Evidence map›Paper›PMID 40696201›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

Impact of the COVID-19 pandemic on antidepressant use in eleven European regions: a comparative time series analysis 2018-2022.

Iva Selke Krulichová, Adam Hallberg, Gisbert W Selke, Katri Aaltonen, Manuela Casula, Jurij Fürst, Katarina Gvozdanović, Mohammadhossein Hajiebrahimi, Amanj Kurdi, Fredrik Nyberg and 5 more

Abstract readComparative Study
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Iva Selke KrulichováFaculty of Medicine in Hradec Králové, Department of Medical Biophysics, Charles University, Hradec Králové, Czech Republic. krulich@lfhk.cuni.cz.ORCID http://orcid.org/0000-0002-6815-0780
Adam HallbergPharmacoepidemiology & Social Pharmacy, Department of Pharmacy, Uppsala University, Uppsala, Sweden.
Gisbert W SelkeAOK Research Institute (WIdO), Berlin, Germany.ORCID http://orcid.org/0000-0002-9614-9875
Katri AaltonenINVEST Research Centre, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-1737-264X
Manuela CasulaEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-5124-5361
Jurij FürstHealth Insurance Institute, Ljubljana, Slovenia.
Katarina GvozdanovićTeaching Institute of Public Health "Dr. Andrija Stampar", Zagreb, Croatia.ORCID http://orcid.org/0000-0002-7943-3030
Mohammadhossein HajiebrahimiPharmacoepidemiology & Social Pharmacy, Department of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8118-4988
Amanj KurdiStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK.ORCID http://orcid.org/0000-0001-5036-1988
Fredrik NybergSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-0892-5668
Elena OlmastroniEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0001-7107-243X
Hanna RättöINVEST Research Centre, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-5122-1175
Juraj SlabýState Institute for Drug Control, Prague, Czech Republic.
Björn WettermarkPharmacoepidemiology & Social Pharmacy, Department of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-0531-2516
Tanja MuellerStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK.ORCID https://orcid.org/0000-0002-0418-4789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic had detrimental effects on the mental health of populations, with differing influences on different demographic groups. Varying national countermeasures to the pandemic may have further impacted these effects. This study aimed to explore the effects of the pandemic on dispensed volumes of antidepressants in outpatient settings in different regions of Europe and to assess potential age- and sex-related differences of its impact on incidence of antidepressant dispensing.

methodsWe used descriptive and interrupted time series analyses of pharmacy dispensing data on volumes. For six regions, we analysed volume and incident use stratified by age and sex.

resultsDuring the pandemic, the preexisting long-term trend in unstratified dispensed volumes significantly increased only in Slovenia and Germany and weakened in Scotland and Wales (estimated changes in slope + 0.16, + 0.10, - 0.23, and - 0.68 defined daily doses per thousand inhabitants per day, respectively, for each month). The stratified quarterly analysis revealed the greatest relative increase in females aged 0-17 (+ 64% in Sweden to + 167% in Croatia in the last quarter of 2022 compared with the last quarter of 2019). Both rate of change and difference between sexes were lower in higher age groups. Incidence increased most steeply in females aged 0-17, where the estimated pandemic-related increase explained 11% (Sweden) to 55% (Lombardy) of new patients receiving antidepressants.

conclusionOur findings indicate the need to develop targeted mental health supporting measures to increase resilience, especially in young people, and mitigate the impact of potential future public health crises.

Indexed as

Antidepressive AgentsCOVID-19AdolescentAdultAgedAge FactorsChildChild, PreschoolEuropeFemaleHumansInfantInterrupted Time Series AnalysisMaleMiddle AgedPandemicsAntidepressive AgentsAntidepressantsCOVID-19Cross-national comparisonDrug utilization researchInterrupted time series analysisMental health

Identifiers

PMID40696201
PMCPMC13021844

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.