Talking sensibly about depression
Open accessAbstract
points• Depression is the leading mental health-related cause of the global burden of disease and is the focus of World Health Day 2017.• Despite robust evidence of the effectiveness of interventions ranging from self-care to clinical interventions, the vast majority of people with depressive symptoms do not receive any care.• The majority of persons meeting the binary diagnostic criteria for depression have mild to moderate symptoms that most often do not need clinical interventions.• A staged model, from wellness to distress to disorder, offers a hybrid between binary and dimensional approaches to classifying depressive symptoms, with specific interventions delivered through distinct delivery platforms addressing each stage.• Such a staged approach is likely to be more efficient and acceptable to diverse audiences (from the general population to policy makers and practitioners) and provides the basis for these audiences to talk with one voice about this condition.The past 12 months have been a momentous year for global mental health, the discipline of global health concerned with reducing the burden of mental ill-health and inequalities within and between nations.The World Bank and WHO jointly hosted the "Out of the Shadows" summit in Washington in April 2016 to highlight mental health as a global "development" priority, signifying a notable shift in emphasis from a narrower health focus to development more broadly.Twelve months later, the WHO celebrates its annual World Health Day in April 2017 on the theme of depression.This is a very timely (indeed, greatly overdue) recognition, for not only is depression the leading mental health-related cause of the global burden of disease but also because, despite the reams of evidence on how the suffering associated with this condition can be mitigated, vast proportions of people globally do not benefit from these interventions [1].Even in the relatively better-resourced, middle-income countries such as India and China, up to 90% of patients with depression report not having sought or received any care for their symptoms [2].The slogan for World Health Day is "let's talk," emphasizing the central role of disclosure "as a vital component of recovery" by targeting the stigma surrounding mental illness, which acts as a barrier to people with depression seeking help.Significantly, the WHO campaign recommends that talking can involve a wide range of potential listeners, from family members
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- Authors
- Patel, V.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Patel, Vikram
- ORCID
- Patel, Vikram
- Venue
- PLOS Medicine
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-04-04
- Volume
- 14
- Issue
- 4
- Pages
- e1002257
- ISSN
- 1549-1277 (ISSN-L)
- 1549-1676
- PMC
- PMC5380305
- OpenAlex
- W2604723046
- Cited by
- 80
- References
- 32
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 13 · 2022: 10 · 2021: 10 · 2020: 7 · 2019: 11 · 2018: 11 · 2017: 1
- FWCI
- 11.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Wellcome Trust
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, global mental health, stigma, help-seeking, mental health policy, World Health Day, mental health disclosure, global burden of disease
- MeSH terms
- Awareness, Communication Barriers, Delivery of Health Care, Depression, Humans, Models, Psychological, Stress, Psychological, Global Health, Disease Progression
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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