Sigurdsson Engkibert, Olafsdottir Thordis, Gottfredsson Magnus
Gedsvidi Landspitala, Hringbraut, Reykjavik.
Laeknabladid. 2009 Dec;95(12):837-41.
In Iceland antidepressant sales figures rose from 8 Defined Daily Doses (DDD) per 1000 subjects in 1975 to 95 DDD/1000 in 2005.
To examine the views of adult Icelanders on antidepressant treatment and to identify the factors most influential in shaping their views.
Cross-sectional national survey of views on antidepressant treatment in a randomly drawn sample of 2000 Icelanders 18 to 80 years old.
The response rate was 47.3%. Nine in ten responders believed that regular exercise is an efficacious treatment for depression (92.6%) but supportive interviews came second (82.3%). Seven out of ten believed that antidepressants are efficacious and the same proportion was willing to use antidepressants as a treatment for depression. The strongest predictor of being willing to use antidepressants if depressed was previous use of antidepressants (OR 6.9, 95%CI 3.4 to 13.8), followed by knowing someone well who had been treated with antidepressants (OR 2.3, 95%CI 1.6 to 3.3). Eight out of every 100 responders were taking antidepressants and further 8.3% had previously been on antidepressants for at least 6 weeks. Among past users of antidepressants, 77% felt that the benefits of therapy had outweighed the disadvantages. More knowledge on antidepressants was associated (P=0.007) with willingness to use them.
The majority of adult Icelanders are willing to use antidepressants for depression. The factors influencing their views most strongly are subjects own experience and the experience of close friends or relatives as users.
在冰岛,抗抑郁药的销售数据从1975年每1000人8限定日剂量(DDD)增长到2005年的每1000人95 DDD。
研究冰岛成年人对抗抑郁治疗的看法,并确定对他们的看法形成最具影响力的因素。
对2000名年龄在18至80岁的冰岛人进行随机抽样的全国横断面调查,了解他们对抗抑郁治疗的看法。
回复率为47.3%。十分之九的受访者认为定期锻炼是治疗抑郁症的有效方法(92.6%),但支持性访谈排在第二位(82.3%)。十分之七的人认为抗抑郁药是有效的,同样比例的人愿意使用抗抑郁药来治疗抑郁症。如果抑郁,愿意使用抗抑郁药的最强预测因素是之前使用过抗抑郁药(比值比6.9,95%置信区间3.4至13.8),其次是认识一位接受过抗抑郁药治疗的熟人(比值比2.3,95%置信区间1.6至3.3)。每100名受访者中有8人正在服用抗抑郁药,另有8.3%的人之前服用抗抑郁药至少6周。在过去使用过抗抑郁药的人中,77%认为治疗的益处大于弊端。对抗抑郁药了解更多与愿意使用它们相关(P = 0.007)。
大多数冰岛成年人愿意使用抗抑郁药治疗抑郁症。对他们的看法影响最大的因素是个人自身的经历以及亲密朋友或亲属作为使用者的经历。