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Lifetime and current depression in the German National Cohort (NAKO)

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Item Type:Article
Title:Lifetime and current depression in the German National Cohort (NAKO)
Creators Name:Streit, F. and Zillich, L. and Frank, J. and Kleineidam, L. and Wagner, M. and Baune, B.T. and Klinger-König, J. and Grabe, H.J. and Pabst, A. and Riedel-Heller, S.G. and Schmiedek, F. and Schmidt, B. and Erhardt, A. and Deckert, J. and Rietschel, M. and Berger, K.
Abstract:OBJECTIVES: The present study introduces the assessment of depression and depressive symptoms in the German National Cohort (NAKO), a population-based mega cohort. Distribution of core measures, and associations with sociodemographic factors are examined. METHODS: The current analysis includes data from the first 101,667 participants (NAKO data freeze 100,000). Depression and depressive symptoms were assessed using a modified version of the depression section of the Mini-International Neuropsychiatric Interview (MINI), self-reported physician's diagnosis of depression, and the depression scale of the Patient Health Questionnaire (PHQ-9). RESULTS: A lifetime physician's diagnosis of depression was reported by 15.0% of participants. Of those, 47.6% reported having received treatment for depression within the last 12 months. Of the subset of 26,342 participants undergoing the full depression section of the modified MINI, 15.9% were classified by the MINI with a lifetime depressive episode. Based on the PHQ-9, 5.8% of the participants were classified as currently having a major or other depression by the diagnostic algorithm, and 7.8% according to the dimensional assessment (score = 10). Increased frequency of depression measures and higher depression scores were observed in women and participants with lower education level or a family history of depression. CONCLUSIONS: The observed distributions of all depression measures and their associations with sociodemographic variables are consistent with the literature on depression. The NAKO represents a valuable epidemiologic resource to investigate depression, and the range of measures for lifetime and current depression allows users to select the most suitable instrument for their specific research question.
Keywords:MINI Interview, PHQ-9, PHQ-Stress, Depressive Symptoms, Family History of Depression
Source:World Journal of Biological Psychiatry
ISSN:1562-2975
Publisher:Informa Healthcare
Volume:24
Number:10
Page Range:865-880
Date:17 February 2022
Additional Information:Insa Feinkohl and Tobias Pischon are NAKO Investigator authors.
Official Publication:https://doi.org/10.1080/15622975.2021.2014152
PubMed:View item in PubMed

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