Original scientific paper

DEPRESSION PREVALENCE AND ESTIMATION OF PSYCHOSOCIAL PARAMETERS WITHIN ADULT POPULATION IN CITY OF ZAGREB

Stanislava Stojanović-Špehar ; Andrija Štampar School of Public Health, Zagreb University School of Medicine, Zagreb, Croatia
Sanja Blažeković-Milaković ; Andrija Štampar School of Public Health, Zagreb University School of Medicine, Zagreb, Croatia
Vjekoslava Amerl-Šakić ; Andrija Štampar School of Public Health, Zagreb University School of Medicine, Zagreb, Croatia
Nejra Kolić ; Andrija Štampar School of Public Health, Zagreb University School of Medicine, Zagreb, Croatia
Svjetlana Šupe ; Department of Neurology, Zagreb University Hospital Centre, Kišpatićeva 12, Zagreb, Croatia

Abstract

Background: There is no data on depression prevalence in Croatia. The aim of this study was to establish the prevalence and psychosocial risk factors of depression in the adult population of the Croatian capital Zagreb, particularly in patients suffering from Depressive episode (F32) and Recurrent depressive disorder (F33).
Subjects and methods: A cross-sectional study was preformed on a
representative sample for city of Zagreb drawn from 10 family physicians’ offices with 17290 patients. From standardized medical files, the family physicians sorted out data of patients with depression, both Depressive episodes (F32) and Recurrent
depressive disorder (F33), classified according to ICD 10. Psychosocial parameters were assessed according to the core questions for the management of psychosocial risk factors recommended by the European Guidelines on Cardiovascular Disease
Prevention in Clinical Practice.
Results: The prevalence of depression was 2.2%. Recognized socioeconomical parameters were: female sex (74.7%), middle age 45-65 years (40.7%), married (55.3%), high school education (59.2%), retired (54.5%), and average economical status (73.6%). As regards social isolation: depressive patients were not living
alone (71.5%), they had help in case of illness (80.9%), and had no problems with their partner (36.8%). Work stress parameters were estimated between 5 and 6. Life satisfaction was estimated mean ± SD=4.57±1.72. Logistic regression analysis showed a significant association between higher education and physicians’ perception as “more depressed and more difficult” patients with Recurrent
depressive disorder (F33). Family physicians were unfamiliar with the genealogical disease burden for 45% of depressive patients, whether they had closed confident for 21.93% and problems with partner for 30.80%.
Conclusion: Depression had a prevalence of 2.2%. It was poorly recognized, as were some psychosocial factors especially genealogical disease burden. This suggests the need for implementation of special intervention methods of developing
the family physicians‘skills in adopting the psychosocial approach to depressive patients with a focus on recognized psychosocial risk factors.

Keywords

depression; psychosocial factors; family physicians

Hrčak ID:

49588

URI

https://hrcak.srce.hr/49588

Publication date:

25.8.2009.

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