Trends in the Diagnostic Prevalence of Mental Disorders, 2012-2022—Using Nationwide Outpatient Claims Data for Mental Health Surveillance.

IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Julia Thom, Benjamin Jonas, Lukas Reitzle, Elvira Mauz, Heike Hölling, Mandy Schulz
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引用次数: 0

Abstract

Background: Evaluations by the statutory health insurance carriers in Germany have revealed a rising prevalence of diagnoses of mental disorders, at varying levels and to varying extents. For mental health surveillance purposes, we analyzed prevalence trends across health insurance carriers, before and during the COVID-19 pandemic and stratified by diagnosis group, sex and age.

Methods: Nationwide outpatient claims data of all statutorily insured individuals for the years 2012-2022 (Nmin = 68.7 million people, Nmax = 73.7 million people) were used to determine the diagnostic prevalence of mental disorders (ICD-10 F00-F99 and five selected diagnosis groups), with stratification by sex and age. Changes over time in the spectrum of all documented mental disorders are described.

Results: Over the period 2012-2022, the percentage of people with outpatient diagnoses of mental disorders rose from 33.4% to 37.9% (a relative increase of 13.4%). In the selected diagnosis groups, the trends ranged from -11.6% to +115.8% and were generally steady over time, though stronger or stagnating trends were seen in some groups from 2020 onward. Diagnostic prevalence rose to a greater extent in male (+18.3%) than in female individuals (+10.8%) over the period 2012-2022. The greatest increases (> +15%) were seen among 11- to 17-yearolds and in 60- to 84-year-olds. The composition of the diagnosis spectrum was more stable in adults than in children and adolescents.

Conclusion: Trends in diagnostic prevalence differ across mental disorders and population subgroups and have changed in some diagnosis groups since the COVID-19 pandemic. Contextualizing research is needed for a better understanding of these developments.

2012-2022年精神障碍诊断流行趋势--利用全国门诊病人索赔数据进行精神健康监测》(Trends in the Diagnostic Prevalence of Mental Disorders, 2012-2022-Using Nationalwide Outpatient Claims Data for Mental Health Surveillance)。
背景:德国法定医疗保险承保机构的评估显示,精神障碍诊断的患病率在不同程度和不同范围内不断上升。为了监测精神健康状况,我们分析了 COVID-19 大流行之前和期间各医疗保险公司的患病率趋势,并按诊断类别、性别和年龄进行了分层:我们使用了 2012-2022 年所有法定投保人的全国门诊理赔数据(Nmin = 6870 万人,Nmax = 7370 万人)来确定精神障碍的诊断流行率(ICD-10 F00-F99 和五个选定的诊断组),并按性别和年龄进行了分层。结果显示,2012-2022 年间,全球精神障碍的患病率为 1.5%,而 2012 年为 1.5%:结果:2012-2022 年间,门诊诊断为精神障碍的患者比例从 33.4% 上升至 37.9%(相对增长 13.4%)。在选定的诊断组别中,趋势从-11.6%到+115.8%不等,并且随着时间的推移基本保持稳定,但从2020年起,某些组别的趋势更强或停滞不前。在 2012-2022 年期间,男性诊断率的上升幅度(+18.3%)大于女性(+10.8%)。11-17岁和60-84岁人群的增幅最大(> +15%)。与儿童和青少年相比,成人诊断范围的构成更为稳定:结论:自 COVID-19 大流行以来,不同精神障碍和人群亚群的诊断流行趋势各不相同,某些诊断组别也发生了变化。为了更好地了解这些发展,需要进行背景研究。
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来源期刊
Deutsches Arzteblatt international
Deutsches Arzteblatt international 医学-医学:内科
CiteScore
4.10
自引率
5.20%
发文量
306
审稿时长
4-8 weeks
期刊介绍: Deutsches Ärzteblatt International is a bilingual (German and English) weekly online journal that focuses on clinical medicine and public health. It serves as the official publication for both the German Medical Association and the National Association of Statutory Health Insurance Physicians. The journal is dedicated to publishing independent, peer-reviewed articles that cover a wide range of clinical medicine disciplines. It also features editorials and a dedicated section for scientific discussion, known as correspondence. The journal aims to provide valuable medical information to its international readership and offers insights into the German medical landscape. Since its launch in January 2008, Deutsches Ärzteblatt International has been recognized and included in several prestigious databases, which helps to ensure its content is accessible and credible to the global medical community. These databases include: Carelit CINAHL (Cumulative Index to Nursing and Allied Health Literature) Compendex DOAJ (Directory of Open Access Journals) EMBASE (Excerpta Medica database) EMNursing GEOBASE (Geoscience & Environmental Data) HINARI (Health InterNetwork Access to Research Initiative) Index Copernicus Medline (MEDLARS Online) Medpilot PsycINFO (Psychological Information Database) Science Citation Index Expanded Scopus By being indexed in these databases, Deutsches Ärzteblatt International's articles are made available to researchers, clinicians, and healthcare professionals worldwide, contributing to the global exchange of medical knowledge and research.
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