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Epidemiology


  • Introduction
  • Terminology
  • Definitions
  • Diagnosis
  • Epidemiology
  • Aetiology
  • Prognosis
  • Management

The epidemiology of recurrent depressive and bipolar affective disorders are summarised in the table below.

 

Recurrent Depressive Disorder

Bipolar Affective Disorder

Sex ratio (M:F)

1:2

equal

Social class

greater in lower socio-economic class

no social class differences

Prevalence

male = 2-3%; female = 2-9%

less than 0.3%

Lifetime risk

male = 10%; female = 20%

1%

Age

onset - 50% before the age of 40 years
peak age - 25-40 (50-70 when psychotic features)

both onset and peak age is in the late 20's to early 30's

Other factors

urban population > rural

more episodes than for recurrent depression but they tend to be shorter
in the majority first episode is depressive
10-20% experience only manic episodes

It is probably worth while at this point to consider the epidemiology of suicide.

  • There are between 4000-8000 deaths in the England and Wales per year (as compared to around 5000 road deaths).
  • There are in excess of (probably greatly) 150 000 attempted suicides per year.
  • 15% of those with depression die by suicide.

 

 

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