Čes. slov. farm. 2010, 59(5):199-204
Depression relapse and antidepressants consumption in the quality of life aspect
- 1 Lithuanian University of Health Sciences, Medical Academy, Faculty of Pharmacy, Department of Drug Technology and Social Pharmacy, Kaunas, Lithuania
- 2 Lithuanian University of Health Sciences, Medical Academy, Department of Psychiatry, Kaunas, Lithuania
- 3 University of Veterinary and Pharmaceutical Sciences, Faculty of Pharmacy, Department of Pharmaceutics, Brno, Czech Republic
Depression represents one of the most severe health problems. It belongs to the diseases which cause the largest amount of non-fatal disease burden worldwide, and greatly influences the quality of life. The frequency of this disease is connected with the consumption of antidepressants. This study thus aimed to overview the trends of antidepressants consumption in Lithuania, to assess the number of depression cases, when diagnosed for the first time and repeatedly with regard to demographic situation, and to evaluate the impact of this disease on women and the society. All prescribed antidepressants were divided into four groups, according to the ATC classification. Consumption of the preparations from single groups was expressed in defined daily doses (DDD), and utilization was expressed as DDD per 1000 inhabitants per day. The results demonstrate that each year there are more diagnosed cases of depression, which is related mainly with depression relapses. This increase is attended with the growth of antidepressants consumption: from 2004 till 2009 this indicator had increased even by 48%. At the same time, the character of pharmacotherapy has changed - the prescription of tricyclic antidepressants was markedly decreased, and the prescription of bicyclic derivatives (selective serotonin reuptake inhibitors - SSRI) and other more recent preparations increased. The demographic data show that women suffer from depression significantly more - in Lithuania this disease was diagnosed in women four times more than in men, the incidence of depression relapse was often more frequent.
Keywords: depression; relapse; consumption of antidepressants; quality of life
Received: September 29, 2010; Accepted: October 11, 2010; Published: May 1, 2010 Show citation
References
- European Pact for Mental Health and Well-being. http://ec.europa.eu/health/ph_determinants/life_style/mental/docs/pact_en.pdf(2010.06.30)
- Murray, C., Lopez, A.: Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet, 1997; 349, 1498-1504.
Go to original source...
Go to PubMed...
- Ustun, T., Ayuso-Mateos, J., Chatterji, S., Mathers, C., Murray, C.: Global burden of depressive disorders in the year 2000. Br. J. Psych., 2004; 184, 386-392.
- Cuijpers, P., Smit, F.: Excess mortality in depression: a meta-analysis of community studies. J. Affect. Dis., 2002; 72, 227-236.
Go to original source...
Go to PubMed...
- Eurostat report on the causes of deaths in the EU (2006). http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-NK-06-010/EN/KS-NK-06-010-EN.PDF(2010.08.14)
- http://www1.internationalliving.com/qofl2010/(2010.07.21).
- European Foundation for the improvement of living and working conditions. Second European quality of life survey - first findings. www.eurofound.europa.eu/ pubdocs/2008/52/en/1/EF0852EN.pdf (2010.08.06).
- Sihvo, S., Isometsa, E., Kiviruusu, O., Hamalainen, J., Suvisaari, J., Perala, J., Pirkola, S., Saarni, S., Lonnqvist, J.: Antidepressant utilisation patterns and determinants of short-term and non-psychiatric use in the Finnish general adult population. J. Affect. Dis., 2008; 110, 94-105.
Go to original source...
Go to PubMed...
- Nomesco (Nordic Medico Statistical Committee), 2004. Medicines consumption in the Nordic countries 1999-2003. Nomesco, Copenhagen. Online access: www.nom-nos.dk (2010.08.06).
- Isacsson, G., Rich, C.: Antidepressant drug use and suicide prevention. Int. Rev. Psych., 2005; 17, 153-162.
Go to original source...
Go to PubMed...
- World Health Organization. Introduction to Drug Utilization Research. 2003. http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf(2010.09.15)
- New Treatment Strategy for the Prevention of Recurrent Depression. ScienceDaily, Nov. 15, 2006. http://www.sciencedaily.com/releases/2006/11/061106144928.htm(2010.08.06).
- Bauer, M., Monz, B. U., Montejo, A. L., Quail, D., Dantchev, N., Demyttenaere, K., Garcia/Cebrian, A., Grassi, L., Perahia, D. G. S., Reed, C., Tylee, A.: Prescribing patterns of antidepressants in Europe: Results from the Factors Influencing Depression Endpoints Research (FINDER) study. Eur. Psych., 2008; 23, 66-73.
Go to original source...
Go to PubMed...
- Jakimavičius, M., Sveikata, A., Vainauskas, P., Jankūnas, R., Mikučionytė, L., Sapolienė, A., Šmigelskas, K.: Analysis of antidepressant prescribing tendencies in Lithuania in 2003-2004. Medicina, 2007; 43, 412-418.
Go to original source...
- Ufer, M., Meyer, S., Junge, O., Selke, G., Volz, H., Hedderich, J., Gleiter, C.: Patterns and prevalence of antidepressant drug use in the German state of Baden-Wuerttemberg: a prescription-based analysis. Pharmacoepidemiol. Drug Safety, 2007; 16, 1153-1160.
Go to original source...
Go to PubMed...
- Barren, B., Byford, S., Knapp, M.: Evidence of cost-effective treatments for depression: a systematic review. J. Affect. Dis., 2005; 84, 1-13.
Go to original source...
Go to PubMed...
- Van de Velde, S., Bracke, P., Levecque, K.: Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression. Soc. Sci. Med., 2010; 71, 305-313.
Go to original source...
Go to PubMed...
- Data of the State Statistics Department. http://www.stat.gov.lt/lt/(2010.09.03)
- Ferrera, M.: The southern model of welfare in social Europe. J. Eur. Soc. Policy, 1996; 1, 17-37.
Go to original source...
- Lewis, J.: Men, women, work, care and policies. J. Eur. Soc. Pol., 2006; 16(4), 387-392.
Go to original source...
- Plantenga, J., Remery, C.: Reconciliation of work and private life: A comparative review of thirty European countries. Brussels: European Communities, 2005.
- Teicher, M., Glod, C., Cole, J.: Emergence of intense suicidal preoccupation during fluoxetine treatment. Am. J. Psych., 1990; 147, 207-210.
Go to original source...
Go to PubMed...
- Olfson, M., Marcus, S., Druss, B., Elinson, L., Tanielian, T., Pincus, H.: National trends in the outpatient treatment of depression. J. Am. Med. Assoc. 2002; 287, 203-209.
Go to original source...
Go to PubMed...
- Rich, C., Fowler, R., Young, D.: Abuse and suicide: The San Diego study. Ann. Clin. Psych., 1989; 1, 79-85.
Go to original source...
- Jick, H., Kaye, J., Jick, S.: Antidepressants and the risk of suicidal behaviors. J. Am. Med. Assoc., 2004; 292, 338-343.
Go to original source...
Go to PubMed...