binkin
  • Antonella GigantescoEmail author
  • Gianluigi Ferrante
  • Sandro Baldissera
Original Article

Abstract

Background

Little is known about the prevalence of depressive symptoms in the Italian general population, nor about help-seeking behaviours among those with depressive symptoms.

Methods

We used 2007 data from PASSI, the Italian behavioural risk factor surveillance system, based on telephone interviews of residents aged 18–69 years. A modified version of the Patient Health Questionnaire-2 was used to explore the presence of depressive symptoms. Those with symptoms were asked about whether they had sought help. Association of depressive symptoms with risk factors and self-perceived health was evaluated.

Results

9.4% of the interviewees met the case definition. Risk factors included older age, female sex, low educational attainment, unemployment, financial problems and chronic illnesses. Of those for whom information on help-seeking was available, 47.2% did not seek any help. Depressive symptoms were associated with poorer self-perceived health.

Conclusion

Population-based surveillance systems tracking the prevalence of depressive symptoms and associated risk factors and behaviours may offer needed information for planning, implementing and evaluating promotion and prevention interventions capable of reducing the number of people who go on to experience depressive episodes.

Keywords

Depressive symptoms Italy Survey Adults 

Notes

Acknowledgments

The authors thank the many regional referents and the regional/local coordinators who contributed to the data collection. A special thanks goes to the health care workers in the public health departments in the LHUs who conduct the interviews. Another special thanks goes to Francesca Romana Meduri and Monica Bolli for their administrative support. Finally, they wish to thank Drs Kurt Kroenke and Tara Strine for their generous advice and assistance in the development of the Italian version of the study instrument. This work was supported by the Italian Ministry of Health/National Centre for Disease Prevention and Control (grant 4393/2004-Ccm).

Conflicts of interest statement

None declared.

