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The association between socioeconomic status and depression among older adults in Finland, Poland and Spain: A comparative cross-sectional study of distinct measures and pathways.

https://arctichealth.org/en/permalink/ahliterature297880
Source
J Affect Disord. 2018 12 01; 241:311-318
Publication Type
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Date
12-01-2018
Author
Joan Domènech-Abella
Jordi Mundó
Matilde Leonardi
Sommath Chatterji
Beata Tobiasz-Adamczyk
Seppo Koskinen
Jose Luis Ayuso-Mateos
Josep Maria Haro
Author Affiliation
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain; Department of Sociology, Universitat de Barcelona, Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain. Electronic address: j.domenech@pssjd.org.
Source
J Affect Disord. 2018 12 01; 241:311-318
Date
12-01-2018
Language
English
Publication Type
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Aged
Aged, 80 and over
Chronic Disease
Cross-Sectional Studies
Depressive Disorder - epidemiology - psychology
Female
Finland - epidemiology
Humans
Income
Logistic Models
Male
Middle Aged
Occupations
Poland - epidemiology
Prevalence
Social Class
Spain - epidemiology
Abstract
Socioeconomic status, as measured by education, occupation or income, is associated with depression. However, data are lacking on the psychosocial, material and behavioral mediators of these associations. We have examined the association of education, occupation and income with depression and the potential mediations using community-based data.
A total of 7,966 older adults were interviewed in Finland, Poland and Spain. The differential associations between depression and SES, mediator variables, country of residence and cofounder variables, such as chronic physical conditions, were assessed through logistic regression models. Meditation analyses were carried out using khb method for Stata 13.1.
Education, followed by household income, were the SES indicators most frequently significantly associated with depression. These SES markers, but not occupation, showed an independent effect in this association. Psychosocial factors and loneliness in particular showed the strongest associations with depression among mediator variables. However, material factors and, especially, financial strain had a higher mediating function in the association between SES and depression. Overall, SES markers, chronic conditions and mediation factors were more positive in Finland than in Poland and Spain.
Improving psychosocial and material dimensions as well as access to the educational system for older adults might result in a reduction in the prevalence of depression in the general population and particularly among individuals with low SES.
PubMed ID
30142590 View in PubMed
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Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study.

https://arctichealth.org/en/permalink/ahliterature272364
Source
PLoS One. 2014;9(12):e114742
Publication Type
Article
Date
2014
Author
Ai Koyanagi
Noe Garin
Beatriz Olaya
Jose Luis Ayuso-Mateos
Somnath Chatterji
Matilde Leonardi
Seppo Koskinen
Beata Tobiasz-Adamczyk
Josep Maria Haro
Source
PLoS One. 2014;9(12):e114742
Date
2014
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
China - epidemiology
Chronic Disease - epidemiology
Comorbidity
Europe
Female
Ghana - epidemiology
Humans
India - epidemiology
Logistic Models
Male
Mexico - epidemiology
Middle Aged
Risk factors
Russia - epidemiology
Sleep Wake Disorders - epidemiology
South Africa - epidemiology
Abstract
Data on the association between chronic conditions or the number of chronic conditions and sleep problems in low- or middle-income countries is scarce, and global comparisons of these associations with high-income countries have not been conducted.
Data on 42116 individuals 50 years and older from nationally-representative samples of the Collaborative Research on Ageing in Europe (Finland, Poland, Spain) and the World Health Organization's Study on Global Ageing and Adult Health (China, Ghana, India, Mexico, Russia, South Africa) conducted between 2011-2012 and 2007-2010 respectively were analyzed.
The association between nine chronic conditions (angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, obesity, and stroke) and self-reported severe/extreme sleep problems in the past 30 days was estimated by logistic regression with multiple variables. The age-adjusted prevalence of sleep problems ranged from 2.8% (China) to 17.0% (Poland). After adjustment for confounders, angina (OR 1.75-2.78), arthritis (OR 1.39-2.46), and depression (OR 1.75-5.12) were significantly associated with sleep problems in the majority or all of the countries. Sleep problems were also significantly associated with: asthma in Finland, Spain, and India; chronic lung disease in Poland, Spain, Ghana, and South Africa; diabetes in India; and stroke in China, Ghana, and India. A linear dose-dependent relationship between the number of chronic conditions and sleep problems was observed in all countries. Compared to no chronic conditions, the OR (95%CI) for 1,2,3, and = 4 chronic conditions was 1.41 (1.09-1.82), 2.55 (1.99-3.27), 3.22 (2.52-4.11), and 7.62 (5.88-9.87) respectively in the overall sample.
Identifying co-existing sleep problems among patients with chronic conditions and treating them simultaneously may lead to better treatment outcome. Clinicians should be aware of the high risk for sleep problems among patients with multimorbidity. Future studies are needed to elucidate the best treatment options for comorbid sleep problems especially in developing country settings.
Notes
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Erratum In: PLoS One. 2015;10(9):e013826126379283
PubMed ID
25478876 View in PubMed
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Determinants of health and disability in ageing population: the COURAGE in Europe Project (collaborative research on ageing in Europe).

