More Than 60 Percent of Clinician Identified Depression Is Over-Diagnosed and Over-Treated
Americans are over-diagnosed and over-treated for depression, according to a new study conducted at the Johns Hopkins Bloomberg School of Public Health. The study examines adults with clinician-identified depression and individuals who experienced major depressive episodes within a 12-month period. It found that when assessed for major depressive episodes using a structured interview, only 38.4 percent of adults with clinician-identified depression met the 12-month criteria for depression, despite the majority of participants being prescribed and using psychiatric medications. The results are featured in the April 2013 issue of Psychotherapy and Psychosomatics.
Currently the single most prescribed drug in the world. More and more doctors are getting huge payouts from pharmaceutical companies to promote these hydrocodone, especially generic drugs. They make up more than 20% of the top prescribed medications.
Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention (CDC), told Fox News that doctors are handing out narcotics like candy. Some doctors are giving patients prescriptions for narcotics for even minor health issues. Depression is one of those conditions often treated with pain medication and it shouldn't be since it can actually cause the condition.
“Depression over-diagnosis and over-treatment is common in the U.S. and frankly the numbers are staggering,” said Ramin J. Mojtabai, PhD, author of the study and an associate professor with the Bloomberg School’s Department of Mental Health. “Among study participants who were 65 years old or older with clinician-identified depression, 6 out of every 7 did not meet the 12-month major-depressive-episodes criteria. While participants who did not meet the criteria used significantly fewer services and treatment contacts, the majority of both groups used prescription psychiatric medication.”
Using a sample of 5,639 participants from the 2009-2010 United States National Survey of Drug Use and Health, Mojtabai assessed clinician-identified depression based on questions about conditions that the participants were told they had by a doctor or other medical professional in the past 12 months. The study indicates that even among participants without a lifetime history of major or minor depression, a majority reported having taken prescription psychiatric medications.
“A number of factors likely contribute to the high false-positive rate of depression diagnosis in community settings, including the relatively low prevalence of depression in these settings, clinicians’ uncertainty about the diagnostic criteria and the ambiguity regarding sub-threshold syndromes,” said Mojtabai. “Previous evidence has highlighted the under-diagnosis and under-treatment of major depression in community settings. The new data suggest that the under-diagnosis and under-treatment of many who are in need of treatment occurs in conjunction with the over-diagnosis and over-treatment of others who do not need such treatment. There is a need for improved targeting of diagnosis and treatment of depression and other mental disorders in these settings.”
"At this critical time, we are called into action to preserve our environment after modern industry's catastrophic impact. Habitat collapse and extinction caused by our willful, greedy, consumptive species is out of control and on a suicidal course. The human unconscious shares tremendous grief and guilt over this destruction, leading to an epidemic of depression medicated with legal and illegal drugs. Humankind must acknowledge its errors, actively grieve and beg forgiveness from Mother Earth. Loving our planet, we realize the miracle of the interdependent Net of Beings, from the tiniest microorganisms to giant whales singing in the deep. Conscious of Worldspirit, we hear the cry of nature and compassionately, wisely, and creatively act to awaken one another to heal what remains of God's gift to us." ~ Alex Grey from Net of Being
April McCarthy is a community journalist playing an active role reporting and analyzing world events to advance our health and eco-friendly initiatives.