Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment

Why does the burden of mental disorders persist in established market economies? There are four possibilities: the burden estimates are wrong; there are no effective treatments; people do not receive treatment; or people do not receive effective treatments. Data from the Australian National Survey o...

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Main Authors: G. Andrews, K. Sanderson, T. Slade, C. Issakidis
Format: Article
Language:English
Published: The World Health Organization
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000400006&lng=en&tlng=en
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author G. Andrews
K. Sanderson
T. Slade
C. Issakidis
author_facet G. Andrews
K. Sanderson
T. Slade
C. Issakidis
author_sort G. Andrews
collection DOAJ
description Why does the burden of mental disorders persist in established market economies? There are four possibilities: the burden estimates are wrong; there are no effective treatments; people do not receive treatment; or people do not receive effective treatments. Data from the Australian National Survey of Mental Health and Wellbeing about the two commonest mental disorders, generalized anxiety disorder and depression, have been used in examining these issues. The burden of mental disorders in Australia is third in importance after heart disease and cancer, and anxiety and depressive disorders account for more than half of that burden. The efficacy of treatments for both disorders has been established. However, of those surveyed, 40% with current disorders did not seek treatment in the previous year and only 45% were offered a treatment that could have been beneficial. Treatment was not predictive of disorders that remitted during the year. The burden therefore persists for two reasons: too many people do not seek treatment and, when they do, efficacious treatments are not always used effectively.
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spelling doaj.art-21c983bcfb704a219b7aa5c24ba43aff2024-03-03T03:17:45ZengThe World Health OrganizationBulletin of the World Health Organization0042-968678444645410.1590/S0042-96862000000400006S0042-96862000000400006Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatmentG. Andrews0K. Sanderson1T. Slade2C. Issakidis3World Health OrganizationWorld Health OrganizationWorld Health OrganizationWorld Health OrganizationWhy does the burden of mental disorders persist in established market economies? There are four possibilities: the burden estimates are wrong; there are no effective treatments; people do not receive treatment; or people do not receive effective treatments. Data from the Australian National Survey of Mental Health and Wellbeing about the two commonest mental disorders, generalized anxiety disorder and depression, have been used in examining these issues. The burden of mental disorders in Australia is third in importance after heart disease and cancer, and anxiety and depressive disorders account for more than half of that burden. The efficacy of treatments for both disorders has been established. However, of those surveyed, 40% with current disorders did not seek treatment in the previous year and only 45% were offered a treatment that could have been beneficial. Treatment was not predictive of disorders that remitted during the year. The burden therefore persists for two reasons: too many people do not seek treatment and, when they do, efficacious treatments are not always used effectively.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000400006&lng=en&tlng=enanxiety disordersdepressive disordertreatment outcomeprevalenceepidemiological studiesAustralia
spellingShingle G. Andrews
K. Sanderson
T. Slade
C. Issakidis
Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
Bulletin of the World Health Organization
anxiety disorders
depressive disorder
treatment outcome
prevalence
epidemiological studies
Australia
title Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
title_full Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
title_fullStr Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
title_full_unstemmed Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
title_short Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment
title_sort why does the burden of disease persist relating the burden of anxiety and depression to effectiveness of treatment
topic anxiety disorders
depressive disorder
treatment outcome
prevalence
epidemiological studies
Australia
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000400006&lng=en&tlng=en
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AT tslade whydoestheburdenofdiseasepersistrelatingtheburdenofanxietyanddepressiontoeffectivenessoftreatment
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