https://arctichealth.org/en/permalink/ahliterature260159
Source
Clin Psychol Psychother. 2014 May-Jun;21(3):193-8
Publication Type
Article
Author
Matilde Leonardi
Somnath Chatterji
Seppo Koskinen
Jose Luis Ayuso-Mateos
Josep Maria Haro
Giovanni Frisoni
Lucilla Frattura
Andrea Martinuzzi
Beata Tobiasz-Adamczyk
Michal Gmurek
Ramon Serrano
Carla Finocchiaro
Source
Clin Psychol Psychother. 2014 May-Jun;21(3):193-8
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aging - physiology
Cooperative Behavior
Data Collection - methods - statistics & numerical data
Disability Evaluation
Disabled persons - statistics & numerical data
Europe
Finland
Health status
Health Surveys - methods - statistics & numerical data
Humans
Internationality
Poland
Quality of Life
Reproducibility of Results
Social Support
Spain
World Health Organization
Abstract
COURAGE in Europe was a 3-year project involving 12 partners from four European countries and the World Health Organization. It was inspired by the pressing need to integrate international studies on disability and ageing in light of an innovative perspective based on a validated data-collection protocol. COURAGE in Europe Project collected data on the determinants of health and disability in an ageing population, with specific tools for the evaluation of the role of the built environment and social networks on health, disability, quality of life and well-being. The main survey was conducted by partners in Finland, Poland and Spain where the survey has been administered to a sample of 10,800 persons, which was completed in March 2012. The newly developed and validated COURAGE Protocol for Ageing Studies has proven to be a valid tool for collecting comparable data in ageing population, and the COURAGE in Europe Project has created valid and reliable scientific evidence, demonstrating cross-country comparability, for disability and ageing research and policy development. It is therefore recommended that future studies exploring determinants of health and disability in ageing use the COURAGE-derived methodology.
COURAGE in Europe Project collected data on the determinants of health and disability in an ageing population, with specific tools for the evaluation of the role of built environment and social networks on health, disability quality of life and well-being. The COURAGE Protocol for Ageing Studies has proven to be a valid tool for collecting comparable data in the ageing population. The COURAGE in Europe Consortium recommends that future studies exploring determinants of health and disability in ageing use COURAGE-derived methodology.
PubMed ID
23881690 View in PubMed
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Determinants of mobility in populations of older adults: Results from a cross-sectional study in Finland, Poland and Spain.

https://arctichealth.org/en/permalink/ahliterature295580
Source
Maturitas. 2018 Sep; 115:84-91
Publication Type
Journal Article
Date
Sep-2018
Author
Alberto Raggi
Barbara Corso
Laura De Torres
Rui Quintas
Somnath Chatterji
Päivi Sainio
Andrea Martinuzzi
Katarzyna Zawisza
Josep Maria Haro
Nadia Minicuci
Matilde Leonardi
Author Affiliation
Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy. Electronic address: alberto.raggi@istituto-besta.it.
Source
Maturitas. 2018 Sep; 115:84-91
Date
Sep-2018
Language
English
Publication Type
Journal Article
Keywords
Aged
Chronic Disease
Cross-Sectional Studies
Female
Finland
Humans
Male
Middle Aged
Motor Activity
Poland
Residence Characteristics
Social Support
Spain
Transportation
Abstract
To identify the determinants of mobility among people aged 50+ from Finland, Spain and Poland.
Observational cross-sectional population study.
A mobility score was based on responses to items referring to body movements, walking, moving around and using transportation. Determinants of mobility were entered in hierarchical regression models in the following order: sociodemographic characteristics, health habits, chronic conditions, description of general state of health, vision and hearing, social networks, built environment.
Complete data were available for 3902 participants (mean age 65.1, SD 9.8). The final model explained 64.7% of the variation in mobility. The most relevant predictors were: pain, age and living in Finland, presence of arthritis, stroke and diabetes, high-risk waist circumference, physical inactivity, and perceiving the neighborhood environment as more exploitable.
Our results provide public health indications that could support concrete actions to address the modifiable determinants of mobility. These include the identification and treatment of pain-related problems, increasing the level of physical activity and the improvement of neighborhood features in terms of presence of general utility places or means of transportation. These factors can be modified with short- to medium-term interventions and such a change could improve the mobility of ageing population, with evident benefits for health.
PubMed ID
30049352 View in PubMed
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Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain.

