Vol 17, No 1 (2020)
Research paper
Published online: 2020-03-01
Get Citation

The disproportion between the incidence of anxiety disorders and depression in the population of the Żywiec Poviat and the use of mental health care

Bogumiła Lubecka, Marek Lubecki, Janusz Kasperczyk, Maria Moszczak, Jadwiga Jośko-Ochojska, Robert Pudlo
DOI: 10.5603/PSYCH.2020.0001
·
Psychiatria 2020;17(1):1-8.

paid access

Vol 17, No 1 (2020)
Prace oryginalne - nadesłane
Published online: 2020-03-01

Abstract

Introduction: The aim of the article is to estimate the disproportion between the incidence of anxiety disorders and depression in adult population of the Żywiec Poviat and the use of mental health care. Material and methods: An anonymous survey was conducted in a randomly selected group of adults living in the Żywiec Poviat. 1659 completed questionnaires were obtained. The Hospital Anxiety and Depression Scale (HADS) was used as a screening tool. The data were compared with the number of outpatient and hospitalized people in psychiatric health care facilities in the poviat. Results: The study released a significant disproportion between the occurrence of anxiety disordes and treatment for this reason. In outpatient settings 1.23% of people suffering from anxiety used medical care, 0.06% were hospitalized. A similar situation applies to the disproportion between the occurrence of depression and treatment for this reason. Among people whose symptoms implement the criteria of depressive episode, 1.11% used outpatient treatment and 0.14% were hospitalized. Conclusion: Prevelence of anxiety disorders and depression and related to this health needs in examinated population significantly exceeds the real use of psychiatric healthcare. Constant underestimation of health needs in the field of psychiatry can be a result and one of the causes of this phenomenon. For better planning of activities in the field of health policy, it is necessary to perform epidemiological studies that reveal scale of the problem.

Abstract

Introduction: The aim of the article is to estimate the disproportion between the incidence of anxiety disorders and depression in adult population of the Żywiec Poviat and the use of mental health care. Material and methods: An anonymous survey was conducted in a randomly selected group of adults living in the Żywiec Poviat. 1659 completed questionnaires were obtained. The Hospital Anxiety and Depression Scale (HADS) was used as a screening tool. The data were compared with the number of outpatient and hospitalized people in psychiatric health care facilities in the poviat. Results: The study released a significant disproportion between the occurrence of anxiety disordes and treatment for this reason. In outpatient settings 1.23% of people suffering from anxiety used medical care, 0.06% were hospitalized. A similar situation applies to the disproportion between the occurrence of depression and treatment for this reason. Among people whose symptoms implement the criteria of depressive episode, 1.11% used outpatient treatment and 0.14% were hospitalized. Conclusion: Prevelence of anxiety disorders and depression and related to this health needs in examinated population significantly exceeds the real use of psychiatric healthcare. Constant underestimation of health needs in the field of psychiatry can be a result and one of the causes of this phenomenon. For better planning of activities in the field of health policy, it is necessary to perform epidemiological studies that reveal scale of the problem.
Get Citation

Keywords

anxiety disorders, depression, population-based study, morbidity

About this article
Title

The disproportion between the incidence of anxiety disorders and depression in the population of the Żywiec Poviat and the use of mental health care

Journal

Psychiatria (Psychiatry)

Issue

Vol 17, No 1 (2020)

Article type

Research paper

Pages

1-8

Published online

2020-03-01

DOI

10.5603/PSYCH.2020.0001

Bibliographic record

Psychiatria 2020;17(1):1-8.

Keywords

anxiety disorders
depression
population-based study
morbidity

Authors

Bogumiła Lubecka
Marek Lubecki
Janusz Kasperczyk
Maria Moszczak
Jadwiga Jośko-Ochojska
Robert Pudlo

References (19)
  1. - mpz.mz.gov.pl/o-projekcie/. http://www.mpz.mz.gov.pl/o-projekcie/ (16.062019).
  2. Klejna A, Adamowski T, Piotrowski P, et al. Epidemiologia zaburzeń psychiatrycznych i dostępność psychiatrycznej opieki zdrowotnej. EZOP - ska - metodologia badania. Psychiatr Pol. 2015; 49(1): 5S–13S.
  3. World Health Organization. Mental Health Action Plan 2013-2020. https://www.who.int/mental_health/publications/action_plan/en/. (16.062019).
  4. Ustün TB, Ayuso-Mateos JL, Chatterji S, et al. Global burden of depressive disorders in the year 2000. Br J Psychiatry. 2004; 184: 386–392.
  5. Zięba A, Siwek M, Wróbel A, et al. Miejsce lęku w obrazie psychopatologicznym depresji. Lęk i Depresja. 2003; 8 (2): 87S–97S.
  6. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6): 361–370.
  7. Klejna A, Piotrowski P, Adamowski T, et al. Rozpowszechnienie wybranych zaburzeń psychicznych w populacji dorosłych aków z odniesieniem do płci i struktury wieku - Badanie EZOP ska. Psychiatr Pol. 2015; 49(1): 15S–27S.
  8. Wittchen HU, Jacobi F, Rehm J, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011; 21(9): 655–679.
  9. Remes O, Brayne C, van der Linde R, et al. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav. 2016; 6(7): e00497.
  10. Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health. 2013; 34: 119–138.
  11. Kessler RC, Ustun TB, et al. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004; 13: 93S–121S.
  12. Bjelland I, Krokstad S, Mykletun A, et al. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med. 2008; 66(6): 1334–1345.
  13. Faravelli C, Alessandra Scarpato M, Castellini G, et al. Gender differences in depression and anxiety: the role of age. Psychiatry Res. 2013; 210(3): 1301–1303.
  14. Biechowska D, Rabczenko D. Zaburzenia psychiczne i zaburzenia zachowania. In: Wojtyniak B, Goryński P. ed. Sytuacja zdrowotna ludności Polski i jej uwarunkowania. Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny, Warszawa 2018: 231–244.
  15. Beldie A, den Boer JA, Brain C, et al. Fighting stigma of mental illness in midsize European countries. Soc Psychiatry Psychiatr Epidemiol. 2012; 47 Suppl 1: 1–38.
  16. Franz L, Carter T, Leiner AS, et al. Stigma and treatment delay in first-episode psychosis: a grounded theory study. Early Interv Psychiatry. 2010; 4(1): 47–56.
  17. Fink JP, Tasman A. Stigma and mental illness. American Psychiatric Press Inc 1992: 25S.
  18. Piotrowicz R, Potocka J, Araszkiewicz A, et al. Depresja jako problem kardiologiczny w praktyce lekarzy podstawowej opieki zdrowotnej. Folia Cardiol. 2003; 10(2): 177S–184S.
  19. Stubbs A. Reducing mental illness stigma in health care students and professionals: a review of the literature. Australas Psychiatry. 2014; 22(6): 579–584.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest Via Medica sp. z o.o. sp. komandytowa, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl