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. 2005 Feb;4(1):37–44.

Table 2.

Population-level intervention effects (DALYs averted per year per one million population)

World Bank Region
Sub-Saharan Latin America Middle East Europe South East Asia
Africa & Caribbean & North Africa & Central Asia Asia & Pacific
Total population (million) 640 502 482 462 1,242 1,827
Coverage
Schizophrenia1
Older (neuroleptic) antipsychotic drug 80% 149 219 214 254 177 231
Newer antipsychotic drug 80% 160 235 230 273 190 248
Older antipsychotic drug + 80% 254 373 364 353 300 392
psychosocial treatment
Newer antipsychotic drug + 80% 261 383 373 364 308 403
psychosocial treatment

Bipolar disorder1
Older mood stabilising drug (lithium) 50% 292 336 296 381 319 389
Newer mood stabilising drug (valproate) 50% 211 300 273 331 278 351
Older mood stabilising drug + 50% 312 365 322 413 346 422
psychosocial treatment
Newer mood stabilising drug + 50% 232 330 300 365 306 386
psychosocial treatment

Depression
Episodic treatment: older 50% 599 995 920 874 987 891
antidepressant drug (TCA)
Episodic treatment: newer 50% 632 1,049 971 925 1,042 941
antidepressant drug (SSRI)
Episodic psychosocial treatment 50% 624 1,036 958 936 1,028 927
Episodic psychosocial treatment + 50% 745 1,237 1,144 1,100 1,228 1,107
older antidepressant
Episodic psychosocial treatment + 50% 745 1,237 1,144 1,100 1,228 1,107
newer antidepressant
Maintenance psychosocial treatment + 50% 1,174 1,953 1,806 1,789 1,937 1,747
older antidepressant
Maintenance psychosocial treatment + 50% 1,174 1,953 1,806 1,789 1,937 1,747
newer antidepressant

Panic disorder
Anxiolytic drug (benzodiazepine) 50% 144 182 170 183 168 195
Older antidepressant 50% 232 290 272 290 269 312
drug (TCA)
Newer antidepressant drug 50% 245 307 287 307 284 330
(SSRI; generic)
Psychosocial treatment (CBT) 50% 233 292 273 292 270 313
Older antidepressant + 50% 262 329 308 329 304 353
psychosocial treatment
Newer antidepressant + 50% 276 346 324 346 320 372
psychosocial treatment

Results for community-based service model presented here only (hospital-based service model not shown); CBT - cognitive behavioural therapy; DALYs - disability- adjusted life years; SSRI - selective serotonin reuptake inhibitor; TCA - tricyclic antidepressant