Antidepressant use in 27 European countries: Associations with sociodemographic, cultural and economic factors

Abstract

BackgroundPrescribing of antidepressants varies widely between European countries despite no evidence of difference in the prevalence of affective disorders.AimsTo investigate associations between the use of antidepressants, country-level spending on healthcare and country-level attitudes towards mental health problems.MethodWe used Eurobarometer 2010, a large general population survey from 27 European countries, to measure antidepressant use and regularity of use. We then analysed the associations with country-level spending on healthcare and country-level attitudes towards mental health problems.ResultsHigher country spending on healthcare was strongly associated with regular use of antidepressants. Beliefs that mentally ill people are ‘dangerous' were associated with higher use, and beliefs that they ‘never recover’ or ‘have themselves to blame’ were associated with lower and less regular use of antidepressants.ConclusionsContextual factors, such as healthcare spending and public attitudes towards mental illness, may partly explain variations in antidepressant use and regular use of these medications.