@article{ref1,
title="Undiagnosed depression, persistent depressive symptoms and seeking mental health care: analysis of immigrant and non-immigrant participants of the Canadian Longitudinal Study of Aging",
journal="Epidemiology and psychiatric sciences",
year="2020",
author="Farid, D. and Li, P. and Costa, D. Da and Afif, W. and Szabo, J. and Dasgupta, K. and Rahme, E.",
volume="29",
number="",
pages="e158-e158",
abstract="Aims Early diagnosis and treatment of depression are associated with better prognosis. We used baseline data of the Canadian Longitudinal Study on Aging (2012-2015; ages 45-85 years) to examine differences in prevalence and predictors of undiagnosed depression (UD) between immigrants and non-immigrants at baseline and persistent and/or emerging depressive symptoms (DS) 18 months later. At this second time point, we also examined if a mental health care professional (MHCP) had been consulted.<br><br>METHODS We excluded individuals with any prior mood disorder and/or current anti-depressive medication use at baseline. UD was defined as the Center for Epidemiological Studies Depression 10 score ⩾10. DS at 18 months were defined as Kessler 10 score ⩾19. The associations of interest were examined in multivariate logistic regression models.<br><br>RESULTS Our study included 4382 immigrants and 18 620 non-immigrants. The mean age (standard deviation) in immigrants was 63 (10.3) years v. 65 (10.7) years in non-immigrants and 52.1% v. 57.1% were male. Among immigrants, 12.2% had UD at baseline of whom 34.2% had persistent DS 18 months later v. 10.6% and 31.4%, respectively, among non-immigrants. Female immigrants were more likely to have UD than female non-immigrants (odds ratio 1.50, 95% confidence interval 1.25-1.80) but no difference observed for men. The risk of persistent DS and consulting an MHCP at 18 months did not differ between immigrants and non-immigrants.<br><br>CONCLUSIONS Female immigrants may particularly benefit from depression screening. Seeking mental health care in the context of DS should be encouraged.<p /> <p>Language: en</p>",
language="en",
issn="2045-7960",
doi="10.1017/S2045796020000670",
url="http://dx.doi.org/10.1017/S2045796020000670"
}