A1 Journal article (refereed)
Use of antidepressants among Finnish family caregivers : a nationwide register-based study (2021)
Mikkola, T. M., Kautiainen, H., Mänty, M., von Bonsdorff, M. B., Koponen, H., Kröger, T., & Eriksson, J. G. (2021). Use of antidepressants among Finnish family caregivers : a nationwide register-based study. Social psychiatry and psychiatric epidemiology, 56(12), 2209-2216. https://doi.org/10.1007/s00127-021-02049-1
JYU authors or editors
Publication details
All authors or editors: Mikkola, Tuija M.; Kautiainen, Hannu; Mänty, Minna; von Bonsdorff, Mikaela B.; Koponen, Hannu; Kröger, Teppo; Eriksson, Johan G.
Journal or series: Social psychiatry and psychiatric epidemiology
ISSN: 0933-7954
eISSN: 1433-9285
Publication year: 2021
Volume: 56
Issue number: 12
Pages range: 2209-2216
Publisher: Springer
Publication country: Germany
Publication language: English
DOI: https://doi.org/10.1007/s00127-021-02049-1
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/74461
Abstract
Methods: The study includes all individuals, who received family caregiver's allowance in Finland in 2012 (n = 29,846 females, mean age 66 years; n = 12,410 males, mean age 71 years) and a control population matched for age, sex, and municipality of residence (n = 59,141 females; n = 24,477 males). Information on purchases of antidepressants, including the number of defined daily doses (DDD) purchased, between 2012 and 2017 was obtained from the national drugs reimbursement register.
Results: During the follow-up, 28.5% of female caregivers and 23.5% of the female controls used antidepressants, while the numbers for males were 21.1% and 16.4%, respectively. Adjusted for socioeconomic status, female caregivers used 43.7 (95% confidence interval 42.4-45.0) and their controls used 36.2 (35.3-37.2) DDDs of antidepressants per person-year. Male caregivers used 29.6 (27.6-31.6) and their controls used 21.6 (20.2-23.0) DDDs of antidepressants per person-year. Among female caregivers, the relative risk for use of antidepressants was similar (about 1.3) from 20 to 70 years, after which the relative risk declined. In male caregivers, the relative risk was highest (about 1.4-1.5) between 45 and 65 years.
Conclusions: Family caregivers providing high-intensity care use more antidepressants and hence, are likely to have poorer mental health than the age-matched general population in virtually all age groups. However, the magnitude of the higher use varies as a function of age and gender.
Keywords: foster home care; private caretakers; informal carers; nursing (work); ageing; mental health; depression (mental disorders); medicines; pharmacotherapy
Free keywords: ageing; antidepressants; informal caregiving; mental health; registers.
Contributing organizations
Related projects
- Centre of Excellence in Research on Ageing and Care
- Kröger, Teppo
- Research Council of Finland
Ministry reporting: Yes
Reporting Year: 2021
JUFO rating: 2
- Gerontology and Public Health (Faculty of Sport and Health Sciences LTK, SPORT) TGE
- Gerontology Research Center (Faculty of Sport and Health Sciences LTK, SPORT) GEREC
- Social and Public Policy (Department of Social Sciences and Philosophy YFI) YKP
- Centre of Excellence in Research on Ageing and Care (Department of Social Sciences and Philosophy YFI) ; 2018-2025
- School of Wellbeing (University of Jyväskylä JYU) JYU.Well