[Possibilities for intervention in depression among adolescents and young adults from a public health point of view].
When considering measures to decrease the burden of disease that is caused by depression, the depressive diseases of adolescents and young adults are of increasing interest. The prevalence in this group is high and an increase in prevalence has to be considered. The prognosis for juvenile depression is particularly bad. This review discusses the potentials to influence the burden of disease through interventions such as therapy, indicated, selective and universal prevention and health promotion for adolescents and young adults. The most impact can thereby be expected from an effective treatment of depression and other mental diseases that have high co-morbidity with depression. There is some evidence for the effectiveness of preventive interventions for depression, however, most approaches currently seem to be unsuitable for wide implementation in the population. However, as open measures, they can offer individual benefit. Health promotion that focuses on political, living and societal conditions should be directed at the family. Policy measures that improve the living conditions of parents also promote the mental health of children. Finally, the discussion about the burden of disease that is caused by depression should be held by considering current societal norms. In this context, it is of special interest as to how much depression and how much loss of function should be still considered as normal and not eligible for intervention.
Bramesfeld
A
A
Abteilung für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover. Bramesfeld.anke@mh-hannover.de
Schwartz
F W
FW
D000293:Adolescent; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D002648:Child; D002986:Clinical Trials as Topic; D017281:Cost of Illness; D003863:Depression / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control* / Q000628:therapy; D005190:Family; D005194:Family Practice; D005858:Germany / Q000453:epidemiology; D006293:Health Promotion; D006801:Humans; D010287:Parent-Child Relations; D015995:Prevalence; D011613:Psychotherapy; D011634:Public Health; D012307:Risk Factors
D000928:Antidepressive Agents