We have two standard forms of treatment for depression: antidepressant medication and psychological therapy. But over the last 30 years these treatments have not reduced either the prevalence of, or the disability caused by, depression: it is likely to remain a significant and largely intractable mental health problem. There are three key issues here: access, compliance and relapse. Access to treatment tends to be restricted to the minority of people who live in urban areas of wealthy countries. But even those who have access to care do not always comply with treatment recommendations — for many understandable reasons. To compound all this, high numbers of people who respond well to treatment later relapse: this is one of the reasons why depression remains so widespread.
Which one of the following best expresses the main conclusion of the above argument?
Full explanation
To identify the conclusion of the passage, let’s first break it down into its key components.
The passage discusses the treatment of depression, as indicated by the introductory sentence. It then highlights that despite advancements in treatment, the prevalence of depression remains high. The passage attributes this persistence to three key issues.
A closer look at these issues reveals the phrase “for many understandable reasons” suggesting that these challenges arise from valid, inherent factors that may be difficult to alter through external intervention. Consequently, this implies that the prevalence of depression may not decrease in the future.
Option A Explanation:
A) One of the reasons why depression remains so widespread is the high rate of relapse.
This option presents a fact rather than the conclusion of the entire paragraph.
Option B Explanation:
B) Access, compliance and relapse are the three key issues in the treatment of depression.
This option presents a fact rather than the conclusion of the entire paragraph.
Option C Explanation:
C) Depression is likely to remain a significant and largely intractable mental health problem.
This option correctly states the conclusion of the paragraph as it is derived before.
Option D Explanation:
D) Access to treatment for depression tends to be restricted to people in urban areas of wealthy countries.
This option presents a fact rather than the conclusion of the entire paragraph.
Option E Explanation:
E) Over the past 30 years, treatments have not reduced the prevalence of or disability caused by depression.
This option presents a fact rather than the conclusion of the entire paragraph.
In a passage that presents several factual claims building toward a broader point, the argument’s main conclusion is the single overall claim that every other sentence exists to support — it is identified by its logical role, not by how vividly it’s worded or where it sits in the passage. A supporting fact (even a striking one, like a statistic about relapse rates) is still just a premise if the passage goes on to use it to justify a further, more general claim.