Improving outcomes in depression

doi:10.1136/bmj.323.7319.948

BMJ 2001;323:948-949 ( 27 October )

Editorials

Improving outcomes in depression

The whole process of care needs to be enhanced

The first 150 words of the full text of this article appear below.

Around 450 million people worldwide have mental or psychosocial problems, but most of those who turn to health services forhelp will not be correctly diagnosed or will not get the righttreatment.¹ Even those whose problems are recognised may notreceive adequate care. In a World Health Organization study ofpsychological disorders in general health care carried out in14 countries around the world patients with major depression wereas likely to be treated with sedatives as with antidepressants,although antidepressants were associated with more favourableoutcomes at three month follow up. This benefit had dissipatedby follow up at 12 months; but patients had only been taking drugtreatment for a mean of 11 weeks, with a quarter of them doingso for less than a month.² About two thirds of patients whoseillnesses were recognised and treated with drugs still had a diagnosisof mental illness at follow up one year . . . [Full text of this article]

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