The Lancet: 5% of adults suffer from depression, more than half are undiagnosed

Depression, the most common psychiatric disorder among those who die by suicide, carries a 20-fold higher risk of dying by suicide than standardized mortality.

The above data come from the "Major Report of the World Psychiatric Association on Depression" published by The Lancet.Mini Sex Dolls The report also noted that in high-income countries, about half of people with depression are undiagnosed or untreated, while in low- and middle-income countries, this proportion reaches 80-90%.

Depression is on the rise, but it's still not understood

Depression is already a common disease worldwide. Depression is a specific health problem that is persistent, has a significant impact on daily life, and has long-term health consequences, the report states.TPE Sexpuppen

The type and prevalence of depressive symptoms and manifestations vary across cultures and populations. Among them, the risk of depression is higher in disadvantaged environments, including poverty, violence, displacement, and gender, racial and other forms of discrimination.

Approximately 4.7% (95% uncertainty interval, 4.4 to 5.0) of the population experienced depression during any one-year period, the report stated. In the World Mental Health Survey, the median age of onset of depression in high-income countries is 26 years (IQR 17-37), and in low- and middle-income countries it is 24 years (IQR 17-35).

According to a retrospective report of community epidemiological surveys of adults aged 18-74 in 28 countries, the average lifetime prevalence of depression is 10.6% (IQR 6-14). The lifetime prevalence of major depressive disorder is much higher, almost 30-40%.

Depression is associated with, and increases the prevalence of, a variety of chronic physical illnesses. Other studies have confirmed that depression is a highly burdensome disease, leading to increased public health burden, service cost and use, and mortality.

DALYs for depression reported ranged from 0.145 (mild), 0.396 (moderate) and 0.658 (severe), with the highest weighting equivalent to the most severe medical condition

Global excess mortality estimates suggest that there are more than 22 million excess deaths among people with depression, with a disproportionately high mortality rate among older adults with comorbid cardiovascular disease.

In contrast, 70-80% of suicide deaths in high-income countries and about half of suicide deaths in low- and middle-income countries suffer from mental illness, with depression being the most common cause.Mollige Sexpuppe

Depression takes a huge and underappreciated social and economic toll on individuals, families, communities and nations. Before the COVID-19 pandemic, loss of economic productivity associated with depression cost the global economy $1 trillion per year.

"Arguably, there is no physical disease as common, as burdening, pervasive, and fully treatable as depression, yet it has received little policy attention and social resources," report co-chair, Rio do Sul, Brazil Associate Professor Christian Kieling of the Grand Federal University said.

Prevention is crucial and requires the joint investment of the whole society

Health workers around the world, including those in low- and middle-income countries, acknowledge that stigmatizing people with depression often correlates with low recognition of depression or poor quality of care. This stigmatizing attitude can lead to diagnostic cover-up: when patients present with somatic symptoms, health workers may treat the somatic problem while ignoring related mental health issues such as depression. Additionally, a study suggests that parents' handling of teen depression can also be influenced by their own stigmatized attitudes and lack of understanding about depression.

Therefore, the study points to literacy and stigma-reduction interventions for depressed populations and their relatives, which are important for adolescents whose depression occurs early in life.

Depression is a complex disorder that varies in symptoms and signs, severity, and duration across cultures and life courses. The report supports an individualized, phased approach to depression care.Torso Sexpuppen

For example, clarifying the chronology and intensity of symptoms and recommending interventions based on the specific needs of the individual and the severity of the condition range from self-help and lifestyle changes to psychotherapy and antidepressants to more intensive and specialized treatments such as Electroconvulsive therapy (ECT) for severe, treatment-resistant depression.

"No two people have exactly the same life stories and circumstances, which ultimately lead to unique experiences of depression and different needs for help, support and treatment," explains report co-chair Professor Vikram Patel, Harvard Medical School, USA road.

The report believes that the ongoing and growing global depression crisis has not been resolved, and calls on the whole society to take joint countermeasures to alleviate the global burden of depression.

Anime Sexpuppe