Abstract
Background and Objective:Web-based screening of depressive symptoms in general non-clinical population can provide better insights into actual prevalence of depressive symptoms and associated risk factors. To study the current prevalence of depressive symptoms in Russian non-clinical population we conducted screening using an online survey based on Depression subscale of Hospital Anxiety and Depression Scale (HADS-D).Methods:The online survey covered 2610 Russian-speaking respondents and included HADS-D, questions about sex, age and presence of cardiovascular diseases (CVD) diagnoses or symptoms in respondents.Results:The proportion of respondents with depressive symptoms, estimated by online HADS-D, was 14.4% (11.5% - at subclinical level, 2.9% - at clinical level). The overall HADS-D score was higher in women (p=0.003), in young individuals under 30 y.o vs. participants over 42 y.o. (p=0.004) and in individuals with self-reported CVD symptoms (p=0.00002). Linear regression analysis showed that self-reported CVD symptoms increase HADS-D score (p<0.001), but male sex (p=0.002) and older age (p<0.001) decrease it. Logistic regression showed that CVD symptoms increase the risk of depressive symptoms by HADS-D (p=0.033, OR=1.29), but older age (p=0.015, OR=0.87) and male sex (as a trend, p=0.052, OR=0.80) decrease this risk.Conclusion:Online survey based on HADS-D showed new patterns of depressive symptoms prevalence in Russian non-clinical population. Depressive symptoms prevalence did not differ between men and women and was higher among young people. The reported association between depressive symptoms and CVD was confirmed.
Highlights
Depression is one of the most common mental disorders
Online survey based on Hospital Anxiety and Depression Scale (HADS)-D showed new patterns of depressive symptoms prevalence in Russian non-clinical population
An online survey based on HADS-D has never been used before for depressive symptoms screening in the general population
Summary
The data accumulated over the years of using HADS have shown that this scale is a fairly reliable tool for screening anxiety and depression in general practice patients [5]. Due to its simple structure HADS is suitable for online use, which will simplify the data collection procedure, potentially preserving the accuracy of the tool in its ability to detect depressive disorders in the general population. An online survey based on HADS-D has never been used before for depressive symptoms screening in the general population. To study the current prevalence of depressive symptoms in Russian non-clinical population we conducted screening using an online survey based on Depression subscale of Hospital Anxiety and Depression Scale (HADS-D)
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