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Talking sensibly about depression
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Journal Article
Talking sensibly about depression
2017
Overview
Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America Affiliations London School of Hygiene & Tropical Medicine, London, United Kingdom, Public Health Foundation of India, National Capital Region of New Delhi, India, Sangath, Goa, Porvorim, India ORCID http://orcid.org/0000-0003-1066-8584Citation: Patel V (2017) Talking sensibly about depression. Summary points * Depression is the leading mental health-related cause of the global burden of disease and is the focus of World Health Day 2017. * Despite robust evidence of the effectiveness of interventions ranging from self-care to clinical interventions, the vast majority of people with depressive symptoms do not receive any care. * The majority of persons meeting the binary diagnostic criteria for depression have mild to moderate symptoms that most often do not need clinical interventions. * A staged model, from wellness to distress to disorder, offers a hybrid between binary and dimensional approaches to classifying depressive symptoms, with specific interventions delivered through distinct delivery platforms addressing each stage. * Such a staged approach is likely to be more efficient and acceptable to diverse audiences (from the general population to policy makers and practitioners) and provides the basis for these audiences to talk with one voice about this condition. [...]some commentators view the discourse on the global burden of depression and the treatment gap as a culturally insensitive plot to export a failed psychiatric model to unsuspecting developing countries and a ploy to expand markets for pharmaceutical companies [3]. [...]given there is no obvious point in...
Publisher
Public Library of Science,Public Library of Science (PLoS)
