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Are men under-treated and women over-treated with antidepressants?: Findings from a cross-sectional survey in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (pharmacoepidemiology)ORCID iD: 0000-0003-4877-506X
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (Farmakoepidemiologi)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (Farmakoepidemiologi)
2017 (English)In: BJPsych bulletin, ISSN 2056-4694, E-ISSN 2056-4708, Vol. 41, no 1, 145-150 p.Article in journal (Refereed) Published
Abstract [en]

Aims and method To examine gender differences in self-reported depression and prescribed antidepressants (ADs). The Hospital Anxiety and Depression Scale was used to assess depression, and information on prescribed ADs was obtained from the Swedish Prescribed Drug Register.

Results Depression was reported by 11.7% of the participants (12.3% men and 11.2% women). ADs were prescribed for 7.6% of the participants (5.3% men, 9.8% women). Among men, 1.8% reported depression and used ADs, 10.5% reported depression but did not use ADs, and 3.6% used ADs but did not report depression. The corresponding figures for women were 2.6%, 8.6% and 7.2%.

Clinical implications Men report depression to a greater extent than women but are prescribed ADs to a lesser extent, possibly a sign of under-treatment. Women are prescribed ADs without reporting depression more often than men, possibly a sign of over-treatment. Although the causes remain unclear, diagnostic and treatment guidelines should benefit from considering gender differences in these respects.

Place, publisher, year, edition, pages
2017. Vol. 41, no 1, 145-150 p.
Keyword [en]
Self-reported depression, Antidepressants, Gender differences, Over-treatment, Under-treatment
National Category
Pharmaceutical Sciences
Research subject
Pharmacoepidemiology
Identifiers
URN: urn:nbn:se:uu:diva-310328DOI: 10.1192/pb.bp.116.054270OAI: oai:DiVA.org:uu-310328DiVA: diva2:1056125
Available from: 2016-12-14 Created: 2016-12-14 Last updated: 2017-10-04Bibliographically approved
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Thunander Sundbom, LenaBingefors, KerstinIsacson, Dag
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