Treatment received and treatment adequacy of depressive disorders among young adults in Finland

Kasteenpohja, Teija; Marttunen, Mauri; Aalto-Setälä, Terhi; Perälä, Jonna; Saarni, Samuli I; Suvisaari, Jaana

doi:10.1186/s12888-015-0427-8

BMC Psychiatry

Table 4 Disorder-specific factors, comorbid psychiatric disorders, treatments received and dropouts during the most recent depressive episode ⁱ

From: Treatment received and treatment adequacy of depressive disorders among young adults in Finland

				Pharmacotherapy				Visits with physician/a year				Guideline-concordant pharmacotherapy ^c		Sessions of psychotherapy/a year				Minimally adequate treatment ^e		Treatment dropout ^f
				Any ^a		≥2 months		Any ^b		≥4 times				Any ^d		≥8 times
Variable	Category		N	%	N	%	N	%	N	%	N	%	N	%	N	%	N	%	N	%	N
Major	Yes		111	46.9	52	36.1	39	69.8	74	33.0	35	20.7	23	61.8	68	35.5	39	43.2	48	14.8	13
depressive disorder	No		31	32.3	10	14.3	4	58.1	18	12.9	4	6.5	2	51.6	16	25.8	8	32.3	10	18.5	5
		p ^g		0.1476		0.0269		0.2206		0.0290		0.0651		0.3065		0.3142		0.2713		0.7623^h
Duration of	Yes		41	70.7	29	60.0	24	84.6	33	46.2	18	36.6	15	77.5	31	65.0	26	68.3	28	20.6	7
episode >1 year	No		80	28.8	23	18.0	14	60.3	47	18.0	14	8.8	7	48.8	39	21.3	17	26.3	21	9.2	6
		p ^g		<.0001		<.0001		0.0076		0.0013		0.0002		0.0026		<.0001		<.0001		0.1276^h
Suicide attempts	Yes		17	58.8	10	41.2	7	81.3	13	43.8	7	23.5	4	76.5	13	17.7	3	29.4	5	60.0	6
	No		125	41.6	52	30.3	36	65.3	79	26.5	32	16.8	21	57.3	71	35.5	44	42.4	53	11.4	12
		p ^g		0.1791		0.3649		0.2014		0.2360^h		0.5019^h		0.1301		0.1435		0.3067		9.286E-04 ^h
Comorbid	Yes		46	50.0	23	42.2	19	77.8	35	37.8	17	23.9	11	67.4	31	34.8	16	43.5	20	21.1	8
anxiety disorder	No		96	40.6	39	26.4	24	62.0	57	23.9	22	14.6	14	55.8	53	32.6	31	39.6	38	13.0	10
		p ^g		0.2918		0.0614		0.0641		0.0912		0.1719		0.1881		0.7995		0.6586		0.2628
Comorbid	Yes		27	59.3	16	45.8	11	84.0	21	40.0	10	18.5	5	69.2	18	23.1	6	40.7	11	38.9	7
substance use disorder	No		115	40.0	46	28.6	32	63.4	71	25.9	29	17.4	20	57.4	66	35.7	41	40.9	47	11.3	11
		p ^g		0.0694		0.0989		0.0473		0.1576		1.0000^h		0.2666		0.2193		0.9902		0.0080 ^h
Comorbid	Yes		12	50.0	6	33.3	4	90.9	10	45.5	5	25.0	3	50.0	6	41.7	5	41.7	5	11.1	1
eating disorder	No		130	43.1	56	31.5	39	65.1	82	27.0	34	16.9	22	60.5	78	32.6	42	40.8	53	16.0	17
		p ^g		0.6436		1.0000^h		0.1013^h		0.2931^h		0.4432^h		0.5458^h		0.5342^h		1.0000^h		1.0000^h

^aAntidepressant prescribed.
^bAt least 1 visit with a physician a year.
^cAntidepressant used for at least 2 months + 4 visits with a physician a year.
^dAt least 1 session of psychotherapy a year.
^eAntidepressant used for at least 2 months + at least 4 visits with a physician a year or at least 8 sessions of psychotherapy a year or a hospitalization for depressive symptoms lasting for at least 4 days.
^fA participant discontinued the visits despite adequate treatment plan.
^gThe p-values indicate a significance of the difference between categories in a distribution of treatments and dropout tested by χ2- or Fisher’s exact test. P-values < 0.05 in boldface.
^hFisher’s exact test was used in the analysis.
ⁱA bivariate analysis.

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