European Psychiatry (Jan 2024)
Trends and associated factors of mental health diagnoses in Catalan Primary Care (2010–2019)
- Ariadna Mas,
- Derek Clougher,
- Gerard Anmella,
- Clàudia Valenzuela-Pascual,
- Michele De Prisco,
- Vincenzo Oliva,
- Giovanna Fico,
- Iria Grande,
- Ivette Morilla,
- Xavier Segú,
- Mireia Primé-Tous,
- Victoria Ruíz,
- María Antonieta Also,
- Sandra Murgui,
- Elisenda Sant,
- Mireia Sans-Corrales,
- Miquel Àngel Fullana,
- Antoni Sisó-Almirall,
- Joaquim Radua,
- Jordi Blanch,
- Myriam Cavero,
- Eduard Vieta,
- Diego Hidalgo-Mazzei
Affiliations
- Ariadna Mas
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Derek Clougher
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain BIOARABA, Department of Psychiatry. Hospital Universitario de Alava. CIBERSAM. University of the Basque Country, Vitoria, Spain
- Gerard Anmella
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Clàudia Valenzuela-Pascual
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Michele De Prisco
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Vincenzo Oliva
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Giovanna Fico
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Iria Grande
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Ivette Morilla
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Xavier Segú
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Mireia Primé-Tous
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Victoria Ruíz
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- María Antonieta Also
- Consorci d’Atenció Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
- Sandra Murgui
- Consorci d’Atenció Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
- Elisenda Sant
- ORCiD
- Consorci d’Atenció Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
- Mireia Sans-Corrales
- ORCiD
- Consorci d’Atenció Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
- Miquel Àngel Fullana
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Antoni Sisó-Almirall
- ORCiD
- Consorci d’Atenció Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
- Joaquim Radua
- ORCiD
- Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Jordi Blanch
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Myriam Cavero
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Eduard Vieta
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain
- Diego Hidalgo-Mazzei
- ORCiD
- Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Barcelona, Spain Bipolar and Depressive Disorders Unit, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Catalonia, Barcelona, Spain Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro), University of Barcelona (UB), Catalonia, Barcelona, Spain Centre for Affective Disorders (CfAD), Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London, London, UK
- DOI
- https://doi.org/10.1192/j.eurpsy.2024.1793
- Journal volume & issue
-
Vol. 67
Abstract
Abstract Background The prevalence of mental health disorders has significantly increased in recent years, posing substantial challenges to healthcare systems worldwide, particularly primary care (PC) settings. This study examines trends in mental health diagnoses in PC settings in Catalonia from 2010 to 2019 and identifies associated sociodemographic, clinical characteristics, psychopharmacological treatments, and resource utilization patterns. Methods Data from 947,698 individuals without prior severe mental illness, derived from the Data Analytics Program for Health Research and Innovation (PADRIS), were analyzed for this study. Sociodemographic data, diagnoses, and resource utilization were extracted from electronic health records. Descriptive statistics, chi-square tests, Mann–Whitney tests, and a multivariate binary logistic regression were employed to analyze the data. Results Over the study period, 172,112 individuals (18.2%) received at least one mental health diagnosis in PC, with unspecified anxiety disorder (40.5%), insomnia (15.7%) and unspecified depressive disorder (10.2%) being the most prevalent. The prevalence of these diagnoses increased steadily until 2015 and stabilized thereafter. Significant associations were found between mental health diagnoses, female sex, lower socioeconomic status, higher BMI, and smoking status in a multivariate binary logistic regression. Conclusions This study highlights a growing burden of stress-related mental health diagnoses in PC in Catalonia, driven by demographic and socioeconomic factors. These findings may be indicative of broader trends across Europe and globally. Addressing this rising prevalence requires innovative approaches and collaborative strategies that extend beyond traditional healthcare resources. Engaging stakeholders is essential for implementing effective, sustainable solutions that promote mental health in Catalonia and potentially inform similar initiatives worldwide.
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