Unmet need for the treatment of depression in Atlantic Canada
Authors: J. M. Starkes, C. C. Poulin, and S. R. Kisely
Objective Most people with depression do not receive treatment, even though effective interventions are available. Population-based data can assist health service planners to improve access to mental health services. This study aimed to examine the determinants of untreated depression in Canada’s Atlantic provinces. Method This study used data from the Canadian Community Health Survey Cycle 1.1. Logistic regression models explored the prevalence of depression and associated patterns of mental health service use among population subgroups. Results Of the respondents, 7.3% experienced major depression in the previous year, as measured by the Composite International Diagnostic Interview Short Form. Individuals with the following characteristics were at increased risk for depression: female sex; widowed, separated, or divorced marital status; low income; and 2 or more comorbid medical conditions. Only 40% of respondents with probable depression reported any consultation about their condition with a general practitioner or mental health specialist. Less than one-quarter of Atlantic Canadians with depression reported receiving levels of care consistent with practice guidelines. Vulnerable groups, including older individuals, people with low levels of education, and those living in rural areas, were significantly less likely to receive treatment in either primary or specialty care. Conclusions These findings suggest inequitable access to services and the need to target interventions to at-risk populations by raising awareness among the public and health care providers. Health systems in the Atlantic region must work toward achieving consistent longitudinal care for a larger proportion of individuals suffering from depression by studying the underlying factors for service use among underserved groups.
Please note that abstracts only appear in the language of the publication and might not have a translation.
Beth Patterson, Hmwe Hmwe Kyu, and Katholiki Georgiades (2013).
Age at immigration to Canada and the occurance of mood, anxiety and substance use disorders
Canadian Journal of Psychiatry , 210-217
Norbert Schmitz, Alain Lesage, and JianLi Wang (2009).
Should psychological distress screening in the community account for self-perceived health status?
Canadian Journal of Psychiatry , 526-533
François L. Thériault, Bryan G. Garber, Franco Momoli, William Gardner, Mark A. Zamorski, and Ian Colman (2019).
Mental health service utilization in depressed Canadian Armed Forces personnel
Canadian Journal of Psychiatry , 59-67
Scott B. Patten, Jeanne V. A. Williams, Dina Lavorato, JianLi Wang, Salma Khaled, and Andrew G. M. Bulloch (2011).
Mortality associated with major depression in a Canadian community cohort
Canadian Journal of Psychiatry , 658-666
Heather Stuart, Scott B. Patten, Michelle Koller, Geeta Modgill, and Tiina Liinamaa (2014).
Stigma in Canada: Results of a rapid response survey
Canadian Journal of Psychiatry , S27-S33
A. Schaffer, J. Cairney, A. Cheung, S. Veldhuizen, P. Kurdyak, and A. Levitt (2009).
Differences in prevalence and treatment for bipolar disorder among immigrants: Results from an epidemiological survey
Canadian Journal of Psychiatry , 734-42
A. Schaffer, J. Cairney, A. Cheung, S. Veldhuizen, and A. J. Levitt (2006).
Community survey of bipolar disorder in Canada: Lifetime prevalence and gender differences
Canadian Journal of Psychiatry , 16-Sep
Shay-Lee Bolton, Tracie O. Afifi, Natalie P. Mota, Murray W. Enns, Ron de Graaf, Ruth Ann Marrie, Scott B. Patten, Lisa M. Lix, and Jitender Sareen (2021).
Patterns of attrition in the Canadian Armed Forces Members and Veterans Mental Health Follow-up Survey (CAFVMHS)
Canadian Journal of Psychiatry , 3-Jan