References

  1. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, De Girolamo G, Graaf R, Demyttenaere K, Gasquet I et al (2004a) Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 420:21–27. doi: 10.1111/j.1600-0047.2004.00327.x PubMedGoogle Scholar
  2. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, De Girolamo G, Graaf R, Demyttenaere K, Gasquet I et al (2004b) Use of mental health services in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl (420):47–54. doi: 10.1111/j.1600-0047.2004.00330.x
  3. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, De Girolamo G, Graaf R, Demyttenaere K, Gasquet I et al (2004c) Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl (420):38–46. doi: 10.1111/j.1600-0047.2004.00329.x
  4. Ayuso-Mateos JL, Vázquez-Barquero JL, Dowrick C, Lehtinen V, Dalgard OS, Casey P, Wilkinson C, Lasa L, Page H, Dunn G et al (2001) Depressive disorders in Europe: prevalence figures from the ODIN study. Br J Psychiatry 179:308–316CrossRefPubMedGoogle Scholar
  5. Bebbington PE (1998) The social epidemiology of clinical depression. Elsevier, AmsterdamGoogle Scholar
  6. Bebbington PE, Meltzer H, Brugha TS, Farrell M, Jenkins R, Ceresa C, Lewis G (2000) Unequal access and unmet need: neurotic disorders and the use of primary care services. Psychol Med 30:1359–1367CrossRefPubMedGoogle Scholar
  7. Bebbington P, Brugha T, Meltzer H, Jenkins R, Ceresa C, Farrell M, Lewis G (2003) Neurotic disorders and the receipt of psychiatric treatment. Int Rev Psychiatry 15:108–114. doi: 10.1080/0954026021000046010 CrossRefPubMedGoogle Scholar
  8. Bernat DH, Resnick MD (2006) Healthy youth development: science and strategies. J Public Health Manag Pract 12(Suppl):S10–S16Google Scholar
  9. Bijl RV, Ravelli A, van Zessen G (1998) Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 33:587–595CrossRefPubMedGoogle Scholar
  10. Carta MG, Carpiniello B, Morosini PL, Rudas N (1991) Prevalence of mental disorders in Sardinia: a community study in an inland mining district. Psychol Med 21:1061–1071CrossRefPubMedGoogle Scholar
  11. Davidson JR, Meltzer-Brody SE (1999) The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? J Clin Psychiatry 60(Suppl 7):4–9 discussion 10–11PubMedGoogle Scholar
  12. de Girolamo G, Polidori G, Morosini P, Scarpino V, Reda V, Serra G, Mazzi F, Alonso J, Vilagut G, Visonà G et al (2006) Prevalence of common mental disorders in Italy: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD). Soc Psychiatry Psychiatr Epidemiol 41:853–861. doi: 10.1007/s00127-006-0097-4 CrossRefPubMedGoogle Scholar
  13. Fan AZ, Strine TW, Huang Y, Murray MR, Musingo S, Jiles R, Mokdad AH (2009) Self-rated depression and physician-diagnosed depression and anxiety in Florida adults: Behavioral Risk Factor Surveillance System, 2006. Prev Chronic Dis 6:A10PubMedGoogle Scholar
  14. Faravelli C, Abrardi L, Bartolozzi D, Cecchi C, Cosci F, D’Adamo D, Lo Iacono B, Ravaldi C, Scarpato MA, Truglia E et al (2004) The Sesto Fiorentino Study: background, methods and preliminary results. Lifetime prevalence of psychiatric disorders in an Italian community sample using clinical interviewers. Psychother Psychosom 73:216–225. doi: 10.1159/000077740 CrossRefPubMedGoogle Scholar
  15. Fryers T, Brugha T, Brugha T, Morgan Z, Smith J, Hill T, Carta M, Lehtinev V, Kovess V (2004) Prevalence of psychiatric disorder in Europe: the potential and reality of meta-analysis. Soc Psychiatry Psychiatr Epidemiol 39:899–905. doi: 10.1007/s00127-004-0875-9 CrossRefPubMedGoogle Scholar
  16. Gaynes BN, Burns BJ, Tweed DL, Erickson P (2002) Depression and health-related quality of life. J Nerv Ment Dis 190:799–806. doi: 10.1097/01.NMD.0000041956.05334.07 CrossRefPubMedGoogle Scholar
  17. Gigantesco A, Palumbo G, Mirabella F, Pettinelli M, Morosini P (2006) Prevalence of psychiatric disorders in an Italian town: low prevalence confirmed with two different interviews. Psychother Psychosom 75:170–176. doi: 10.1159/000091774 CrossRefPubMedGoogle Scholar
  18. Health and Consumer Protection Directorate, European Commission (2005) Improving the mental health of the population. Towards a strategy on mental health for the European Union. Green paper. http://ec.europa.eu/health/ph_determinants/life_style/mental/green_paper/mental_gp_en.pdf. Accessed 25 November 2009
  19. Istituto Nazionale di Statistica (2006) La Rilevazione sulle Forze di Lavoro: contenuti, metodologie, organizzazione. ISTAT. http://www.istat.it/dati/catalogo/20060830_00/met_norme_06_32_%20rilevazione_forze_lavoro.pdf. Accessed 25 November 2009
