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This study was supported by the Instituto de Salud Carlos III-FIS [grant numbers PI19/00088, PI19/00103, PI19/00150, PI19/00235] and the RESPOND project funded by the European Commission under Horizon 2020-the Framework Programme for Research and Innovation (2014 - 2020) (grant number: 101016127) . Blanca Dolz del Castellar and Chiara Castelletti ' s work are supported by the program 'Contratos predoctorales para Formaci on de Personal Investigador, FPI-UAM ' , Universidad Autonoma de Madrid, Spain. Lea Francia ' s work is supported by funds from the European Union ' s recovery, transformation, resilience, and Next Generation-EU plan: Exp. INVESTIGO 2022-C23.I01.P03.S0020-0000031- Area Psiquiatria) . Cristina Rodriguez-Prada ' s work is supported by Programa Investigo and 'Convocatorias del Fondo de Investigaciones Sanitarias (FIS) ' , grant n degrees PI22/00340 of the Instituto de Salud Carlos III, Fundacion de Investigacion Biomedica del Hospital Universitario La Princesa, Madrid and by funds from the European Union ' s re-covery, transformation, resilience, and Next Generation-EU plan: Exp. INVESTIGO 2022-C23.I01.P03.S0020-0000031- Area Psiquiatria) .

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Article

Treatment coverage for depression in the general Spanish population and the impact of the Covid-19 pandemic

Publicated to:Heliyon. 10 (11): e32594- - 2024-06-15 10(11), DOI: 10.1016/j.heliyon.2024.e32594

Authors: Francia, Lea; De Giorgi, Riccardo; Lara, Elvira; del Castellar, Blanca Dolz; Castelletti, Chiara; Rodriguez-Prada, Cristina; Domenech-Abella, Joan; Olaya, Beatriz; Haro, Josep Maria; Mateos, Jose Luis Ayuso

Affiliations

CIBERSAM, Ctr Invest Biomed Red Salud Mental, Inst Salud Carlos 3, Madrid, Spain - Author
Dept Psychiat, C-Arzobispo Morcillo 4, Madrid 28029, Madrid, Spain - Author
Unitat Recerca Parc Sanit Sant Joan Deu, Sant Boi Llobregat, Barcelona, Spain - Author
Univ Autonoma Madrid, Fac Med, Dept Psychiat, Madrid, Spain - Author
Univ Complutense Madrid, Fac Psychol, Dept Personal Evaluat & Clin Psychol, Madrid, Spain - Author
Univ Oxford, Warneford Hosp, Dept Psychiat, Warneford Lane, Oxford X3 7JX, England - Author
Univ Princesa, IIS Princesa, Inst Invest Sanitaria Hosp, Madrid, Spain - Author
Warneford Hosp, Oxford Hlth NHS Fdn Trust, Warneford Lane, Oxford OX3 7JX, England - Author
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Abstract

Background: Despite the availability of effective antidepressant strategies, numerous people with depressive disorders remain untreated. The Covid-19 pandemic has affected healthcare services, especially the mental health sector. This study aims to explore the coverage of depression treatments in the general Spanish population and the impact of the Covid-19 pandemic. Methods: We used longitudinal data (2018 and 2022) from the general Spanish population: prepandemic n = 1512; mean age = 65.43 years +/- 14.90; 56 % females; post-pandemic n = 909; mean age = 68.00 years +/- 14.24; 54 % women. The International Classification of Disease 10th edition was used to diagnose lifetime depressive episodes and severity. We explored psychological and pharmacological treatment coverage via multiple logistic regressions adjusted for 4 covariates (sex assigned at birth, education level, age, Covid-19 pandemic) for participants with a diagnosis of depression. Results: Treatment coverage for depression in the pre-pandemic and post-pandemic samples was, respectively, 53.3 % and 51.9 %. We observed an association between severe depression and treatment coverage (OR = 2.77, 95%CI 1.05 to 7.75). We found no association between the COVID-19 pandemic and treatment coverage. Conclusions: The pharmacological treatment coverage was associated with severe types of depression. The prevalence rates of treatment coverage were similar in the pre- and post-COVID19 pandemic attesting to the resilience of the mental health system in Spain.

Keywords
AdultAdultsAssessmentBurdeDepressive episodeDiagnostic interview cidiDisorderNice guidelinesPeopleValidity

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Heliyon due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 28/134, thus managing to position itself as a Q1 (Primer Cuartil), in the category Multidisciplinary Sciences.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-05-21:

  • WoS: 1
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-21:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 1.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 1 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: United Kingdom.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Francia, Lea) and Last Author (AYUSO MATEOS, JOSE LUIS).

the author responsible for correspondence tasks has been Francia, Lea.