Friday, 12 August 2011

The incidence of depression, according ...

The incidence of depression, according to the WHO, 3%. Depression is more common among women. Increased frequency of indicators of depression explain social stressors, increases in longevity, evolutionary and therapeutic pathomorphism and other causes, among which the most likely interpretation of this phenomenon acquired changes in the organization and forms of psychiatric care. First of all it concerns the expansion and optimization of outpatient mental health facilities and services. Implementation of consultative psychiatric services in inpatient and outpatient units of general medical practice has also led to increased detection of depressive disorders, especially their atypical forms associated with somatic disorders. Extensive coverage of these forms of depressive disorders not only in the psychiatric and medical literature, but also in the media contributed to the acquisition of new knowledge on depression by physicians of different specialties, as well as awareness of patients and the general population. This led to the fact that in some cases, patients with these disorders have their own appeal for help, assuming that their somatic complaints and disorder, not confirmed by the results of the survey, explained the particular manifestations of depression. As stated in the WHO report on health in the world in 2001 [1], depression carry the enormous burden for society and for the patient, significantly impairing quality of life and often leading to disability. At young ages, the burden of losses due to disability on depressive illness is 8.6% of the number of years of life lost due to disability. In the new century is expected to increase the burden of depression to society. Depression will, according to experts' forecasts, the second place among the leading factors that determine the number of years of life lost due to disability, and will concede on this characteristic only of coronary heart disease. Relapse rate in the case of recovery from depression after the first episode is about 35% during the first two years and about 60% over 12 years. This figure increases in patients older than 45 years. Everyone knows that the most tragic outcome of depression is suicide. Approximately 15-20% of patients with depression commit suicide. Suicides attributed to the outcomes of depression, warning that the most achievable. Depression can affect people at different ages of life, but most often occurs in adulthood. Nevertheless, more and more evidence shows the frequency of depression in adolescence and adolescence. At this age, depression is often masked by not only the somatic symptoms, but also various other forms of disorders, including forms of delinquent behavior. The children at an earlier age, in addition to conduct disorder, tearfulness, irritability, depression find their expression in somatic complaints, vegetative symptoms of asthenic disorders with loss of gaming activity infant liveliness, unexplained fluctuations in performance.

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