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Am J Psychiatry 1997; 154:59-65
Copyright © 1997 by American Psychiatric Association
The Defeat Depression Campaign: psychiatry in the public arena
ES Paykel, A Tylee, A Wright, RG Priest, S Rix and D Hart
Department of Psychiatry, University of Cambridge, U.K.
OBJECTIVE: The adequate recognition and treatment of depression are
inhibited by negative public attitudes and gaps in professional expertise.
This paper describes the activities and efforts of the Defeat Depression
Campaign, a joint activity of the Royal College of Psychiatrists and the
Royal College of General Practitioners, in the United Kingdom. METHOD: A
5-year campaign was undertaken from 1992 to 1996, aimed at enhancing public
awareness and attitudes and providing professional education. RESULTS: An
informational media campaign directed toward the general public was
successfully undertaken. Leaflets, books, and audiotapes were also prepared
and distributed to the public. Multiprofessional conferences on specific
aspects of depression were organized. An extensive program of general
practice education included consensus conferences and statements,
recognition and management guidelines, training videotapes, and other
publications. Public attitudes were found to be relatively favorable,
except attitudes toward antidepressants, which were viewed as addictive. A
general consequence of the campaign was the development of much additional
public material and professional education not directly originating from
the campaign. Aspects of the campaign are being evaluated, including public
attitude change, impact of educational materials on general practitioners,
and prescription of antidepressants. CONCLUSIONS: A campaign of this kind
serves a useful function in enhancing public education and awareness and
improving professional recognition and management of depression.
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