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An Analysis on Danish Micro Data - School of Economics and ...

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The introducti<strong>on</strong> to depressi<strong>on</strong> c<strong>on</strong>tains its epidemiology, which analyzes the emergence, the<br />

incidence <strong>and</strong> the course <strong>of</strong> the disease. 5 Furthermore the aetiology, which studies the cause <strong>of</strong><br />

depressi<strong>on</strong>, is described, <strong>and</strong> finally, the treatment <strong>of</strong> depressi<strong>on</strong> is dealt with.<br />

1.2.1 Depressi<strong>on</strong> 6<br />

Historically, mental disorders have been associated with stigma. Although attitudes towards the<br />

mentally ill have been changing, there is still some stigma associated with it. A more stressful daily<br />

life has also c<strong>on</strong>tributed to the increase in people suffering from a mental disorder.<br />

Depressi<strong>on</strong> is a mental disorder where the patient’s mood is changed. The symptoms can vary from<br />

patient to patient. There exist a lot <strong>of</strong> scales to classify mental disorders, which makes it difficult to<br />

compare different studies <strong>of</strong> depressi<strong>on</strong>. 7 Am<strong>on</strong>g others the World Health Organizati<strong>on</strong> (WHO)<br />

compiled a comm<strong>on</strong> disease classificati<strong>on</strong>, which is used for classifying mental disorders. It is<br />

called ICD-10 (Internati<strong>on</strong>al Classificati<strong>on</strong> <strong>of</strong> Diseases, <strong>of</strong> which it is the 10 th revisi<strong>on</strong>) 8 . A pers<strong>on</strong><br />

can be diagnosed with a depressive episode if he or she has had certain symptoms, such as loss <strong>of</strong><br />

interest, loss <strong>of</strong> energy, feelings <strong>of</strong> guilt <strong>and</strong> sleep disturbances for at least two weeks. Furthermore<br />

exclusi<strong>on</strong> <strong>of</strong> organic aetiology is required. Organic aetiology can be a specific disease <strong>of</strong> the brain, a<br />

medical disease or substance abuse that is related to symptoms <strong>of</strong> depressi<strong>on</strong>. 9 <str<strong>on</strong>g>An</str<strong>on</strong>g>y<strong>on</strong>e can <strong>on</strong>ce in<br />

a while suffer from the symptoms menti<strong>on</strong>ed above, but this does not mean they suffer from a<br />

depressi<strong>on</strong>. In case <strong>of</strong> a depressi<strong>on</strong> the symptoms last for at least two weeks, the pers<strong>on</strong> suffers from<br />

at least two <strong>of</strong> the depressive core symptoms <strong>and</strong> at least two <strong>of</strong> the accompanying symptoms. The<br />

course <strong>of</strong> the disease can be modified a lot by treatment, but still depressi<strong>on</strong> can be a lifel<strong>on</strong>g<br />

disease with recurring episodes.<br />

Epidemiology<br />

During the course <strong>of</strong> the last century, depressi<strong>on</strong> has evolved <strong>and</strong> now also strikes younger <strong>and</strong><br />

middle-aged people, where it before mainly occurred in the elderly populati<strong>on</strong>. But still people over<br />

the age <strong>of</strong> 65 have an increased risk <strong>of</strong> developing a depressi<strong>on</strong> that is four times higher than the<br />

rest <strong>of</strong> the populati<strong>on</strong>. According to Psykiatrif<strong>on</strong>den about 20 % <strong>of</strong> the <strong>Danish</strong> populati<strong>on</strong> will<br />

5<br />

Day Poulsen et al. (2004)<br />

6<br />

This secti<strong>on</strong> is based <strong>on</strong> Day Poulsen et al. (2004), a series <strong>of</strong> brochures by Psykiatrif<strong>on</strong>den, Berndt et al. (2002) <strong>and</strong><br />

Frank <strong>and</strong> McGuire (1999).<br />

7<br />

Day Poulsen et al. (2004)<br />

8<br />

Day Poulsen et al. (2004)<br />

9<br />

Day Poulsen et al. (2004)<br />

5

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