Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-19T13:46:44.728Z Has data issue: false hasContentIssue false

Outcomes of Depression International Network (ODIN)

Background, methods and field trials

Published online by Cambridge University Press:  03 January 2018

Christopher Dowrick*
Affiliation:
Department of Primary Care, University of Liverpool, UK
Patricia Casey
Affiliation:
Department of Psychiatry, University College Dublin, Ireland
Odd Dalgard
Affiliation:
Oslo, Norway
Clemens Hosman
Affiliation:
Department of Clinical Psychology, University of Nijmegen, Netherlands
Ville Lehtinen
Affiliation:
Turku, Finland
José-Luis Vázquez-Barquero
Affiliation:
Santander, Spain
Greg Wilkinson
Affiliation:
Department of Psychiatry, University of Liverpool, UK
*
Christopher Dowrick, Department of Primary Care, University of Liverpool, Liverpool L69 3GB

Abstract

Background

ODIN aims (a) to provide data on the prevalence, risk factors and outcome of depressive disorders in rural and urban settings within the European Union (EU) based on an epidemiological sampling frame; and (b) to assess the impact of two psychological interventions on the outcome of depression and on service utilisation and costs.

Method

Five centres across the EU are participating in ODIN. The centres are linked electronically and members meet regularly for training and strategic reviews. Urban and rural areas have been identified in each centre. The sampling frame is of adults aged 18–64, identified via primary care databases or electoral registers. Potential cases of depressive disorders are identified using the Beck Depression Inventory. SCAN II and other validated measures are used to assign caseness against DSM–IV and ICD–10 criteria; assess comorbidity, disability, genetic/familial susceptibility, psychosocial stressors, personality traits and cognitive factors; and utilisation of local health care services. A randomised controlled trial of individual problem-solving treatment and a group educational programme is undertaken for respondents identified as cases of depressive disorder. Individuals are followed-up at six and 12 months.

Results and Conclusions

ODIN has already stimulated the development of an effective international research partnership.

Type
Preliminary Report
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

∗.

From 1 September 1997: Andres Arriaga, José-Luis Ayuso, Lourdes Aznar, Alfonsode la Calle. Maria Carnicero, Emma del Castillo, Rhiannon Edwards, Mette Finne, Fiona Ford, Abdelaziz Elneihum, Clare Hayes, Andres Herran, Ann Horgan, Tarja Koffert, Fiona Johnstone, Nicola Jones, Erin Michalak, Christine Murphy, Anne Navra, Teija Nummelin, Armando Oviedo, Helen Page, Helena Raski-Hakala, Britta Sohlman and Clare Wilkinson.

