Barriers to reducing burden of affective disorders.
This paper summarizes 3 sets of barriers to reducing burden of affective disorders including factors that contribute to 1) the risk, course, and outcomes of affective disorders; 2) help-seeking and use of health and mental health services for affective and other mental disorders; and 3) the appropriateness of treatments used for affective disorders. On the basis of this review, the authors recommend research needed to identify modifiable barriers to reducing the burden of affective disorders and to identifying opportunities to reduce these barriers. This new research should focus on clarifying societal, family, and consumer, clinician, and system barriers to recognizing disorders, seeking and providing care, and adhering with guideline concordant care, and should include barriers that apply to both treatment and prevention services.
Bruce
Martha L
ML
Department of Psychiatry, Westchester Division, Weill Medical College of Cornell University, 21 Bloomingdale Road, White Plains, New York 10605, USA. mbruce@med.cornell.edu
Wells
Kenneth B
KB
Miranda
Jeanne
J
Lewis
Lydia
L
Gonzalez
Junius L
JL
D015897:Comorbidity; D017281:Cost of Illness; D006297:Health Services Accessibility; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data; D019964:Mood Disorders / Q000150:complications / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy; D010342:Patient Acceptance of Health Care; D010818:Practice Patterns, Physicians'; D012106:Research; D012923:Social Class; D014481:United States / Q000453:epidemiology