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没有心理健康,就没有健康
Martin Prince1, Vikram Patel, Shekhar Saxena
1King's College London, Centre for Public Mental Health, Health Service and Population Research Department, Institute of Psychiatry, London, UK. m.prince@iop.kcl.ac.uk
Lancet (London, England)
|September 7, 2007
概括
心理健康是整体福祉的组成部分,影响身体健康和疾病负担. 将心理健康纳入所有卫生服务对于公共卫生和实现全球发展目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 心理健康研究 心理健康研究
背景情况:
- 神经精神疾病占全球疾病负担的14%,主要是由于抑郁症和精神病等慢性疾病.
- 目前的估计可能低估了负担,将心理健康与身体健康隔离,阻碍了综合健康工作.
- 心理和身体健康的相互联系至关重要;精神障碍增加了其他疾病和伤害的风险,反之亦然.
研究的目的:
- 突出精神疾病对公共卫生负担的低估.
- 强调精神和身体健康的不可分割性.
- 倡导将心理健康服务纳入主流医疗保健系统和政策.
主要方法:
- 全球疾病负担估计的审查.
- 分析精神和身体健康状况之间的双向关系.
- 检查当前医疗保健系统对精神卫生保健服务的方法.
主要成果:
- 精神疾病显著增加了传染性和非传染性疾病以及受伤的风险.
- 精神和身体健康状况之间的并发症使诊断,治疗和预后复杂化.
- 现有的医疗服务不公平地为患有精神障碍的人提供,护理质量低于最佳.
结论:
- 没有心理健康,就不可能有健康,因为精神和身体条件之间存在着深刻的相互作用.
- 心理社会干预必须纳入传染性和非传染性疾病的管理.
- 加强医疗保健系统,分配特定的心理健康预算,并将心理健康意识纳入所有卫生政策,对于改善人口健康和实现全球发展目标至关重要.
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