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
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