Læknablaðið - 15.12.2009, Blaðsíða 29

FRÆÐIGREINAR
RANNSÓKN
Heimildir
1. www.tr.is og gögn fengin frá Ingu Arnardóttur lyfiafræðingi
hjá TR árið 2004.
2. Helgason T, Tómasson H, Sigfússon E, Zoega T. Skimun fyrir
algengi geðraskana 1984 og 2002 og ávísanir geðlyfja 1984 og
2001. Læknablaðið 2004; 90: 553-9.
3. Sigfússon E. Tíundi hver íslendingur notar þunglyndislyf.
Læknablaðið 2004; 90: 267.
4. Heigason T, Tómasson H, Zoéga T. Antidepressants and
pubíic health in Iceland. Time series analysis of national data.
Br ] Psychiatry 2004; 184:157-62.
5. Sartorius N. Fighting stigma: theory and practice. Worid
Psychiatry 2002; 1: 26-7.
6. Angermeyer MC, Dietrich S. Pubiic beliefs about and
attitudes towards people with mental illness: a review of
population studies. Acta Psychiatr Scand 2006; 113:163-79.
7. Jorm AF, Kelly CM, Wright A, Parslow RA, Harris MG,
McGorry PD. Belief in dealing with depression alone: results
from community surveys of adolescents and adults. J Affect
Disord 2006; 96: 59-65.
8. Jorm AF, Christensen H, Griffiths KM. Belief in the
harmfulness of antidepressants: results from a national
survey of the Australian public. J Affect Disord 2005; 88: 47-
53.
9. Hoencamp E, Stevens A, Haffmans J. Patients' attitudes
toward antidepressants. Psychiatric Service 2002; 53:1180-1.
10. Althaus D, Stefanek J, Hasford J, Hegerl U. Knowledge and
attitude of the general public regarding symptoms, etiology
and possible treatments of depressive illnesses. Nervenarzt
2002; 73: 659-64.
11. National Institute for Clinical Excellence. Depression:
management of depression in primary and secondary care.
Clinical guideline 23. London: NICE, 2004.
12. Helgason T, Tómasson H, Zoéga T. Algengi og dreifing
notkunar geðdeyfðar-, kvíða- og svefnlyfja. Læknablaðið
2003; 89:15-22.
13. Murray C, Lopez A. The global burden of disease. Harvard
University Press, Cambridge MA 1996.
14. Chung S. Does the use of SSRIs reduce the medical care
utilization and expenditures? J Ment Health Policy Econ
2005; 8:119-29.
15. www.clinicalevidence.org
16. Tylee A, Gastpar M, Lepine JP, Mendlewicz J. DEPRES II
(Depression Research in European Society II): a patient survey
of the symptoms, disability and current management of
depression in the community. DEPRES Steering Committee.
Int Clin Psychopharmacol 1999; 14:139-51.
Public views on antidepressant treatment: lessons from a national survey
Background: In lceland antidepressant sales figures rose
from 8 Defined Daily Doses (DDD) per 1000 subjects in
1975 to 95 DDD/1000 in 2005.
Aims: To examine the views of adult lcelanders on
antidepressant treatment and to identify the factors most
influential in shaping their views.
Methods: Cross-sectional national survey of views on
antidepressant treatment in a randomly drawn sample of
2000 lcelanders 18 to 80 years old.
Results: 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%C11.6 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.
Conclusion: The majority of adult lcelanders 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.
Sigurdsson E, Olafsdottir Th, Gottfredsson M.
Public views on antidepressant treatment: lessons from a national survey. Icel Med J 2009; 95:837-41
Key words: antidepressants, depression, treatment, survey, population-based.
Correspondence: Engilbert Sigurðsson, engilbs@landspitali.is
Abridged version of the original article, with permission of the journal: Nord J Psychiatry 2008; 62:374-8.
Barst: 14. október 2009, - samþykkt til birtingar: 30. október 2009
LÆKNAblaðið 2009/95 841
ENGLISH SUMMARY