Prevalence of common mental disorders in widowhood

A systematic review and meta-analysis

Christina Blanner Kristiansen*, Jesper Nørgaard Kjær, Peter Hjorth, Kjeld Andersen, A. Matthew Prina

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Resumé

BACKGROUND: Widowed people have a high risk of common mental disorders, however no summary estimates of the prevalences exist. The aim of this study was to conduct a systematic review and meta-analysis of the prevalence of common mental disorders in widowed people in the community.

METHODS: MEDLINE, Embase and PsycInfo were searched for papers reporting on prevalence of common mental disorders and widowhood. Eligible studies were included in random effects meta-analyses of the prevalence of depression and anxiety disorders. Subgroup analyses were performed on method of assessment of depression and age and sex.

RESULTS: The literature search identified 13,781 titles of which 42 were eligible for meta-analysis. The pooled prevalence of depression in studies using a screening scale was 40.6% (33.6%-47.6%) (n = 30). For studies using full diagnostic criteria the pooled prevalence of depression was 19.2% (13.4%-25.0%) (n = 12). Subgroup analyses of age (≥ or < 65) and sex did not show any differences regarding depression. Five studies reported the prevalence of anxiety disorders. The pooled prevalence estimate was 26.9% (8.1%-45.7%).

LIMITATIONS: The prevalence estimates in this study are summary estimates of prevalences from existing literature. Although the reporting bias assessment showed no evidence, there could be some reporting bias, as studies might only present results if there is a high prevalence.

CONCLUSIONS: Widowed people have a high prevalence of depression and anxiety disorders. The high prevalence of depression was independent of age and sex. The study identifies a population group at high risk needing special attention in clinical practice.

OriginalsprogEngelsk
TidsskriftJournal of Affective Disorders
Vol/bind245
Sider (fra-til)1016-1023
ISSN0165-0327
DOI
StatusUdgivet - 15. feb. 2019

Fingeraftryk

Widowhood
Meta-Analysis
Depression
MEDLINE
Cross-Sectional Studies

Citer dette

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title = "Prevalence of common mental disorders in widowhood: A systematic review and meta-analysis",
abstract = "BACKGROUND: Widowed people have a high risk of common mental disorders, however no summary estimates of the prevalences exist. The aim of this study was to conduct a systematic review and meta-analysis of the prevalence of common mental disorders in widowed people in the community.METHODS: MEDLINE, Embase and PsycInfo were searched for papers reporting on prevalence of common mental disorders and widowhood. Eligible studies were included in random effects meta-analyses of the prevalence of depression and anxiety disorders. Subgroup analyses were performed on method of assessment of depression and age and sex.RESULTS: The literature search identified 13,781 titles of which 42 were eligible for meta-analysis. The pooled prevalence of depression in studies using a screening scale was 40.6{\%} (33.6{\%}-47.6{\%}) (n = 30). For studies using full diagnostic criteria the pooled prevalence of depression was 19.2{\%} (13.4{\%}-25.0{\%}) (n = 12). Subgroup analyses of age (≥ or < 65) and sex did not show any differences regarding depression. Five studies reported the prevalence of anxiety disorders. The pooled prevalence estimate was 26.9{\%} (8.1{\%}-45.7{\%}).LIMITATIONS: The prevalence estimates in this study are summary estimates of prevalences from existing literature. Although the reporting bias assessment showed no evidence, there could be some reporting bias, as studies might only present results if there is a high prevalence.CONCLUSIONS: Widowed people have a high prevalence of depression and anxiety disorders. The high prevalence of depression was independent of age and sex. The study identifies a population group at high risk needing special attention in clinical practice.",
keywords = "Anxiety disorders, Common mental disorders, Depression, Epidemiology, Systematic review meta-analysis, Widowhood, Prevalence, Humans, Male, Depressive Disorder/epidemiology, Widowhood/psychology, Anxiety Disorders/epidemiology, Sex Distribution, Female",
author = "{Blanner Kristiansen}, Christina and Kj{\ae}r, {Jesper N{\o}rgaard} and Peter Hjorth and Kjeld Andersen and Prina, {A. Matthew}",
note = "Copyright {\circledC} 2018. Published by Elsevier B.V.",
year = "2019",
month = "2",
day = "15",
doi = "10.1016/j.jad.2018.11.088",
language = "English",
volume = "245",
pages = "1016--1023",
journal = "Journal of Affective Disorders",
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Prevalence of common mental disorders in widowhood : A systematic review and meta-analysis. / Blanner Kristiansen, Christina; Kjær, Jesper Nørgaard; Hjorth, Peter; Andersen, Kjeld; Prina, A. Matthew.

