Juha Hämäläinen

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OBJECTIVE This study reports the 12-month prevalence of major depressive episode and its risk factors in a representative nationwide sample. METHOD A random sample of non-institutionalized Finnish individuals aged 15-75 years (N = 5993) was interviewed in 1996. Major depressive episode during the last 12 months was assessed using the Short Form of the(More)
The sex-specific role of stressful or traumatic childhood experiences and adverse circumstances in developing adulthood mental disorders is complex and still in need of comprehensive research. Within the Health 2000 project in Finland, a representative sample of 4,076 subjects aged 30–64 years were investigated to examine associations between a set of(More)
BACKGROUND Few general population studies of the treatment of major depressive disorder (MDD) have included the whole spectrum of treatments. We estimated the rates of different treatments and the effect of individual and disorder characteristics plus provider type on treatment received. METHODS In the Health 2000 Study, a representative sample (n=6,005)(More)
BACKGROUND The aim was to study utilisation patterns and determinants of antidepressant use in the general population >30 years, especially short-term use or use not related to known psychiatric morbidity. METHODS Participants from a cross-sectional population-based Finnish Health 2000 Study (2000--2001) were linked with the National Prescription Register(More)
BACKGROUND A universal finding in psychiatric epidemiology is that only a minority of currently depressed people seek or receive treatment. AIMS To investigate the predictors of use of health care services for depression. METHODS A representative random sample of 5993 non-institutionalised Finnish individuals aged 15-75 years was interviewed in 1996.(More)
Factors associated with people suffering from major depressive disorder (MDD) or anxiety disorders seeking or receiving treatment are not well known. In the Health 2000 Study, a representative sample (n=6005) of Finland's general adult (> or =30 years) population was interviewed with the M-CIDI for mental disorders and health service use for mental problems(More)
OBJECTIVE This study investigated the associations of cigarette smoking and alcohol intoxication with major depressive episode. DESIGN Major depressive episode during the past 12 months was assessed in a national representative cross sectional study using the Short Form of the University of Michigan version of the Composite International Diagnostic(More)
BACKGROUND Patients with depression have irritable bowel syndrome (IBS) more often than do nondepressed patients, but the comorbidity of depression and gastrointestinal (GI) symptoms in the general population has received little study. AIM To study the co-occurrence of depressive and GI symptoms in a general population sample and to assess the rate of(More)
We studied the association between two major problems--unemployment and major depressive episode--and the impact of different timing of periods of unemployment and risk factors, especially alcohol intoxication, for major depressive episode among the unemployed. Major depressive episode during the last 12 months, plus current and past employment status and(More)
BACKGROUND There is discrepancy in findings on spousal concordance for major depression. Here we report the risk of depression and its determinants in spouses of persons with or without depression, taking into account several known risk factors for major depression. METHODS A random sample of non-institutionalized Finnish individual aged 15-75 years was(More)