https://arctichealth.org/en/permalink/ahliterature284661
Source
PLoS One. 2016;11(7):e0159293
Publication Type
Article
Date
2016
Author
Alberto Raggi
Barbara Corso
Nadia Minicuci
Rui Quintas
Davide Sattin
Laura De Torres
Somnath Chatterji
Giovanni Battista Frisoni
Josep Maria Haro
Seppo Koskinen
Andrea Martinuzzi
Marta Miret
Beata Tobiasz-Adamczyk
Matilde Leonardi
Source
PLoS One. 2016;11(7):e0159293
Date
2016
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aging - pathology
Chronic Disease - epidemiology
Depression - epidemiology
Disabled Persons
Female
Finland
Health status
Humans
Male
Middle Aged
Poland
Quality of Life
Self Report
Spain
Surveys and Questionnaires
Abstract
To comprehensively identify the determinants of quality of life (QoL) in a population study sample of persons aged 18-50 and 50+.
In this observational, cross-sectional study, QoL was measured with the WHOQOL-AGE, a brief instrument designed to measure QoL in older adults. Eight hierarchical regression models were performed to identify determinants of QoL. Variables were entered in the following order: Sociodemographic; Health Habits; Chronic Conditions; Health State description; Vision and Hearing; Social Networks; Built Environment. In the final model, significant variables were retained. The final model was re-run using data from the three countries separately.
Complete data were available for 5639 participants, mean age 46.3 (SD 18.4). The final model accounted for 45% of QoL variation and the most relevant contribution was given by sociodemographic data (particularly age, education level and living in Finland: 17.9% explained QoL variation), chronic conditions (particularly depression: 4.6%) and a wide and rich social network (4.6%). Other determinants were presence of disabling pain, learning difficulties and visual problems, and living in usable house that is perceived as non-risky. Some variables were specifically associated to QoL in single countries: age in Poland, alcohol consumption in Spain, angina in Finland, depression in Spain, and self-reported sadness both in Finland and Poland, but not in Spain. Other were commonly associated to QoL: smoking status, bodily aches, being emotionally affected by health problems, good social network and home characteristics.
Our results highlight the importance of modifiable determinants of QoL, and provide public health indications that could support concrete actions at country level. In particular, smoking cessation, increasing the level of physical activity, improving social network ties and applying universal design approach to houses and environmental infrastructures could potentially increase QoL of ageing population.
Notes
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PubMed ID
27434374 View in PubMed
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Factors Related to Unemployment in Europe. A Cross-Sectional Study from the COURAGE Survey in Finland, Poland and Spain.

https://arctichealth.org/en/permalink/ahliterature298280
Source
Int J Environ Res Public Health. 2018 04 11; 15(4):
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
04-11-2018
Author
Matilde Leonardi
Davide Guido
Rui Quintas
Fabiola Silvaggi
Erika Guastafierro
Andrea Martinuzzi
Somnath Chatterji
Seppo Koskinen
Beata Tobiasz-Adamczyk
Josep Maria Haro
Maria Cabello
Alberto Raggi
Author Affiliation
Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy. matilde.leonardi@istituto-besta.it.
Source
Int J Environ Res Public Health. 2018 04 11; 15(4):
Date
04-11-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Built Environment
Chronic Disease
Cross-Sectional Studies
Depression
Disabled Persons
Employment
Europe
Female
Finland
Health Behavior
Health Status Indicators
Humans
Male
Middle Aged
Poland
Social Networking
Spain
Surveys and Questionnaires
Unemployment
Abstract
Background: Research addressing the impact of a large number of factors on unemployment is scarce. We aimed to comprehensively identify factors related to unemployment in a sample of persons aged 18-64 from Finland, Poland and Spain. Methods: In this cross-sectional study, factors from different areas were considered: socio-demographic indicators, health habits, chronic conditions, health state markers, vision and hearing indicators, and social networks and built environment scores. Results: Complete data were available for 5003 participants, mean age 48.1 (SD 11.5), 45.4% males. The most important factors connected to unemployment were health status indicators such as physical disability (OR = 2.944), self-rated health (OR = 2.629), inpatient care (OR = 1.980), and difficulties with getting to the toilet (OR = 2.040), while the most relevant factor related to employment were moderate alcohol consumption (OR = 0.732 for non-heavy drinkers; OR = 0.573 for infrequent heavy drinkers), and being married (OR = 0.734), or having been married (OR = 0.584). Other factors that played a significant role included presence of depression (OR = 1.384) and difficulties with near vision (OR = 1.584) and conversation hearing (OR = 1.597). Conclusions: Our results highlight the importance of selected factors related to unemployment, and suggest public health indications that could support concrete actions on modifiable factors, such as those aimed to promote physical activity and healthy behaviors, tackling depression or promoting education, in particular for the younger.
PubMed ID
29641485 View in PubMed
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Health and happiness: cross-sectional household surveys in Finland, Poland and Spain.