  20. Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H (2003) The National Psychiatric Morbidity Surveys of Great Britain—initial findings from the household survey. Int Rev Psychiatry 15:29–42. doi: 10.1080/0954026021000045921 CrossRefPubMedGoogle Scholar
  21. Kessler RC (2003) Epidemiology of women and depression. J Affect Disord 74:5–13CrossRefPubMedGoogle Scholar
  22. Kroenke K, Spitzer RL, Williams JBW (2003) The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care 41:1284–1292. doi: 10.1097/01.MLR.0000093487.78664.3C CrossRefPubMedGoogle Scholar
  23. Kroenke K, Strine TW, Spitzer RL, Williams JBW, Berry JT, Mokdad AH (2009) The PHQ-8 as a measure of current depression in the general population. J Affect Disord 114:163–173. doi: 10.1016/j.jad.2008.06.026 CrossRefPubMedGoogle Scholar
  24. Lewis G, Pelosi AJ, Araya R, Dunn G (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med 22:465–486CrossRefPubMedGoogle Scholar
  25. Mavreas VG, Beis A, Mouyias A, Rigoni F, Lyketsos GC (1986) Prevalence of psychiatric disorders in Athens. A community study. Soc Psychiatry 21:172–181CrossRefPubMedGoogle Scholar
  26. Mazzotti E, Fassone G, Picardi A, Sagoni E, Ramieri L, Lega I, Camaioni D, Abeni D, Pasquini P (2003) Il Patient Health Questionnaire (PHQ) per lo screening dei disturbi psichiatrici: uno studio di validazione nei confronti dell’Intervista Clinica Strutturata per il DSM-IV asse I (SCID-I) [The Patient Health Questionnaire (PHQ) for the screening of psychiatric disorders: a validation study versus the Structured Clinical Interview for DSM-IV axis I (SCID-I)]. G Ital Psicopatol 9:235–242Google Scholar
  27. Meltzer H, Gill B, Petticrew M, Hinds K (1995) Physical complaints, service use, and treatment of adults with psychiatric disorders. OPC surveys of psychiatric morbidity in Great Britain. HMSO, LondonGoogle Scholar
  28. Moriarty DG, Zack MM, Kobau R (2003) The Centers for Disease Control and Prevention’s Healthy Days Measures—population tracking of perceived physical and mental health over time. Health Qual Life Outcomes 1:37. doi: 10.1186/1477-7525-1-37 CrossRefPubMedGoogle Scholar
  29. Murray CJ, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet 349:1498–1504. doi: 10.1016/S0140-6736(96)07492-2 CrossRefPubMedGoogle Scholar
  30. Pignone MP, Gaynes BN, Rushton JL, Burchell CM, Orleans CT, Mulrow CD, Lohr KN (2002) Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 136:765–776PubMedGoogle Scholar
  31. Renzi C, Picardi A, Abeni D, Agostini E, Baliva G, Pasquini P, Puddu P, Braga M (2002) Association of dissatisfaction with care and psychiatric morbidity with poor treatment compliance. Arch Dermatol 138:337–342CrossRefPubMedGoogle Scholar
  32. Sartorius N (2001) The economic and social burden of depression. J Clin Psychiatry 62(Suppl 15):8–11PubMedGoogle Scholar
  33. The American Association for Public Opinion Research (2008) Standard definitions: final dispositions of case codes and outcome rates for surveys, 5th edn. AAPOR, Lenexa. http://www.aapor.org/AM/Template.cfm?Section=Standard_Definitions&Template=/CM/ContentDisplay.cfm&ContentID=1273. Accessed 25 November 2009
  34. United States Department of Health and Human Services (1999) Mental health: a report of the Surgeon General. U.S. Public Health Service, Rockville. http://www.surgeongeneral.gov/library/mentalhealth/home.html. Accessed 25 November 2009
  35. U.S. Preventive Services Task Force (2002) Screening for depression: recommendations and rationale. Ann Intern Med 136:760–764Google Scholar
  36. Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Gureje O et al (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet 370:841–850. doi: 10.1016/S0140-6736(07)61414-7 CrossRefPubMedGoogle Scholar
  37. WHO International Consortium in Psychiatric Epidemiology (2000) Cross-national comparisons of the prevalences and correlates of mental disorders. Bull World Health Organ 78:413–426Google Scholar
  38. Williams SM, Saxena S, McQueen DV (2005) The momentum for mental health promotion. Promot Educ 2(Suppl):6–9, 61, 67Google Scholar
  39. Wing JK, Babor T, Brugha T, Burke J, Cooper JE, Giel R, Jablenski A, Regier D, Sartorius N (1990) SCAN. Schedules for Clinical Assessment in Neuropsychiatry. Arch Gen Psychiatry 47:589–593PubMedGoogle Scholar

Copyright information

© Birkhäuser Verlag, Basel/Switzerland 2009

Authors and Affiliations

  • Nancy Binkin
    • 1
    • 2
  • Antonella Gigantesco
    • 1
    • 2
    Email author
  • Gianluigi Ferrante
    • 1
    • 2
  • Sandro Baldissera
    • 1
    • 2
  1. 1.Istituto Superiore di SanitàRomeItaly
  2. 2.National Centre of Epidemiology, Surveillance and Health PromotionItalian National Institute of HealthRomeItaly

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