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抗抑郁药物消费的国际趋势:十年比较分析(2010 - 2020年)

International Trends in Antidepressant Consumption: a 10-year Comparative Analysis (2010-2020).

作者信息

Peano Alberto, Calabrese Francesco, Pechlivanidis Konstantinos, Mimmo Riccardo, Politano Gianfranco, Martella Manuela, Gianino Maria Michela

机构信息

Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5/Bis, 10126, Turin, Italy.

Medical direction, Santa Croce e Carle Hospital, Cuneo, Italy.

出版信息

Psychiatr Q. 2025 Mar 3. doi: 10.1007/s11126-025-10122-0.

Abstract

The present study aims to analyze country-specific antidepressant consumption rates across 30 OECD countries, comparing them with the OECD average from 2010 to 2020. This analysis examines annual variations in consumption and identifies potential trends over time. Using a retrospective observational design, the study employs pooled secondary data from 30 OECD countries. A time trend analysis was conducted to assess overall and country-specific linear and quadratic trends, modeling the variation in Defined Daily Dose (DDD) per 1,000 inhabitants from 2010 to 2020. Findings reveal a significant increase in antidepressant consumption across most countries. The mean DDD value rose from 52.42 in 2010 to 69.5 in 2020. Three distinct trend patterns emerged: linear, concave, and convex. While 15 countries exhibited a significant linear increase, five showed a plateauing trend, and others experienced exponential growth with a convex trajectory. Denmark was the only country to show a decline in consumption, whereas Norway displayed no significant change over time. These results underscore a notable rise in antidepressant use across most OECD countries, alongside variations in consumption trajectories. By assessing and comparing national consumption rates, this study highlights the importance of international collaboration in addressing mental health challenges and optimizing healthcare accessibility and outcomes.

摘要

本研究旨在分析30个经合组织国家的特定国家抗抑郁药物消费率,并将其与2010年至2020年经合组织的平均水平进行比较。该分析考察了消费的年度变化,并确定了随时间推移的潜在趋势。本研究采用回顾性观察设计,使用了来自30个经合组织国家的汇总二级数据。进行了时间趋势分析,以评估总体和特定国家的线性和二次趋势,对2010年至2020年每1000名居民的限定日剂量(DDD)变化进行建模。研究结果显示,大多数国家的抗抑郁药物消费量显著增加。平均DDD值从2010年的52.42上升到2020年的69.5。出现了三种不同的趋势模式:线性、凹形和凸形。15个国家呈现出显著的线性增长,5个国家呈现出平稳趋势,其他国家则呈现出凸形轨迹的指数增长。丹麦是唯一一个消费量下降的国家,而挪威的消费量随时间没有显著变化。这些结果强调了大多数经合组织国家抗抑郁药物使用量的显著上升,以及消费轨迹的差异。通过评估和比较各国的消费率,本研究强调了国际合作在应对心理健康挑战以及优化医疗可及性和医疗结果方面的重要性。

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