Descriptive Epidemiology of Major Depressive Disorder in Canada in 2012
Open accessAbstract
Objective: The epidemiology of major depressive disorder (MDD) was first described in the Canadian national population in 2002. Updated information is now available from a 2012 survey: the Canadian Community Health Study—Mental Health (CCHS-MH). Method: The CCHS-MH employed an adaptation of the World Health Organization World Mental Health Composite International Diagnostic Interview and had a sample of n = 25 113. Demographic variables, treatment, comorbidities, suicidal ideation, and perceived stigma were assessed. The analysis estimated adjusted and unadjusted frequencies and prevalence ratios. All estimates incorporated analysis methods to account for complex survey design effects. Results: The past-year prevalence of MDD was 3.9% (95% CI 3.5% to 4.2%). Prevalence was higher in women and in younger age groups. Among respondents with past-year MDD, 63.1% had sought treatment and 33.1% were taking an antidepressant (AD); 4.8% had past-year alcohol abuse and 4.5% had alcohol dependence. Among respondents with past-year MDD, the prevalence of cannabis abuse was 2.5% and that of dependence was 2.9%. For drugs other than cannabis, the prevalence of abuse was 2.3% and dependence was 2.9%. Generalized anxiety disorder was present in 24.9%. Suicide attempts were reported by 6.6% of respondents with past-year MDD. Among respondents accessing treatment, 37.5% perceived that others held negative opinions about them or treated them unfairly because of their disorder. Conclusions: MDD is a common, burdensome, and stigmatized condition in Canada. Seeking help from professionals was reported at a higher frequency than in prior Canadian studies, but there has been no increase in AD use among Canadians with MDD.
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Isolated evidence from various parts of the health care suggests that help-seeking for mental health problems has increased in many developed countries.
“Isolated evidence from various parts of the health care suggests that help-seeking for mental health problems has increased in many developed countries [17–20, 31, 32].”
From Trends in psychiatric diagnoses, medications and psychological therapies in a large Swedish region: A population-based study (2020) · cites this paper as [31]
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- Authors
- Patten, S. B., Williams, J. V. A., Lavorato, D. H., Wang, J. L., McDonald, K., & Bulloch, A. G. M.
- Affiliations
- University of Calgary (CA)
- Associate Professor, Departments of Community Health Sciences and Psychiatry, University of Calgary, Calgary, Alberta; Member, Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta
- Corresponding author
- Patten, Scott B
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-01
- Volume
- 60
- Issue
- 1
- Pages
- 23-30
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC4314053
- OpenAlex
- W601754225
- Cited by
- 190
- References
- 26
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 9 · 2023: 13 · 2022: 11 · 2021: 23 · 2020: 29 · 2019: 26 · 2018: 18 · 2017: 23 · 2016: 21 · 2015: 4
- FWCI
- 36.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mental Health Commission
- Alberta Innovates
- Canadian Institutes of Health Research (130415_1)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Keywords
- major depressive disorder, prevalence, suicide attempts, suicidal ideation, mental health stigma, antidepressant use, treatment seeking, comorbidities, alcohol abuse, cannabis use disorder, generalized anxiety disorder, sex differences, age differences
- MeSH terms
- Age Factors, Antidepressive Agents, Canada, Demography, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Mental Health, Middle Aged, Risk Factors, Socioeconomic Factors, Suicide, Attempted, Comorbidity, Prevalence, Suicidal Ideation
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