期刊
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 33
卷 33, 期 -, 页码 123-135出版社
ANNUAL REVIEWS
DOI: 10.1146/annurev-publhealth-031811-124544
关键词
prevention; selective/indicated/universal; late life; low- and middle-income countries (LMIC)
资金
- NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES [UL1TR000005] Funding Source: NIH RePORTER
- NATIONAL CENTER FOR RESEARCH RESOURCES [UL1RR024153] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH083660, R01MH091448, P30MH090333] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON AGING [P30AG024827] Funding Source: NIH RePORTER
- NCATS NIH HHS [UL1 TR000005] Funding Source: Medline
- NCRR NIH HHS [UL1 RR024153] Funding Source: Medline
- NIA NIH HHS [P30 AG024827] Funding Source: Medline
- NIMH NIH HHS [R01 MH083660, P30 MH090333, R01MH091448, R01 MH091448] Funding Source: Medline
- Wellcome Trust [091834] Funding Source: Medline
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 20-25% 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 work-force 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.
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