Reducing the burden of depression

被引:26
作者
Andrews, Gavin [1 ]
机构
[1] Univ New S Wales, St Vincents Hosp, Sch Psychiat, Clin Res Unit Anxiety & Depress, Sydney, NSW, Australia
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2008年 / 53卷 / 07期
关键词
prevalence; disability; persistence; treatment avoidance; proactive treatment;
D O I
10.1177/070674370805300703
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To consider why the burden of depression persists. Method: The epidemiology and disability associated with depression were reviewed to consider whether depression persists because: the causes are overwhelming, prevention is ineffective, the disease is difficult to detect or diagnose, the condition remits and recurs, treatments do not work, individuals do not seek treatment, or effective care is not provided when they do seek it. Results: The first 5 possibilities were not considered significant reasons for the persistence of the burden. Conclusion: The burden persists because individuals do not seek treatment for their depression when they relapse and effective proactive treatment is not always provided when they do seek it.
引用
收藏
页码:420 / 427
页数:8
相关论文
共 56 条
  • [11] ANDREWS G, 2007, ANXIETY DISORDERS CU, P149
  • [12] Issues for DSM-V: Simplifying DSM-IV to enhance utility: The case of major depressive disorder
    Andrews, Gavin
    Slade, Tim
    Sunderland, Matthew
    Anderson, Tracy
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2007, 164 (12) : 1784 - 1785
  • [13] Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene
    Caspi, A
    Sugden, K
    Moffitt, TE
    Taylor, A
    Craig, IW
    Harrington, H
    McClay, J
    Mill, J
    Martin, J
    Braithwaite, A
    Poulton, R
    [J]. SCIENCE, 2003, 301 (5631) : 386 - 389
  • [14] Preventing the incidence of new cases of mental disorders - A meta-analytic review
    Cuijpers, P
    Van Straten, A
    Smit, F
    [J]. JOURNAL OF NERVOUS AND MENTAL DISEASE, 2005, 193 (02) : 119 - 125
  • [15] Subthreshold depression as a risk indicator for major depressive disorder: a systematic review of prospective studies
    Cuijpers, P
    Smit, F
    [J]. ACTA PSYCHIATRICA SCANDINAVICA, 2004, 109 (05) : 325 - 331
  • [16] Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys
    Demyttenaere, K
    Bruffaerts, R
    Posada-Villa, J
    Gasquet, I
    Kovess, V
    Lepine, JP
    Angermeyer, MC
    Bernert, S
    de Girolamo, G
    Morosini, P
    Polidori, G
    Kikkawa, T
    Kawakami, N
    Ono, Y
    Takeshima, T
    Uda, H
    Karam, EG
    Fayyad, JA
    Karam, AN
    Mneimneh, ZN
    Medina-Mora, ME
    Borges, G
    Lara, C
    de Graaf, R
    Ormel, J
    Gureje, O
    Shen, YC
    Huang, YQ
    Zhang, MY
    Alonso, J
    Haro, JM
    Vilagut, G
    Bromet, EJ
    Gluzman, S
    Webb, C
    Kessler, RC
    Merikangas, KR
    Anthony, JC
    Von Korff, MR
    Wang, PS
    Alonso, J
    Brugha, TS
    Aguilar-Gaxiola, S
    Lee, S
    Heeringa, S
    Pennell, BE
    Zaslavsky, AM
    Ustun, TB
    Chatterji, S
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (21): : 2581 - 2590
  • [17] Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trial
    Dietrich, AJ
    Oxman, TE
    Williams, JW
    Schulberg, HC
    Bruce, ML
    Lee, PW
    Barry, S
    Raue, PJ
    Lefever, JJ
    Heo, M
    Rost, K
    Kroenke, K
    Gerrity, M
    Nutting, PA
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2004, 329 (7466): : 602 - 605
  • [18] Collaborative care for depression - A cumulative meta-analysis and review of longer-term outcomes
    Gilbody, Simon
    Bower, Peter
    Fletcher, Janine
    Richards, David
    Sutton, Alex J.
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2006, 166 (21) : 2314 - 2321
  • [19] Costs and consequences of enhanced primary care for depression - Systematic review of randomised economic evaluations
    Gilbody, Simon
    Bower, Peter
    Whitty, Paula
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2006, 189 : 297 - 308
  • [20] The developmental origins of anxiety
    Gross, C
    Hen, R
    [J]. NATURE REVIEWS NEUROSCIENCE, 2004, 5 (07) : 545 - 552