Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018

PURPOSE: To update the prevalence of depression in the US and identify whether misperception exists in depression assessed by self-report versus validated tools administered by trained professionals. METHODS: We extracted data on sociodemographic characteristics, lifestyle factors, medical condition...

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Autores: Cao C, Hu L, Xu T, Liu Q, Koyanagi A, Yang L, Carvalho AF, Cavazos-Rehg PA, Smith L
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p17534
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17534
Access Level:acceso abierto
Palabra clave:*Correlates
*Depression
*Misperception
*PHQ-9
*Prevalence
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spelling Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018Cao CHu LXu TLiu QKoyanagi AYang LCarvalho AFCavazos-Rehg PASmith L*Correlates*Depression*Misperception*PHQ-9*PrevalencePURPOSE: To update the prevalence of depression in the US and identify whether misperception exists in depression assessed by self-report versus validated tools administered by trained professionals. METHODS: We extracted data on sociodemographic characteristics, lifestyle factors, medical conditions, depressive symptoms, and self-reported depressive feeling from National Health and Nutrition Examination Survey (NHANES) study 2015-2018. We calculated the weighted prevalence and 95% CI of depressive symptoms assessed by a validated tool PHQ-9 (score=10) and self-reported depression respectively. Then, we performed multivariable logistic regressions to identify their sociodemographic and lifestyle correlates. Finally, we calculated the agreement between PHQ-9 assessed depressive symptoms and self-reported depressive feeling to examine possible misperception. RESULTS: The present analysis included a total of 10,257 adults (Weighted N?=?215,964,374) aged 20 years and older. Prevalence of depressive symptoms (PHQ-9 score =10) were 8.0% from 2015 to 2018 in the US. 19.7% and 11.3% adults reported feeling depressed at least once a month and at least once a week, respectively. Depressive experience was largely misperceived in the US (Kappa agreement = 50.98%, Cohen's Kappa = 0.16, p < 0.001). Particularly, an estimated 1.1 million US adults had depressive symptoms but never felt being depressed. Several consistent demographic and behavioral correlates were identified across the two measures, namely: age, sex, race/ethnicity, poverty and sitting time. CONCLUSIONS: A high prevalence of depression was found, and misperception of depression exists among the US adult population. Our findings highlight an urgent need for health professionals to reduce the burden of depression with considering patients' socioeconomic status and lifestyle factors.ELSEVIER2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17534JOURNAL OF AFFECTIVE DISORDERSISSN: 01650327ISSNe: 15732517reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p175342026-05-27T12:37:41Z
dc.title.none.fl_str_mv Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
title Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
spellingShingle Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
Cao C
*Correlates
*Depression
*Misperception
*PHQ-9
*Prevalence
title_short Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
title_full Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
title_fullStr Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
title_full_unstemmed Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
title_sort Prevalence, correlates and misperception of depression symptoms in the United States, NHANES 2015?2018
dc.creator.none.fl_str_mv Cao C
Hu L
Xu T
Liu Q
Koyanagi A
Yang L
Carvalho AF
Cavazos-Rehg PA
Smith L
author Cao C
author_facet Cao C
Hu L
Xu T
Liu Q
Koyanagi A
Yang L
Carvalho AF
Cavazos-Rehg PA
Smith L
author_role author
author2 Hu L
Xu T
Liu Q
Koyanagi A
Yang L
Carvalho AF
Cavazos-Rehg PA
Smith L
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv *Correlates
*Depression
*Misperception
*PHQ-9
*Prevalence
topic *Correlates
*Depression
*Misperception
*PHQ-9
*Prevalence
description PURPOSE: To update the prevalence of depression in the US and identify whether misperception exists in depression assessed by self-report versus validated tools administered by trained professionals. METHODS: We extracted data on sociodemographic characteristics, lifestyle factors, medical conditions, depressive symptoms, and self-reported depressive feeling from National Health and Nutrition Examination Survey (NHANES) study 2015-2018. We calculated the weighted prevalence and 95% CI of depressive symptoms assessed by a validated tool PHQ-9 (score=10) and self-reported depression respectively. Then, we performed multivariable logistic regressions to identify their sociodemographic and lifestyle correlates. Finally, we calculated the agreement between PHQ-9 assessed depressive symptoms and self-reported depressive feeling to examine possible misperception. RESULTS: The present analysis included a total of 10,257 adults (Weighted N?=?215,964,374) aged 20 years and older. Prevalence of depressive symptoms (PHQ-9 score =10) were 8.0% from 2015 to 2018 in the US. 19.7% and 11.3% adults reported feeling depressed at least once a month and at least once a week, respectively. Depressive experience was largely misperceived in the US (Kappa agreement = 50.98%, Cohen's Kappa = 0.16, p < 0.001). Particularly, an estimated 1.1 million US adults had depressive symptoms but never felt being depressed. Several consistent demographic and behavioral correlates were identified across the two measures, namely: age, sex, race/ethnicity, poverty and sitting time. CONCLUSIONS: A high prevalence of depression was found, and misperception of depression exists among the US adult population. Our findings highlight an urgent need for health professionals to reduce the burden of depression with considering patients' socioeconomic status and lifestyle factors.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17534
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17534
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv JOURNAL OF AFFECTIVE DISORDERS
ISSN: 01650327
ISSNe: 15732517
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
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