Trends in depressive symptoms in Germany's adult population 2008-2023.

IF 3.5 2区 医学 Q1 PSYCHIATRY
Lena Walther, Stephan Junker, Petra Rattay, Ronny Kuhnert, Heike Hölling, Elvira Mauz
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引用次数: 0

Abstract

Purpose: The present study examines trends in the prevalence of depressive symptoms among adults in Germany between 2008 and 2023 within the framework of mental health surveillance.

Methods: We used survey data from seven observation periods from a total of N = 74,096 randomly sampled participants aged 18-79 living in Germany. Symptoms of depression were measured using the Patient Health Questionnaire-8. Time series consisting of prevalence estimates were calculated, also for subgroups by sex, age and education. Developments in the more severe symptom range and in individual symptoms were also examined. Joinpoint regression and logistic regressions including linear splines were used to assess trends.

Results: Depressive symptom prevalence rose 2008-2023, with stagnation 2008-2020 followed by an increasing trend 2020-2023. While 7.5% of adults were at or above screening cutoff in 2020, 14.8% were affected in 2023. This development was found across subgroups. Both moderate and more severe symptoms increased, with a particular rise in severe symptoms among males. A clearly increasing trajectory was found across symptoms, although developments in low self-worth/guilt were less clear. Depressive symptoms were generally more prevalent among females than males, the youngest than the eldest adults and those with lower educational attainment. Young females and males with low educational attainment were particularly affected in the final observation period.

Conclusions: The observed increases in depressive symptoms among adults in Germany in times of multiple collective crises call for efforts to promote and protect mental health as well as for continued observation.

2008-2023年德国成年人口抑郁症状趋势
目的:本研究在心理健康监测的框架内研究2008年至2023年德国成年人抑郁症状流行趋势。方法:我们使用来自7个观察期的调查数据,随机抽样共N = 74,096名年龄在18-79岁之间居住在德国的参与者。使用患者健康问卷-8测量抑郁症状。计算了由患病率估计组成的时间序列,也计算了按性别、年龄和教育程度划分的亚组。还检查了较严重症状范围和个别症状的发展情况。使用连接点回归和包括线性样条在内的逻辑回归来评估趋势。结果:2008-2023年抑郁症状患病率上升,2008-2020年停滞,2020-2023年呈上升趋势。2020年,7.5%的成年人达到或超过筛查临界值,而到2023年,这一比例为14.8%。这种发展在各个亚组中都有发现。中度和较严重的症状都有所增加,男性中严重症状的增加尤其明显。尽管低自我价值感/内疚的发展不太明显,但在所有症状中都发现了明显的增长轨迹。抑郁症状一般在女性中比男性更普遍,最年轻的成年人比最年长的成年人和受教育程度较低的成年人中更普遍。在最后的观察期,受教育程度低的年轻女性和男性受到的影响尤为严重。结论:观察到德国成年人在多重集体危机时期抑郁症状的增加,呼吁努力促进和保护心理健康,并继续观察。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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