{"id":18310,"date":"2015-09-14T16:01:39","date_gmt":"2015-09-14T20:01:39","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18310"},"modified":"2015-09-14T16:01:39","modified_gmt":"2015-09-14T20:01:39","slug":"cultural-economic-factors-affect-european-antidepressant-use","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/09\/cultural-economic-factors-affect-european-antidepressant-use\/","title":{"rendered":"Cultural, economic factors affect European antidepressant use"},"content":{"rendered":"<p>From the King&#8217;s College London media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/vitamins_pills.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-9629\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/vitamins_pills.jpg\" alt=\"drugs\" width=\"300\" height=\"199\" \/><\/a>Public attitudes towards mental illness and levels of healthcare spending <strong>may explain the huge variation in antidepressant use across Europe<\/strong>, according to a new study by researchers from the Institute of Psychiatry, Psychology &amp; Neuroscience (IoPPN) at King&#8217;s College London.<\/p>\n<p>The study, published in the <em>British Journal of Psychiatry<\/em>, found that <strong>antidepressants were prescribed more often and used more regularly in countries with higher levels of healthcare spending<\/strong>. In addition, beliefs that people with a mental illness are &#8216;dangerous&#8217; were associated with higher use, whereas attitudes that they &#8216;never recover&#8217; or &#8216;have themselves to blame&#8217; were associated with lower and less regular use of antidepressants.<\/p>\n<p>This research is the first to examine the reasons behind variation in the prescription practices of antidepressants across Europe.<\/p>\n<p>The King&#8217;s College London research team <strong>used data from the Eurobarometer 2010, a large survey of the general population in 27 European countries, to measure antidepressant prescription and regularity of use<\/strong>. They compared this data to the health expenditure of individual European countries and country-level attitudes towards mental health problems.<\/p>\n<p>There was wide variation in antidepressant use across Europe, <strong>from 16 per cent of the general population in Portugal to only 3 per cent in Greece<\/strong>. In the UK, 9 per cent of the population had used antidepressants in the past 12 months.<\/p>\n<p>It was previously known that there was a high level of variation, despite no evidence of difference in the prevalence of mental health disorders. For example, <strong>previous research had found that doctors in Iceland prescribed 6.4 times as many antidepressants per person as those in Estonia in 2010<\/strong>.<\/p>\n<p>The new King&#8217;s study also confirmed previous findings that women and middle-aged\/older adults are less likely to take antidepressants.<\/p>\n<p>Dr Sara Evans-Lacko, Lecturer in Health Services and Population Research at King&#8217;s College London, said: &#8216;<strong>Our research provides new insights into how social attitudes and government spending on healthcare are associated with antidepressant use<\/strong>.<\/p>\n<p>&#8216;Antidepressant prescriptions are increasing at a rate of 20 per cent every year across Europe as a whole. Finding a balance between overprescription and underprescription of antidepressants is difficult. <strong>We need to address the stigma in countries with low antidepressant prescription to ensure that people who need treatment are able to get it<\/strong>. However, we also need to address the reasons behind the high prescription of antidepressants in some European countries.&#8217;<\/p>\n<p>The study authors suggest that higher use of antidepressants in countries where people with mental illnesses are viewed as &#8216;dangerous&#8217; <strong>may reflect a greater propensity towards help-seeking and more support for coercive treatment<\/strong>.<\/p>\n<p>On the other hand, <strong>living in a country with stronger beliefs that people with mental illness &#8216;have themselves to blame&#8217; or &#8216;never recover&#8217; was associated with a lower likelihood of using antidepressants and lower regularity of use<\/strong>. According to the authors, this might be explained by the view of mental illness as a personality fault or incurable illness, which may reduce the likelihood of seeking out and using medical therapies.<\/p>\n<p>Dr Evans-Lacko added: &#8216;The perception that people with mental illness cannot recover or are blameworthy for their illness appears to be a strong barrier to antidepressant use in some countries. <strong>Countering these beliefs through public health campaigns and other interventions may contribute to more appropriate use of antidepressant medications<\/strong>.&#8217;<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the King&#8217;s College London media release: Public attitudes towards mental illness and levels of healthcare spending may explain the huge variation in antidepressant use across Europe, according to a&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/09\/cultural-economic-factors-affect-european-antidepressant-use\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[345,10,344,358,60],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18310"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18310"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18310\/revisions"}],"predecessor-version":[{"id":18352,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18310\/revisions\/18352"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}