Overcoming barriers to reducing the burden of affective disorders

被引:57
作者
Wells, KB
Miranda, J
Bauer, MS
Bruce, ML
Durham, M
Escobar, J
Ford, D
Gonzalez, J
Hoagwood, K
Horwitz, SM
Lawson, W
Lewis, L
McGuire, T
Pincus, H
Scheffler, R
Smith, WA
Unützer, J
机构
[1] Univ Calif Los Angeles, Hlth Serv Res Ctr, Dept Psychiat & Behav Sci, Los Angeles, CA 90024 USA
[2] RAND Corp, Santa Monica, CA USA
[3] Georgetown Univ, Dept Psychiat, Washington, DC USA
[4] Brown Univ, Dept Psychiat & Human Behav, Providence, RI 02912 USA
[5] Providence Vet Affairs Med Ctr, Providence, RI USA
[6] Cornell Univ, Dept Psychiat, Ithaca, NY USA
[7] Kaiser Fdn Hosp, Portland, OR USA
[8] Robert Wood Johnson Med Sch, Dept Psychiat, Piscataway, NJ USA
[9] Johns Hopkins Univ, Baltimore, MD USA
[10] NIMH, Washington, DC USA
[11] Columbia Univ, Dept Psychiat, New York, NY USA
[12] Yale Univ, Sch Publ Hlth, New Haven, CT USA
[13] Howard Univ, Dept Psychiat, Washington, DC 20059 USA
[14] Natl Depress & Man Depress Assoc, Chicago, IL USA
[15] Boston Univ, Dept Econ, Boston, MA 02215 USA
[16] Univ Pittsburgh, Western Psychiat Inst & Clin, Pittsburgh, PA 15213 USA
[17] RAND Corp, Pittsburgh, PA USA
[18] Univ Calif Berkeley, Berkeley, CA 94720 USA
[19] Acad Educ Dev, Washington, DC USA
关键词
affective disorders; barriers; burden of illness; interventions; unmet need;
D O I
10.1016/S0006-3223(02)01403-8
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Affective disorders impose a substantial individual and societal burden. Despite availability of efficacious treatments and practice guidelines, unmet need remains high. To reduce unmet need and the burden of affective disorders, information is needed on the distribution of burden across stakeholders, on barriers to reducing burden, and on interventions that effectively reduce burden at the levels of practice, community, and policy. This article provides the report of the Working Group on Overcoming Barriers to Reducing the Burden of Affective Disorders, for the National Institute of Mental Health Strategic Plan on Mood Disorders. We review the literature, identify key gaps, and recommend new research to guide national efforts to reduce the burden of affective disorders.
引用
收藏
页码:655 / 675
页数:21
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