The public perception of depression in Spain
DOI:
https://doi.org/10.23938/ASSN.0590Keywords:
Depresión, Encuesta de opinión, Actitudes, Trastornos afectivos, EspañaAbstract
Background. Depression is one of the main causes of disability worldwide. The aim of this study was to determine the opinions of the Spanish population regarding this disease, its relation to suicide, its symptoms, its causes, the people who suffer from it, the professionals who treat it and antidepressant medication
Methods. A questionnaire designed by experts was administered to a representative sample of 1,700 people aged 18 and over in all Spanish autonomous communities using multistage sampling procedure, stratified by clusters, with a random selection of municipalities and population by sex, age and economic activity in a representative way at a national level.
Results. Eighteen percent of the people surveyed said they had depression or had suffered from it previously, 86% thought of it is a disease and 85% considered it to be a cause of suicide. The most well-known symptoms (>95%) were sadness and apathy. The people surveyed expressed certain stigmatizing attitudes towards people who suffer from it (60% unstable and 49% weak) and most stated that the causes of this disease are of external origin (95% due to adverse life events), thought that a psychologist is a more appropriate health specialist for treating depression than a psychiatrist (47 vs. 29%) and that antidepressant medication generates dependency (72%) despite being effective (62%); 67% of depressed patients reported taking it.
Conclusions. It is suggested that the relevant health administrations should conduct campaigns aimed at informing the public about the true nature of depression, to reduce stigmatizing attitudes and to clarify the efficacy and possible adverse effects of antidepressant medication.
Keywords. Depression. Public opinion survey. Attitudes. Affective disorders. Spain.
Downloads
References
Organización Mundial de la Salud. Depresión. http://www.who.int/mediacentre/factsheets/fs369/es/. Consultado el 9 de enero de 2019.
Instituto Nacional de Estadística. Encuesta Europea de Salud en España. Dhttp://www.ine.es/prensa/np937.pdf. Consultado el 9 de enero de 2019.
ROCA M, GILI M, GARCÍA-GARCÍA M, SALVA J, VIVES M, GARCÍA CAMPAYO J et al. Prevalence and comorbidity of common mental disorders in primary care. J Affect Disord 2009; 119: 52-58. https://doi.org/10.1016/j.jad.2009.03.014
SOBOCKI P, JÖNSSON B, ANGST J, REHNBERG C. Cost of depression in Europe. J Ment Health Policy Econ 2006; 9: 87-98.
American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC: Author; 2013.
GILI M, ROCA M, BASU S, MCKEE M, STUCKLER D. The mental health risks of economic crisis in Spain: Evidence from primary care centres, 2006 and 2010. Eur J Public Health 2013; 23:103-108. https://doi.org/10.1093/eurpub/cks035
CASTELLÓN-LEAL E, IBERN-REGÀS P, GILI-PLANAS M, LAHERA-FORTEZA G, SANZ-GONZÁLEZ J, SAIZ-RUIZ J. El abordaje de la depresión en el ámbito del trabajo: recomendaciones clave. Psiquiatr Biológica 2016; 23: 112-117. https://doi.org/10.1016/j.psiq.2016.08.003
PRIEST RG, VIZE C, ROBERTS A, ROBERTS M, TYLEE A. Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch. BMJ 1996; 313: 858-859. https://doi.org/10.1136/bmj.313.7061.858
SCHOMERUS G, MATSCHINGER H, ANGERMEYER MC. Public beliefs about the causes of mental disorders revisited. Psychiatry Res 2006; 144: 233-236. https://doi.org/10.1016/j.psychres.2006.05.002
MUNIZZA C, ARGENTERO P, COPPO A, TIBALDI G, DI GIANNANTONIO M, PICCI RL et al. Public beliefs and attitudes towards depression in Italy: A National Survey. PLoS One 2013; 8: e63806. https://doi.org/10.1371/journal.pone.0063806
COPPENS E, VAN AUDENHOVE C, SCHEERDER G, ARENSMAN E, COFFEY C, COSTA S et al. Public attitudes toward depression and help-seeking in four european countries baseline survey prior to the OSPI-Europe intervention. J Affect Disord 2013; 150: 320-329. https://doi.org/10.1016/j.jad.2013.04.013
COMAS A, ÁLVAREZ E. Conocimiento y percepción de la depresión entre la población española. Actas Esp Psiquiatr 2004; 32: 371-376.
ECONOMOU M, BERGIANNAKI JD, PEPPOU LE, KARAYANNI I, SKALKOTOS G, PATELAKIS A et al. Attitudes towards depression, psychiatric medication and help-seeking intentions amid financial crisis: Findings from Athens area. Int J Soc Psychiatry 2016; 62: 243-251. https://doi.org/10.1177/0020764015626188
NAKANE Y, JORM AF, YOSHIOKA K, CHRISTENSEN H, NAKANE H, GRIFFITHS KM. Public beliefs about causes and risk factors for mental disorders: A comparison of Japan and Australia. BMC Psychiatry 2005; 5. https://doi.org/10.1186/1471-244X-5-33
ANGERMEYER MC, VAN DER AUWERA S, CARTA MG, SCHOMERUS G. Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: A systematic review and meta-analysis of population surveys. World Psychiatry 2017; 16: 50-61. https://doi.org/10.1002/wps.20383
BHUGRA D, SARTORIUS N, FIORILLO A, EVANS-LACKO S, VENTRIGLIO A, HERMANS MHM et al. EPA guidance on how to improve the image of psychiatry and of the psychiatrist. Eur Psychiatry 2015; 30: 423-430. https://doi.org/10.1016/j.eurpsy.2015.02.003
DIETRICH S, MERGL R, FREUDENBERG P, ALTHAUS D, HEGERL U. Impact of a campaign on the public’s attitudes towards depression. Health Educ Res 2010; 25: 135-150. https://doi.org/10.1093/her/cyp050
PAYKEL ES, HART D, PRIEST RG. Changes in public attitudes to depression during the Defeat Depression Campaign. Br J Psychiatry 1998; 173: 519-522. https://doi.org/10.1192/bjp.173.6.519
JORM AF, CHRISTENSEN H, GRIFFITHS KM. The impact of beyondblue: The national depression initiative on the Australian public’s recognition of depression and beliefs about treatments. Aust N Z J Psychiatry 2005; 39: 248-254. https://doi.org/10.1080/j.1440-1614.2005.01561.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Anales del Sistema Sanitario de Navarra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.