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Læknablaðið - 15.12.2009, Síða 29

Læknablaðið - 15.12.2009, Síða 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

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