Cited by 322Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Disorders

The DOI matches its Crossref record; 294 of the 295 references it cites were found in a registry or an index.

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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Crossref · 10.1016/j.cpr.2004.06.001

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Research works printed but not linked: 12

  1. Brown, 1998, Diagnosis and treatment of depression in primary medical care practice: The application of research findings to clinical practice, Journal of Clinical Psychology. Special Issue: Clinical Utility Research, 54, 303
  2. Gould, 2002, A meta-analysis of treatments for panic disorder, Clinical Psychology Review, 15, 819, 10.1016/0272-7358(95)00048-8 · DOI · Paper page
  3. Griest, 2000, Effective behavioral therapy constrained: Dissemination is the issue, vol. 4
  4. Hunt, 2004, Report of the committee on academic training: Medical specialty training on panic disorder, The Behavior Therapist, 27, 18
  5. Hunter, 2001, Primary care psychology training at Wilford Hall Medical Center, The Behavior Therapist, 24, 220
  6. Kohlenberg, 2003, AABT: On the precipice of becoming dysfunctional?, The Behavior Therapist, 26, 284
  7. Miller, 2004, Motivational interviewing in the service of health promotion, American Journal of Health Promotion, 18, 1
  8. Paykel, 1994, Prevention of depression: The royal college of psychiatrists' prevention committee and defeat depression campaign, vol. 1, 73
  9. Pirbhai, 2003, Patient-centered communication: An emerging medical paradigm, University of Western Ontario Medical Journal, 72, 9
  10. Rush, 1997, Strategies and tactics in the treatment of chronic depression, Journal of Clinical Psychiatry, 58, 14
  11. Schare, 2003, A need for the Behavioral Integration of Technology (BIT): Back to the future, The Behavior Therapist, 26, 287
  12. Williams, 2001, Use of written cognitive–behavioral therapy self-help materials to treat depression, The Royal College of Psychiatrists, 7, 233

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Items 301–322 of 322

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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