Subsyndromal depression and services delivery: at a crossroad?

摘要

The articles in this month's journal provide empirical evidence of the clinical relevance of sub-syndromal and nondiagnostic measures of depres-sion. The authors' thoughtful discussion sections led me to consider the implications of their findings for services delivery, and I wondered whether this important body of research is on a collision course with other research aimed at improving depression assessment and care in nonmental health settings. One way to think about this question is through the lens of history, and because this year is the 30th anniversary of the first wave of data collection for the Epidemiologic Catchment Area (ECA) Study, the ECA offers as useful starting point.