Cited by 168Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPrimary Care and Health Outcomes

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Recent trends in the incidence of recorded depression in primary care

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Rait, Greta, Walters, Kate, Griffin, Mark, Buszewicz, Marta, Petersen, Irene, Nazareth, Irwin·2009·British Journal of Psychiatry

DOI 10.1192/bjp.bp.108.058636

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Abstract

Background: There is a paucity of data describing how general practitioners (GPs) label or record depression. Aims: To determine incidence and sociodemographic variation in GP-recorded depression diagnoses and depressive symptoms. Method: Annual incidence rates calculated using data from 298 UK general practices between 1996 and 2006, adjusted for year of diagnosis, gender, age and deprivation. Results: Incidence of diagnosed depression fell from 22.5 to 14.0 per 1000 person-years at risk (PYAR) from 1996 to 2006. The incidence of depressive symptoms rose threefold from 5.1 to 15.5 per 1000 PYAR. Combined incidence of diagnoses and symptoms remained stable. Diagnosed depression and symptoms were more common in women and in more deprived areas. Conclusions: Depression recorded by general practitioners has lower incidence rates than depression recorded in epidemiological studies, although there are similar associations with gender and deprivation. General practitioners increasingly use symptoms rather than diagnostic labels to categorise people's illnesses. Studies using standardised diagnostic instruments may not be easily comparable with clinical practice.

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Authors: Rait, G., Walters, K., Griffin, M., Buszewicz, M., Petersen, I., & Nazareth, I.
Affiliations: University College London (GB)
Corresponding author: Rait, Greta
ORCID: Rait, Greta
Walters, Kate
Buszewicz, Marta
Petersen, Irene
Nazareth, Irwin
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2009-12
Volume: 195
Issue: 6
Pages: 520-524
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.bp.108.058636
OpenAlex: W2006000121
Cited by: 168
References: 39
Citations by year: 2026: 2 · 2025: 3 · 2024: 10 · 2023: 17 · 2022: 7 · 2021: 7 · 2020: 5 · 2019: 12 · 2018: 9 · 2017: 13 · 2016: 18 · 2015: 10 · 2014: 9 · 2013: 12 · 2012: 13
FWCI: 14.74
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 2954 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: University College London
Medical Research Council
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords: depression, depressive symptoms, incidence, general practitioners, primary care, sociodemographic variation, gender differences, socioeconomic deprivation, clinical practice
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Depressive Disorder, Family Practice, Female, United Kingdom, Humans, Male, Medical Records, Middle Aged, Practice Patterns, Physicians', Socioeconomic Factors, Incidence, Age Distribution, Young Adult

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