Barriers to reducing burden of affective disorders

Martha L. Bruce, Kenneth B. Wells, Jeanne Miranda, Lydia Lewis, Junius J. Gonzalez, Mark S. Bauer, Mary Durham, Javier Escobar, Daniel Ford, Kimberly Hoagwood, Sarah Horwitz, William Lawson, Lydia Lewis, Thomas McGuire, Harold Pincus, Richard Schleffler, William Smith, Jürgen Unützer

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations


This paper summarizes 3 sets of barriers to reducing burden of affective disorders including factors that contribute to 1) the risk, course, and outcomes of affective disorders; 2) help-seeking and use of health and mental health services for affective and other mental disorders; and 3) the appropriateness of treatments used for affective disorders. On the basis of this review, the authors recommend research needed to identify modifiable barriers to reducing the burden of affective disorders and to identifying opportunities to reduce these barriers. This new research should focus on clarifying societal, family, and consumer, clinician, and system barriers to recognizing disorders, seeking and providing care, and adhering with guideline concordant care, and should include barriers that apply to both treatment and prevention services.

Original languageEnglish (US)
Pages (from-to)187-197
Number of pages11
JournalMental Health Services Research
Issue number4
StatePublished - Dec 2002
Externally publishedYes


  • Affective disorders
  • Barriers
  • Bipolar disorders
  • Depression
  • Epidemiology
  • Intervention
  • Service utilization
  • Treatment

ASJC Scopus subject areas

  • Health Policy


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