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A shared framework for the common mental disorders and Non-Communicable Disease: key considerations for disease
Adrienne O'Neil1,2,3, Felice N Jacka4,5,6, Shae E Quirk7
1IMPACT Strategic Research Centre, Deakin University and Barwon Health, Po Box 281, Geelong, VIC, 3220, Australia. adrienne.oneil@unimelb.edu.au.
Insights
Integrating common mental disorders (CMDs) like depression and anxiety into noncommunicable disease (NCD) strategies is crucial. A shared prevention framework can improve research, dissemination, and action, extending benefits beyond healthcare.
Area of Science:
- Public Health
- Epidemiology
- Mental Health Research
Background:
- Noncommunicable diseases (NCDs) historically focus on cardiovascular disease, diabetes, cancer, and respiratory diseases.
- Common mental disorders (CMDs), including depression and anxiety, are increasingly recognized but often managed separately.
- This separation hinders comprehensive NCD prevention and control efforts.
Purpose of the Study:
- To propose and evaluate a unified framework for NCD prevention and control that integrates CMDs.
- To address the gap in coordinated strategies for physical and mental health conditions.
- To leverage existing public health frameworks for a broader NCD approach.
Main Methods:
- Application of a Centers for Disease Control (CDC)-proposed framework with three objectives: research, dissemination, and action.
- Analysis of opportunities to advance integrated NCD and CMD prevention within this framework.
- Consideration of benefits extending beyond the traditional healthcare system.
Main Results:
- A shared framework for NCD and CMD prevention is warranted and feasible.
- Specific opportunities exist within research, communication, and policy implementation.
- Potential benefits include improved public health outcomes and broader societal impact.
Conclusions:
- Integrating CMDs into NCD prevention requires a unified approach.
- The proposed framework offers a structured pathway for improved surveillance, dissemination, and action.
- This integrated strategy holds promise for enhancing population health and well-being beyond healthcare settings.
Background:
Historically, the focus of Non Communicable Disease (NCD) prevention and control has been cardiovascular disease (CVD), type 2 diabetes mellitus (T2DM), cancer and chronic respiratory diseases. Collectively, these account for more deaths than any other NCDs. Despite recent calls to include the common mental disorders (CMDs) of depression and anxiety under the NCD umbrella, prevention and control of these CMDs remain largely separate and independent.
Discussion:
In order to address this gap, we apply a framework recently proposed by the Centers for Disease Control with three overarching objectives: (1) to obtain better scientific information through surveillance, epidemiology, and prevention research; (2) to disseminate this information to appropriate audiences through communication and education; and (3) to translate this information into action through programs, policies, and systems. We conclude that a shared framework of this type is warranted, but also identify opportunities within each objective to advance this agenda and consider the potential benefits of this approach that may exist beyond the health care system.
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