Preventing the onset of depressive disorders in low-and middle-income countries: An overview
Depressive disorders constitute an important and costly public health problem and worldwide most of the disease burden is suffered in low-and middle-income countries (LMICs). Treatments only have limited possibilities to reduce the disease burden of depressive disorders. Prevention may be one of the...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425123000225/type/journal_article |
| _version_ | 1827935521251262464 |
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| author | Pim Cuijpers |
| author_facet | Pim Cuijpers |
| author_sort | Pim Cuijpers |
| collection | DOAJ |
| description | Depressive disorders constitute an important and costly public health problem and worldwide most of the disease burden is suffered in low-and middle-income countries (LMICs). Treatments only have limited possibilities to reduce the disease burden of depressive disorders. Prevention may be one of the alternative ways to further reduce the disease burden of depressive disorders. In this paper, the results of a subgroup analysis of a previous meta-analysis on the effect of preventive interventions on the incidence of depressive disorders was undertaken. Only 6% of all trials examining the possibility to prevent the onset of major depression have been conducted in LMICs, and these studies find significantly smaller effects than those in high-income settings. It is too early, therefore, to consider implementing and disseminating preventive interventions in LMICS. However, in optimal conditions and assuming that evidence-based preventive interventions will be developed, investments should be made into treatment, universal, selective and indicated prevention, as well as in social institutions focusing on larger risk factors for mental health problems. |
| first_indexed | 2024-03-13T07:56:00Z |
| format | Article |
| id | doaj.art-44b69041a4104fcba6b000fc7dc7f4ed |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-03-13T07:56:00Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-44b69041a4104fcba6b000fc7dc7f4ed2023-06-02T05:23:55ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512023-01-011010.1017/gmh.2023.22Preventing the onset of depressive disorders in low-and middle-income countries: An overviewPim Cuijpers0https://orcid.org/0000-0001-5497-2743Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands and International Institute for Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, RomaniaDepressive disorders constitute an important and costly public health problem and worldwide most of the disease burden is suffered in low-and middle-income countries (LMICs). Treatments only have limited possibilities to reduce the disease burden of depressive disorders. Prevention may be one of the alternative ways to further reduce the disease burden of depressive disorders. In this paper, the results of a subgroup analysis of a previous meta-analysis on the effect of preventive interventions on the incidence of depressive disorders was undertaken. Only 6% of all trials examining the possibility to prevent the onset of major depression have been conducted in LMICs, and these studies find significantly smaller effects than those in high-income settings. It is too early, therefore, to consider implementing and disseminating preventive interventions in LMICS. However, in optimal conditions and assuming that evidence-based preventive interventions will be developed, investments should be made into treatment, universal, selective and indicated prevention, as well as in social institutions focusing on larger risk factors for mental health problems.https://www.cambridge.org/core/product/identifier/S2054425123000225/type/journal_articledepressionmajor depressive disorderpreventionlow- and middle income countriesrandomized controlled trialsmeta-analysisuniversal preventionselective preventionindicated prevention |
| spellingShingle | Pim Cuijpers Preventing the onset of depressive disorders in low-and middle-income countries: An overview Cambridge Prisms: Global Mental Health depression major depressive disorder prevention low- and middle income countries randomized controlled trials meta-analysis universal prevention selective prevention indicated prevention |
| title | Preventing the onset of depressive disorders in low-and middle-income countries: An overview |
| title_full | Preventing the onset of depressive disorders in low-and middle-income countries: An overview |
| title_fullStr | Preventing the onset of depressive disorders in low-and middle-income countries: An overview |
| title_full_unstemmed | Preventing the onset of depressive disorders in low-and middle-income countries: An overview |
| title_short | Preventing the onset of depressive disorders in low-and middle-income countries: An overview |
| title_sort | preventing the onset of depressive disorders in low and middle income countries an overview |
| topic | depression major depressive disorder prevention low- and middle income countries randomized controlled trials meta-analysis universal prevention selective prevention indicated prevention |
| url | https://www.cambridge.org/core/product/identifier/S2054425123000225/type/journal_article |
| work_keys_str_mv | AT pimcuijpers preventingtheonsetofdepressivedisordersinlowandmiddleincomecountriesanoverview |