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Gaps in accessing treatment for anxiety and depression: Challenges for the delivery of care
Abstract
Epidemiological studies have identified high prevalence rates of anxiety and depression in North America [e.g., J. of Nerv. Ment. Dis. 182 (1994) 290]. However, only a small percentage of these individuals access effective treatment. The undertreatment of anxiety and depression is a major public health issue and is associated with significant personal, social, and economic burden. This article describes the existing discrepancy between prevalence of anxiety and depression and access to effective treatment for adults and children, the contributors to this discrepancy, and suggests various means through which access to effective treatment may be enhanced. We begin with a brief overview of the prevalence and associated personal, societal, and systemic burdens of anxiety and depression. This is followed by a review of current rates of access to treatment and possible individual, provider, and systemic barriers to accessing treatment. Recommendations for bridging the gap between the high rates of these disorders and limited accessibility of effective care are then presented.
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“Among the most frequently mentioned barriers for adolescents to seek treatment are perceived social stigma and fear of peer rejection (Collins et al., 2004; Gulliver et al., 2010; Rickwood et al., 2005; Booth et al., 2004; Jaycox et al., 2006)”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Collins et al., 2004
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“Among the most frequently mentioned barriers for adolescents to seek treatment are perceived social stigma and fear of peer rejection (Collins et al., 2004; Gulliver et al., 2010; Rickwood et al., 2005; Booth et al., 2004; Jaycox et al., 2006), preference for self-reliance (Rickwood et al., 2007;…”
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Metadata
- Authors
- Collins, K. A., Westra, H. A., Dozois, D. J. A., & Burns, D. D.
- Affiliations
- London Health Sciences Centre (CA)
- Western University (CA)
- Stanford University (US)
- Corresponding author
- Collins, Kerry A.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2004-09
- Volume
- 24
- Issue
- 5
- Pages
- 583-616
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2040279986
- Cited by
- 322
- References
- 295
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 19 · 2023: 18 · 2022: 26 · 2021: 17 · 2020: 14 · 2019: 27 · 2018: 20 · 2017: 20 · 2016: 23 · 2015: 15 · 2014: 15 · 2013: 17 · 2012: 15
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Keywords
- anxiety disorders, depression, treatment access, undertreatment, barriers to care, mental health service delivery, prevalence, health care disparities, children and adolescents, economic burden of mental illness
- MeSH terms
- Anxiety Disorders, Cross-Sectional Studies, Delivery of Health Care, Depressive Disorder, Health Services Accessibility, Health Services Needs and Demand, Humans, Patient Acceptance of Health Care, Referral and Consultation, United States, Treatment Outcome, Cost of Illness
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