I: Journal of Affective Disorders, Bind 245, 15.02.2019, s. 1016-1023.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

TY - JOUR

T1 - Prevalence of common mental disorders in widowhood

T2 - A systematic review and meta-analysis

AU - Blanner Kristiansen, Christina

AU - Kjær, Jesper Nørgaard

AU - Hjorth, Peter

AU - Andersen, Kjeld

AU - Prina, A. Matthew

N1 - Copyright © 2018. Published by Elsevier B.V.

PY - 2019/2/15

Y1 - 2019/2/15

N2 - BACKGROUND: Widowed people have a high risk of common mental disorders, however no summary estimates of the prevalences exist. The aim of this study was to conduct a systematic review and meta-analysis of the prevalence of common mental disorders in widowed people in the community.METHODS: MEDLINE, Embase and PsycInfo were searched for papers reporting on prevalence of common mental disorders and widowhood. Eligible studies were included in random effects meta-analyses of the prevalence of depression and anxiety disorders. Subgroup analyses were performed on method of assessment of depression and age and sex.RESULTS: The literature search identified 13,781 titles of which 42 were eligible for meta-analysis. The pooled prevalence of depression in studies using a screening scale was 40.6% (33.6%-47.6%) (n = 30). For studies using full diagnostic criteria the pooled prevalence of depression was 19.2% (13.4%-25.0%) (n = 12). Subgroup analyses of age (≥ or < 65) and sex did not show any differences regarding depression. Five studies reported the prevalence of anxiety disorders. The pooled prevalence estimate was 26.9% (8.1%-45.7%).LIMITATIONS: The prevalence estimates in this study are summary estimates of prevalences from existing literature. Although the reporting bias assessment showed no evidence, there could be some reporting bias, as studies might only present results if there is a high prevalence.CONCLUSIONS: Widowed people have a high prevalence of depression and anxiety disorders. The high prevalence of depression was independent of age and sex. The study identifies a population group at high risk needing special attention in clinical practice.

AB - BACKGROUND: Widowed people have a high risk of common mental disorders, however no summary estimates of the prevalences exist. The aim of this study was to conduct a systematic review and meta-analysis of the prevalence of common mental disorders in widowed people in the community.METHODS: MEDLINE, Embase and PsycInfo were searched for papers reporting on prevalence of common mental disorders and widowhood. Eligible studies were included in random effects meta-analyses of the prevalence of depression and anxiety disorders. Subgroup analyses were performed on method of assessment of depression and age and sex.RESULTS: The literature search identified 13,781 titles of which 42 were eligible for meta-analysis. The pooled prevalence of depression in studies using a screening scale was 40.6% (33.6%-47.6%) (n = 30). For studies using full diagnostic criteria the pooled prevalence of depression was 19.2% (13.4%-25.0%) (n = 12). Subgroup analyses of age (≥ or < 65) and sex did not show any differences regarding depression. Five studies reported the prevalence of anxiety disorders. The pooled prevalence estimate was 26.9% (8.1%-45.7%).LIMITATIONS: The prevalence estimates in this study are summary estimates of prevalences from existing literature. Although the reporting bias assessment showed no evidence, there could be some reporting bias, as studies might only present results if there is a high prevalence.CONCLUSIONS: Widowed people have a high prevalence of depression and anxiety disorders. The high prevalence of depression was independent of age and sex. The study identifies a population group at high risk needing special attention in clinical practice.

KW - Anxiety disorders

KW - Common mental disorders

KW - Depression

KW - Epidemiology

KW - Systematic review meta-analysis

KW - Widowhood

KW - Prevalence

KW - Humans

KW - Male

KW - Depressive Disorder/epidemiology

KW - Widowhood/psychology

KW - Anxiety Disorders/epidemiology

KW - Sex Distribution

KW - Female

U2 - 10.1016/j.jad.2018.11.088

DO - 10.1016/j.jad.2018.11.088

M3 - Review

VL - 245

SP - 1016

EP - 1023

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

ER -