Depression (.xlsx)

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parameter_values

parameter_name

value

Unnamed: 2

Justification

Unnamed: 4

Unnamed: 5

Unnamed: 6

Unnamed: 7

0

init_pr_depr_m_age1519_no_cc_wealth123

0.06

None

1

init_rp_depr_f_not_rec_preg

1.5

None

2

init_rp_depr_f_rec_preg

3

None

3

init_rp_depr_age2059

1

None

4

init_rp_depr_agege60

3

None

5

init_rp_depr_cc

1

None

6

init_rp_depr_wealth45

1

None

7

init_rp_ever_depr_per_year_older_m

0.004

None

8

init_rp_ever_depr_per_year_older_f

0.006

None

9

init_pr_antidepr_curr_depr

0.11

None

10

init_rp_antidepr_ever_depr_not_curr

0.5

None

11

init_pr_ever_diagnosed_depression

0.2

None

12

init_pr_ever_talking_therapy_if_diagnosed

1

We assume that talking therapy happens as part of diagnosis

13

init_pr_ever_self_harmed_if_ever_depr

0.004

consistent with rate of incident self harm

14

base_3m_prob_depr

0.0021

Rate is derived indirectly based on prevalence of depression that model produces as an output (Abas et al, 1997; Marwick et al, 2010; Udedi et al, 2014; This is much higher than incidence in Todd et al 1999 (approx 0.16 in 2 months) but that is inconsistent with prevalence unless extremely short duration. )

15

rr_depr_wealth45

3

Abas et al, 1997; Todd et al 1999; Chibanda et al, 2012;

16

rr_depr_cc

1.25

HIV: Cohen et al Rwanda 2009; Brandt 2009; hypertension: no association in SA Grimsrud et al 2009. Likely the association is with chronic symptoms rather than diagnosis of a chronic condition.

17

rr_depr_pregnancy

3

could not identify any estimates for African countries; although clear that pregnancy prevalence is relatively high in pregnancy and post-partum (it is clear the relative rate is > 1). Suggest use value of 3 until we have more data.

18

rr_depr_female

1.5

Kohler et al 2017

19

rr_depr_prev_epis

50

No data identified from Malawi or other close countries, but likely to be a large person-specific effect. Consider data on proportion of people with depression ever.

20

rr_depr_on_antidepr

30

21

rr_depr_age1519

1

Kim et al 2015;

22

rr_depr_agege60

3

Kohler et al 2017;

23

rr_depr_hiv

1.99

Ciesla & Roberts 2001;

24

depr_resolution_rates

[0.2, 0.3, 0.5, 0.7, 0.95]

Abas et al, 1997; Dow et al 2014;

25

rr_resol_depr_cc

0.5

26

rr_resol_depr_on_antidepr

1.5

Hengartner 2017; Cipriani et al 2018; Furukawa et al 2016;Faria et 2017; Kirsch 2014;

27

rr_resol_depr_current_talk_ther

1.1

28

prob_3m_stop_antidepr

0.7

None

29

prob_3m_default_antidepr

0.2

None

30

prob_3m_suicide_depr_m

0.0005

Chasimpha et al 2015 to be infered based on overall suicide rate and prevalence of depression (assume depression a pre-requisite for suicide) Suicide rate in adults in Karonga study 26.1 per 100,000 person years in adult men (age ge 15) and 8.0 per 100,000 person years in adult women. Chasimpha et al BMC Public Health 2015

31

rr_suicide_depr_f

0.333

Chasimpha et al 2015

32

prob_3m_selfharm_depr

0.0005

None

33

sensitivity_of_assessment_of_depression

0.75

None

34

pr_assessed_for_depression_in_generic_appt_level1

0.01

No available reference found, but co-calibrated with pr_assessed_for_depression_for_perinatal_female for a better Model/Data ratio on mental health service usage.

35

anti_depressant_medication_item_code

267

First line treatment (Amitriptyline 25mg_100_CMST)

36

pr_assessed_for_depression_for_perinatal_female

0.01

No available reference found, but co-calibrated with pr_assessed_for_depression_in_generic_appt_level1 for a better Model/Data ratio on mental health service usage.