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The underrecognition and undertreatment of depression: what is the breadth and depth of the problem?
J Clin Psychiatry. 1999; 60 Suppl 7:4-9; discussion 10-1.JC

Abstract

Currently, 1 in 6 of the population will, at some point during their lives, suffer from major depression. By the year 2020, it has been estimated that major depression will be the second most important cause of disability worldwide. Major depression is associated not only with significant morbidity, but with comorbid chronic illnesses and lost productivity because of excess mortality and morbidity. The most important reason for the recognition and adequate treatment of depression is that symptoms can be effectively controlled. Despite this, patients are frequently neither recognized nor treated adequately. Underdiagnosis and undertreatment of major depression can be associated with factors relating to patients, their physicians, and the health care systems that provide their care. The treatment of depressed patients with appropriate agents, at appropriate doses, for appropriate periods of time, and incorporating appropriate nonpharmacologic strategies, is cost-effective. Since much of the management of depression occurs in primary care, approaches aimed at improving the overall management of the condition have a major role to play in lessening the burden of the disease.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC 27710, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

10326869

Citation

Davidson, J R., and S E. Meltzer-Brody. "The Underrecognition and Undertreatment of Depression: what Is the Breadth and Depth of the Problem?" The Journal of Clinical Psychiatry, vol. 60 Suppl 7, 1999, pp. 4-9; discussion 10-1.
Davidson JR, Meltzer-Brody SE. The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? J Clin Psychiatry. 1999;60 Suppl 7:4-9; discussion 10-1.
Davidson, J. R., & Meltzer-Brody, S. E. (1999). The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? The Journal of Clinical Psychiatry, 60 Suppl 7, 4-9; discussion 10-1.
Davidson JR, Meltzer-Brody SE. The Underrecognition and Undertreatment of Depression: what Is the Breadth and Depth of the Problem. J Clin Psychiatry. 1999;60 Suppl 7:4-9; discussion 10-1. PubMed PMID: 10326869.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? AU - Davidson,J R, AU - Meltzer-Brody,S E, PY - 1999/5/18/pubmed PY - 1999/5/18/medline PY - 1999/5/18/entrez SP - 4-9; discussion 10-1 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 60 Suppl 7 N2 - Currently, 1 in 6 of the population will, at some point during their lives, suffer from major depression. By the year 2020, it has been estimated that major depression will be the second most important cause of disability worldwide. Major depression is associated not only with significant morbidity, but with comorbid chronic illnesses and lost productivity because of excess mortality and morbidity. The most important reason for the recognition and adequate treatment of depression is that symptoms can be effectively controlled. Despite this, patients are frequently neither recognized nor treated adequately. Underdiagnosis and undertreatment of major depression can be associated with factors relating to patients, their physicians, and the health care systems that provide their care. The treatment of depressed patients with appropriate agents, at appropriate doses, for appropriate periods of time, and incorporating appropriate nonpharmacologic strategies, is cost-effective. Since much of the management of depression occurs in primary care, approaches aimed at improving the overall management of the condition have a major role to play in lessening the burden of the disease. SN - 0160-6689 UR - https://www.unboundmedicine.com/medline/citation/10326869/The_underrecognition_and_undertreatment_of_depression:_what_is_the_breadth_and_depth_of_the_problem L2 - http://www.psychiatrist.com/jcp/article/pages/1999/v60s07/v60s0702.aspx DB - PRIME DP - Unbound Medicine ER -