https://arctichealth.org/en/permalink/ahliterature276698
Source
Bull World Health Organ. 2014 Oct 1;92(10):716-25
Publication Type
Article
Date
Oct-1-2014
Author
Marta Miret
Francisco Félix Caballero
Somnath Chatterji
Beatriz Olaya
Beata Tobiasz-Adamczyk
Seppo Koskinen
Matilde Leonardi
Josep Maria Haro
José Luis Ayuso-Mateos
Source
Bull World Health Organ. 2014 Oct 1;92(10):716-25
Date
Oct-1-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Female
Finland
Happiness
Health status
Health Surveys
Humans
Male
Middle Aged
Poland
Spain
Abstract
To explore the associations between health and how people evaluate and experience their lives.
We analysed data from nationally-representative household surveys originally conducted in 2011-2012 in Finland, Poland and Spain. These surveys provided information on 10?800 adults, for whom experienced well-being was measured using the Day Reconstruction Method and evaluative well-being was measured with the Cantril Self-Anchoring Striving Scale. Health status was assessed by questions in eight domains including mobility and self-care. We used multiple linear regression, structural equation models and multiple indicators/multiple causes models to explore factors associated with experienced and evaluative well-being.
The multiple indicator/multiple causes model conducted over the pooled sample showed that respondents with younger age (effect size, ß?=?0.19), with higher levels of education (ß?=?-0.12), a history of depression (ß?=?-0.17), poor health status (ß?=?0.29) or poor cognitive functioning (ß?=?0.09) reported worse experienced well-being. Additional factors associated with worse evaluative well-being were male sex (ß?=?-0.03), not living with a partner (ß?=?0.07), and lower occupational (ß?=?-0.07) or income levels (ß?=?0.08). Health status was the factor most strongly correlated with both experienced and evaluative well-being, even after controlling for a history of depression, age, income and other sociodemographic variables.
Health status is an important correlate of well-being. Therefore, strategies to improve population health would also improve people's well-being.
Notes
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PubMed ID
25378725 View in PubMed
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Loneliness, Social Networks, and Health: A Cross-Sectional Study in Three Countries.

https://arctichealth.org/en/permalink/ahliterature274232
Source
PLoS One. 2016;11(1):e0145264
Publication Type
Article
Date
2016
Author
Laura Alejandra Rico-Uribe
Francisco Félix Caballero
Beatriz Olaya
Beata Tobiasz-Adamczyk
Seppo Koskinen
Matilde Leonardi
Josep Maria Haro
Somnath Chatterji
José Luis Ayuso-Mateos
Marta Miret
Source
PLoS One. 2016;11(1):e0145264
Date
2016
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Confidence Intervals
Cross-Sectional Studies
Female
Finland
Health
Humans
Linear Models
Loneliness
Male
Middle Aged
Poland
Social Networking
Spain
Abstract
It is widely recognized that social networks and loneliness have effects on health. The present study assesses the differential association that the components of the social network and the subjective perception of loneliness have with health, and analyzes whether this association is different across different countries.
A total of 10 800 adults were interviewed in Finland, Poland and Spain. Loneliness was assessed by means of the 3-item UCLA Loneliness Scale. Individuals' social networks were measured by asking about the number of members in the network, how often they had contacts with these members, and whether they had a close relationship. The differential association of loneliness and the components of the social network with health was assessed by means of hierarchical linear regression models, controlling for relevant covariates.
In all three countries, loneliness was the variable most strongly correlated with health after controlling for depression, age, and other covariates. Loneliness contributed more strongly to health than any component of the social network. The relationship between loneliness and health was stronger in Finland (
ß
= 0.25) than in Poland (
= 0.16) and Spain (
= 0.18). Frequency of contact was the only component of the social network that was moderately correlated with health.
Loneliness has a stronger association with health than the components of the social network. This association is similar in three different European countries with different socio-economic and health characteristics and welfare systems. The importance of evaluating and screening feelings of loneliness in individuals with health problems should be taken into account. Further studies are needed in order to be able to confirm the associations found in the present study and infer causality.
Notes
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PubMed ID
26761205 View in PubMed
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National funding for mental health research in Finland, France, Spain and the United Kingdom.

