Prevalence Increases as Treatments Improve: An Evolutionary Perspective on the Treatment-Prevalence Paradox in Depression.

IF 17.8 1区 心理学 Q1 PSYCHOLOGY
Iony D Ezawa, Noah Robinson, Steven D Hollon
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引用次数: 0

Abstract

Depression is an eminently treatable disorder that responds to psychotherapy or medications; the efficacy of each has been established in hundreds of controlled trials. Nonetheless, the prevalence of depression has increased in recent years despite the existence of efficacious treatments-a phenomenon known as the treatment-prevalence paradox. We consider several possible explanations for this paradox, which range from a misunderstanding of the very nature of depression, inflated efficacy of the established treatments, and a lack of access to efficacious delivery of treatments. We find support for each of these possible explanations but especially the notion that large segments of the population lack access to efficacious treatments that are implemented as intended. We conclude by describing the potential of using lay therapists and digital technologies to overcome this lack of access and to reach historically underserved populations and simultaneously guarantee the quality of the interventions delivered.

患病率随着治疗方法的改进而增加:从进化角度看抑郁症的治疗-患病率悖论》。
抑郁症是一种非常容易治疗的疾病,对心理治疗或药物治疗均有反应;数百项对照试验已经证实了每种疗法的疗效。然而,尽管存在有效的治疗方法,近年来抑郁症的患病率却在上升--这种现象被称为治疗-患病率悖论。对于这种悖论,我们考虑了几种可能的解释,包括对抑郁症本质的误解、夸大已有治疗方法的疗效,以及缺乏有效的治疗方法。我们发现这些可能的解释都得到了支持,尤其是大部分人无法获得按预期实施的有效治疗这一观点。最后,我们介绍了利用非专业治疗师和数字技术来克服这种缺乏机会的问题,并帮助历史上得不到充分服务的人群,同时保证所提供干预措施的质量的潜力。
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来源期刊
CiteScore
31.50
自引率
0.50%
发文量
24
期刊介绍: The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.
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