The Economics of Treatment for Depression

IF 21.4 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annual Review of Public Health Pub Date : 2023-12-15 DOI:10.1146/annurev-publhealth-061022-040533

Chad Stecher, Sara Cloonan, Marisa Elena Domino

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引用次数: 0

Abstract

The global prevalence of depression has risen over the past three decades across all socioeconomic groups and geographic regions, with a particularly rapid increase in prevalence among adolescents (aged 12–17 years) in the United States. Depression imposes large health, economic, and societal costs, including reduced life span and quality of life, medical costs, and reduced educational attainment and workplace productivity. A wide range of treatment modalities for depression are available, but socioeconomic disparities in treatment access are driven by treatment costs, lack of culturally tailored options, stigma, and provider shortages, among other barriers. This review highlights the need for comparative research to better understand treatments’ relative efficacy, cost-effectiveness, scalability, and potential heterogeneity in efficacy across socioeconomic groups and country and cultural contexts. To address the growing burden of depression, mental health policy could consider reducing restrictions on the supply of providers, implementing digital interventions, reducing stigma, and promoting healthy lifestyles.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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抑郁症治疗的经济学

过去三十年来，全球抑郁症发病率在所有社会经济群体和地理区域都有所上升，尤其是在美国青少年（12-17 岁）中的发病率增长尤为迅速。抑郁症造成了巨大的健康、经济和社会成本，包括寿命缩短、生活质量下降、医疗费用增加、受教育程度和工作效率降低。抑郁症的治疗方法多种多样，但由于治疗费用、缺乏适合不同文化背景的治疗方案、污名化和医疗服务提供者短缺等障碍，在获得治疗方面存在着社会经济差异。本综述强调了进行比较研究的必要性，以便更好地了解治疗方法的相对疗效、成本效益、可扩展性以及不同社会经济群体、国家和文化背景下疗效的潜在异质性。为了应对抑郁症日益加重的负担，心理健康政策可以考虑减少对提供者的限制、实施数字化干预、减少污名化以及提倡健康的生活方式。《公共卫生年度评论》第45卷的最终在线出版日期预计为2024年4月。修订后的估算请参见 http://www.annualreviews.org/page/journal/pubdates。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

26.60

自引率

1.40%

发文量

审稿时长

>12 weeks

期刊介绍： The Annual Review of Public Health has been a trusted publication in the field since its inception in 1980. It provides comprehensive coverage of important advancements in various areas of public health, such as epidemiology, biostatistics, environmental health, occupational health, social environment and behavior, health services, as well as public health practice and policy. In an effort to make the valuable research and information more accessible, the current volume has undergone a transformation. Previously, access to the articles was restricted, but now they are available to everyone through the Annual Reviews' Subscribe to Open program. This open access approach ensures that the knowledge and insights shared in these articles can reach a wider audience. Additionally, all the published articles are licensed under a CC BY license, allowing users to freely use, distribute, and build upon the content, while giving appropriate credit to the original authors.