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Beck, A. T. Ward, C. H. Mendelson, M. et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.CrossRefGoogle ScholarPubMed
Brown, G. W. & Prudo, R. (1981) Psychiatric disorder in a rural and an urban population. I: Aetiology of depression. Psychological Mediane, 11, 581589.CrossRefGoogle Scholar
Brugha, T. S. Bebbington, P. Tennant, C. et al (1985) The List of Threatening Experiences: a subset of 12 life event categories with considerable long term contextual threat. Psychological Medicine, 15, 194198.CrossRefGoogle ScholarPubMed
Croft-Jeffreys, C. & Wilkinson, G. (1989) Estimated cost of neurotic disorder in UK general practice in 1985. Psychological Medicine, 19, 549558.CrossRefGoogle ScholarPubMed
Dalgard, C. Bjork, S. & Tambs, K. (1995) Social support, negative life events and mental health. British Journal of Psychiatry, 166, 2934.CrossRefGoogle ScholarPubMed
Dowrick, C. & Buchan, I. (1995) Twelve month outcome of depression in general practice: does detection or disclosure make a difference? British Medical Journal, 311, 12741276.CrossRefGoogle ScholarPubMed
Hawton, K. & Kirk, J. W. (1989) Problem-solving. In Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide (eds K. Hawton, P. M. Salkovskis, J. W. Kirk et al). Oxford: Oxford Medical Publications.Google Scholar
Heppner, P. P. & Peterson, C. H. (1982) The development and implications of the Problem-Solving Inventory. Journal of Counselling Psychology, 29, 6675.CrossRefGoogle Scholar
Hollon, S. D. & Kendall, P. C. (1980) Cognitive self-statements in depression: development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 383395.CrossRefGoogle Scholar
Knapp, M. & Beecham, J. (1993) Reduced list costings: examination of an informed short cut in mental health research. Health Economics, 2, 313332.CrossRefGoogle ScholarPubMed
Lehtinen, V. Londholm, T. Veijola, J. et al (1990) The prevalence of PSE–CATEGO disorders in a Finnish adult population cohort. Society for Psychiatry and Psychiatric Epidemiology, 25, 187192.CrossRefGoogle Scholar
Lewinsohn, P. M. Muñoz, R. F. Youngren, M. A. et al (1986) Control your Depression. New York: Prentice Hall.Google Scholar
Meitzer, H. Gill, B. & Petticrew, M. (1995) OPCS Surveys of Psychiatric Morbidity in Great Britain. Report I: The Prevalence of Psychiatric Morbidity among Adults Aged 16–64, Living in a Private Household, in Great Britain. London: HMSO.Google Scholar
Miller, P. M. & Ingham, J. G. (1976) Friends, confidants and symptoms. Social Psychiatry, 11, 5158.Google Scholar
Muñoz, R. F. & Ying, Y. (1993) The Prevention of Depression: Research and Practice. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Mynors-Wallis, L. M. Gath, D. H. Lloyd-Thomas, A. R. et al (1995) Randomised controlled trial comparing problem solving treatment with amitriptyline and placebo for major depression in primary care. British Medical Journal, 310, 441445.CrossRefGoogle ScholarPubMed
Nielsen, A. C. & Williams, T. A. (1980) Depression in ambulatory medical patients, prevalence by self-report questionnaire and recognition by non-psychiatric physicians. Archives of General Psychiatry, 37, 9991004.CrossRefGoogle Scholar
Ormel, J. Koeter, M. W. & van den Brink, W. (1989) Measuring change with the General Health Questionnaire. Social Psychiatry and Psychiatric Epidemiology, 24, 227232.CrossRefGoogle ScholarPubMed
Ormel, J. Von Korff, M. Ustin, T. B. et al (1994) Common mental disorders and disability across cultures. Journal of the American Medical Association, 272, 17411748.CrossRefGoogle ScholarPubMed
Price, R. H. van Ryn, M. & Vinokur, A. D. (1992) Impact of a preventive job search intervention on the likelihood of depression among the unemployed. Journal of Health and Social Behaviour, 33, 150167.CrossRefGoogle ScholarPubMed
Remington, M. & Tyrer, R. (1979) The social functioning schedule – a brief semi-structured interview. Social Psychiatry, 14, 151157.CrossRefGoogle Scholar
Rice, D. P. & Miller, L. S. (1995) The economic burden of affective disorders. British Journal of Psychiatry, 166 (suppl. 27), 3442.CrossRefGoogle Scholar
Rulter, M. Veltman, N. & Hosman, C. (1995) Prevention of depression in adolescents: preliminary finding. In Promotion of Mental Health, Vol. 4 (eds D. Trent & C. Reed), pp. 303312. Aldershot: Avebury.Google Scholar
Shanks, J. Kheraj, S. & Fish, S. (1995) Better ways of assessing health needs in primary care. British Medical Journal, 310, 480481.CrossRefGoogle ScholarPubMed
Slevewright, H. Tyrer, P. Casey, P. et al (1991) A three year follow-up of psychiatric morbidity in urban and rural primary care. Psychological Medicine, 21, 495503.CrossRefGoogle Scholar
Stewart, A. L. Hays, R. D. & Ware, J. E. (1988) The MOS Short-Form General Health Survey: reliability and validity in the patient population. Medical Care, 26, 724732.CrossRefGoogle ScholarPubMed
Thornicroft, G. & Sartorius, N. (1993) The course and outcome of depression in different cultures: 10 year follow up of the WHO collaborative study on the assessment of depressive disorders. Psychological Medicine, 23, 10231032.CrossRefGoogle Scholar
Tyrer, P. & Alexander, J. (1979) Classification of personality disorder. British Journal of Psychiatry, 135, 163167.CrossRefGoogle ScholarPubMed
Vázquez-Barquero, J. L. Diez-Manrique, J. F. Gaite, L. et al (1987) A community mental health survey in Cantabria: a general description of morbidity. Psychological Medicine, 17, 227241.CrossRefGoogle ScholarPubMed
Wilkin, D. Hallam, L. & Doggett, M. (1992) Measures of Need and Outcome for Primary Health Care. Oxford: Oxford University Press.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
World Health Organization (1994) Schedule for Clinical Assessment in Neuropsychiatry: Version 2.0. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.