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Objective: Planning prevention and treatment programs for depression should be based on the study of the epidemiological profile of depression in the region. The aim of this study was to assess the lifetime prevalence and socio-demographic correlations of Major Depressive Episodes (MDE) among patients consulting in primary care settings. Method: This is an epidemiological study involving patients consulting a general practitioner in Tunisia during a 12 months period. The study was carried using a questionnaire assessing the socio-demographic characteristics of patients and the E section of CIDI 2.1 translated and validated in Tunisian dialect. Results: The number of included patients was 1309. The lifetime prevalence of MDE was 11% and their frequency was significantly correlated with female sex and divorced status. Conclusion: These results can be helpful in developing an epidemiological profile of depression in Tunisian socio-cultural context and highlight the need to provide training on depressive disorders to caregivers in the primary care settings.
Depressive disorders are among the most common disorders in the general population. A meta-analysis of estimates from 17 studies in the general population found that the prevalence of depression over one year ranged from 3 to 10% with a median of 6.9%. The economic cost of depressive disorders is also high, in fact, it was estimated to be comparable to the cost of diabetes or heart diseases. In addition, depression induces a significant decrease in labor productivity and by 2020, it will be the second leading cause of disability in the world. The severity of depression is also due to its mortality, since nearly 70% of people who die by suicide suffer from depression, often undiagnosed or untreated.
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