From: Treatment received and treatment adequacy of depressive disorders among young adults in Finland
Pharmacotherapy | Visits with a 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 | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI |
Gender | Male (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
Female | 1.42 | 0.58-3.49 | 0.89 | 0.34-2.30 | **4.45 | 1.58-12.54 | 2.01 | 0.67-6.01 | 0.97 | 0.30-3.13 | *2.53 | 1.04-6.16 | *3.37 | 1.20-9.46 | 2.15 | 0.86-5.34 | 2.67 | 0.42-17.06 | |
Agegroup | <25 years (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
25-29 years | **0.20 | 0.07-0.57 | *0.30 | 0.10-0.92 | **0.18 | 0.05-0.63 | 0.89 | 0.28-2.81 | 0.32 | 0.09-1.13 | 0.56 | 0.20-1.60 | 0.39 | 0.14-1.14 | 0.36 | 0.13-1.01 | 1.80 | 0.23-14.07 | |
≥30 years | 0.40 | 0.12-1.28 | 0.67 | 0.20-2.27 | 0.36 | 0.09-1.45 | 0.67 | 0.18-2.45 | 0.28 | 0.06-1.27 | 0.61 | 0.18-1.99 | 0.44 | 0.13-1.49 | 0.63 | 0.20-2.02 | 2.43 | 0.23-25.40 | |
Age at the onset of | Continuous | 1.02 | 0.93-1.12 | 1.00 | 0.90-1.11 | 1.08 | 0.97-1.20 | 0.95 | 0.86-1.06 | 1.00 | 0.88-1.14 | 0.98 | 0.90-1.08 | 0.99 | 0.89-1.09 | 0.96 | 0.87-1.05 | 0.95 | 0.79-1.14 |
depression | |||||||||||||||||||
Basic education | Less than high school (ref.) | 1.00 | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | |
High school | 0.78 | 0.36-1.72 | 1.02 | 0.43-2.40 | 0.47 | 0.20-1.14 | 0.57 | 0.23-1.38 | 1.10 | 0.39-3.08 | 1.01 | 0.47-2.18 | 0.80 | 0.36-1.79 | 0.66 | 0.30-1.45 | *0.15 | 0.03-0.86 | |
Major | No (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
depressive disorder | Yes | 1.90 | 0.74-4.87 | 2.66 | 0.81-8.77 | 2.00 | 0.77-5.24 | *5.44 | 1.40-21.12 | 3.21 | 0.66-15.48 | 1.79 | 0.75-4.25 | 1.40 | 0.54-3.63 | 1.59 | 0.63-3.97 | 1.21 | 0.24-6.12 |
Suicide attempts | No (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
Yes | 1.14 | 0.33-3.86 | 0.84 | 0.23-3.15 | 0.88 | 0.19-4.08 | 1.89 | 0.51-6.96 | 1.65 | 0.36-7.66 | 1.74 | 0.47-6.46 | 0.43 | 0.11-1.80 | 0.39 | 0.10-1.43 | *6.73 | 1.10-41.17 | |
Comorbid | No (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
anxiety disorder | Yes | 1.25 | 0.56-2.79 | 1.85 | 0.80-4.27 | 1.72 | 0.67-4.44 | 1.59 | 0.67-3.78 | 1.88 | 0.69-5.12 | 0.78 | 0.35-1.73 | 1.19 | 0.52-2.71 | 0.83 | 0.38-1.83 | 1.66 | 0.44-6.31 |
Comorbid substance | No (ref.) | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - | 1.00 | - |
use disorder | Yes | 2.66 | 0.85-8.32 | 1.91 | 0.57-6.47 | **8.29 | 1.69-40.58 | 2.51 | 0.70-9.02 | 0.99 | 0.22-4.49 | 2.80 | 0.84-9.35 | 1.36 | 0.39-4.78 | 1.75 | 0.56-5.42 | 3.69 | 0.56-24.52 |