Table 3.
Coverage for major depressive disorder by country income level
| Coverage | HICs | LMICs | Significance test | ||||
|---|---|---|---|---|---|---|---|
| Numerator | Denominator | % | (SE) | % | (SE) | F | (p-value) |
|
|
|
|
|
||||
| Contact coverage |
People with 12-month MDD
(HICs:n=1,991;LMICs:n=1,350) |
52.0 | (1.5) | 26.5 | (1.3) | 145.46* | (<.001) |
| Any psychotropic medication |
People with contact coverage
(HICs:n=1,043;LMICs:n=355) |
72.9 | (2.2) | 57.4 | (2.9) | 17.99* | (<.001) |
| Antidepressants | 48.6 | (2.2) | 35.0 | (3.6) | 9.75* | (0.002) | |
| Adequate medication control | 39.1 | (2.0) | 35.8 | (3.4) | 0.70 | (0.40) | |
| Adequate pharmacotherapy † | 27.6 | (1.7) | 22.3 | (3.3) | 1.67 | (0.20) | |
| Any psychotherapy | 38.8 | (1.7) | 39.2 | (3.6) | 0.01 | (0.93) | |
| Adequate psychotherapy | 33.2 | (1.7) | 30.2 | (3.4) | 0.57 | (0.45) | |
| Adequate combination | 23.6 | (1.7) | 21.7 | (3.2) | 0.19 | (0.66) | |
Abbreviations: HICs, high income countries; LMICS, low or middle income countries; SE, standard error; MDD, major depressive disorder.
*
Significant at the .05 level, two-sided test
†
Adequate pharmacotherapy: taking an antidepressant with adequate medication control by any physician and adequate adherence; or taking any non-antidepressant psychotropic with adequate medication control by a psychiatrist and adequate patient adherence..