TY - JOUR
T1 - Early Intervention to Reduce the Global Health and Economic Burden of Major Depression in Older Adults
AU - Reynolds, C.F.
AU - Cuijpers, P.
AU - Patel, V.
AU - Cohen, A.
AU - Dias, A.
AU - Chowdhary, N.
AU - Okereke, O.I.
AU - Dew, M.A.
AU - Anderson, S.J.
AU - Mazumdar, S.
AU - Lotrich, F.
AU - Albert, S.M.
PY - 2012
Y1 - 2012
N2 - Randomized trials for selective and indicated prevention of depression in both mixed-aged and older adult samples, conducted in high-income countries (HICs), show that rates of incident depression can be reduced by 2025 over 1-2 years through the use of psychoeducational and psychological interventions designed to increase protective factors. Recurrence of major depression can also be substantially reduced through both psychological and psychopharmacological strategies. Additional research is needed, however, to address the specific issues of depression prevention in older adults in low-and middle-income countries (LMICs). The growing number of older adults globally, as well as workforce issues and the expense of interventions, makes it important to develop rational, targeted, and cost-effective risk-reduction strategies. In our opinion, one strategy to address these issues entails the use of lay health counselors (LHCs), a form of task shifting already shown to be effective in the treatment of common mental disorders in LMICs. We suggest in this review that the time is right for research into the translation of depression-prevention strategies for use in LMICs. © 2012 by Annual Reviews. All rights reserved.
AB - Randomized trials for selective and indicated prevention of depression in both mixed-aged and older adult samples, conducted in high-income countries (HICs), show that rates of incident depression can be reduced by 2025 over 1-2 years through the use of psychoeducational and psychological interventions designed to increase protective factors. Recurrence of major depression can also be substantially reduced through both psychological and psychopharmacological strategies. Additional research is needed, however, to address the specific issues of depression prevention in older adults in low-and middle-income countries (LMICs). The growing number of older adults globally, as well as workforce issues and the expense of interventions, makes it important to develop rational, targeted, and cost-effective risk-reduction strategies. In our opinion, one strategy to address these issues entails the use of lay health counselors (LHCs), a form of task shifting already shown to be effective in the treatment of common mental disorders in LMICs. We suggest in this review that the time is right for research into the translation of depression-prevention strategies for use in LMICs. © 2012 by Annual Reviews. All rights reserved.
U2 - 10.1146/annurev-publhealth-031811-124544
DO - 10.1146/annurev-publhealth-031811-124544
M3 - Article
SN - 0163-7525
VL - 2012
SP - 123
EP - 135
JO - The Annual Review of Public Health
JF - The Annual Review of Public Health
M1 - 33
ER -