https://arctichealth.org/en/permalink/ahliterature291605
Source
Eur Neuropsychopharmacol. 2017 09; 27(9):892-899
Publication Type
Comparative Study
Journal Article
Date
09-2017
Author
Jean-Baptiste Hazo
Coralie Gandré
Marion Leboyer
Carla Obradors-Tarragó
Stefano Belli
David McDaid
A-La Park
Maria Victoria Maliandi
Kristian Wahlbeck
Til Wykes
Jim van Os
Josep Maria Haro
Karine Chevreul
Author Affiliation
ECEVE, UMRS 1123, Université Paris Diderot, Sorbonne Paris Cité, INSERM, Paris, France; AP-HP, URC-Eco, DHU Pepsy, F-75004 Paris, France; Foundation FondaMental, French National Science Foundation, Créteil, France. Electronic address: jeanbaptiste.hazo@urc-eco.fr.
Source
Eur Neuropsychopharmacol. 2017 09; 27(9):892-899
Date
09-2017
Language
English
Publication Type
Comparative Study
Journal Article
Keywords
Biomedical Research - economics
Charities - economics
Finland
France
Humans
Mental Health - economics
Spain
United Kingdom
Abstract
As part of the Roamer project, we aimed at revealing the share of health research budgets dedicated to mental health, as well as on the amounts allocated to such research for four European countries. Finland, France, Spain and the United Kingdom national public and non-profit funding allocated to mental health research in 2011 were investigated using, when possible, bottom-up approaches. Specifics of the data collection varied from country to country. The total amount of public and private not for profit mental health research funding for Finland, France, Spain and the UK was €10·2, €84·8, €16·8, and €127·6 million, respectively. Charities accounted for a quarter of the funding in the UK and less than six per cent elsewhere. The share of health research dedicated to mental health ranged from 4·0% in the UK to 9·7% in Finland. When compared to the DALY attributable to mental disorders, Spain, France, Finland, and the UK invested respectively €12·5, €31·2, €39·5, and €48·7 per DALY. Among these European countries, there is an important gap between the level of mental health research funding and the economic and epidemiologic burden of mental disorders.
PubMed ID
28647453 View in PubMed
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The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe).

https://arctichealth.org/en/permalink/ahliterature284159
Source
BMC Public Health. 2016 Oct 19;16(1):1098
Publication Type
Article
Date
Oct-19-2016
Author
Aislinne Freeman
Stefanos Tyrovolas
Ai Koyanagi
Somnath Chatterji
Matilde Leonardi
Jose Luis Ayuso-Mateos
Beata Tobiasz-Adamczyk
Seppo Koskinen
Christine Rummel-Kluge
Josep Maria Haro
Source
BMC Public Health. 2016 Oct 19;16(1):1098
Date
Oct-19-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aging
Cross-Sectional Studies
Depression - etiology
Depressive Disorder - etiology
Educational Status
Female
Finland
Humans
Income
Logistic Models
Male
Middle Aged
Poland
Prevalence
Social Class
Spain
Surveys and Questionnaires
Young Adult
Abstract
Low socio-economic status (SES) has been found to be associated with a higher prevalence of depression. However, studies that have investigated this association have been limited in their national scope, have analyzed different components of SES separately, and have not used standardized definitions or measurements across populations. The aim of the current study was to evaluate the association between SES and depression across three European countries that represent different regions across Europe, using standardized procedures and measurements and a composite score for SES.
Nationally-representative data on 10,800 individuals aged =18 from the Collaborative Research on Ageing in Europe (COURAGE) survey conducted in Finland, Poland and Spain were analyzed in this cross-sectional study. An adapted version of the Composite International Diagnostic Interview was used to identify the presence of depression, and SES was computed by using the combined scores of the total number of years educated (0-22) and the quintiles of the country-specific income level of the household (1-5). Multivariable logistic regression was used to assess the association between SES and depression.
Findings reveal a significant association between depression and SES across all countries (p?=?0.001). After adjusting for confounders, the odds of depression were significantly decreased for every unit increase in the SES index for Finland, Poland and Spain. Additionally, higher education significantly decreased the odds for depression in each country, but income did not.
The SES index seems to predict depression symptomatology across European countries. Taking SES into account may be an important factor in the development of depression prevention strategies across Europe.
Notes
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PubMed ID
27760538 View in PubMed
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