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社会精神病学与公共精神卫生:现状与未来目标。是时候重新思考与复兴了吗?

Social psychiatry and public mental health: present situation and future objectives. Time for rethinking and renaissance?

作者信息

Rutz W

机构信息

Unit for Psychiatry and Health Promotion, Academic University Hospital, Uppsala, Sweden.

出版信息

Acta Psychiatr Scand Suppl. 2006(429):95-100. doi: 10.1111/j.1600-0447.2005.00725.x.

Abstract

OBJECTIVE

To describe the social psychiatric challenges of modern psychiatry in European societies in the light of recent psychiatric research evidence and to show how these challenges could be conceptualized.

METHOD

Reviewing aggregate morbidity and mortality data from the WHO European Health for All Database, and summarizing consultations and fact-finding missions to many European countries during the authors engagement as WHO Regional Advisor for Mental health from 1998 to 2004.

RESULTS

Societal change in Europe is leading to stress and mental ill health for its populations. The consequence is a dramatic increase in burden due to mental illness and stress-related morbidity and mortality.

CONCLUSION

A re-thought and re-conceptualized social and societal psychiatry with focus on public mental health must have a renaissance. Innovative efforts are of crucial and imperative importance seeing mental health in the light of recent experience and science as probably the most important public health issue.

摘要

目的

根据近期的精神病学研究证据,描述欧洲社会现代精神病学面临的社会精神病学挑战,并展示如何对这些挑战进行概念化。

方法

查阅世界卫生组织欧洲全民健康数据库的总体发病率和死亡率数据,并总结作者在1998年至2004年担任世界卫生组织欧洲区域心理健康顾问期间对许多欧洲国家的咨询和实情调查任务。

结果

欧洲的社会变革正在给其民众带来压力和精神健康问题。结果是,精神疾病以及与压力相关的发病率和死亡率所造成的负担急剧增加。

结论

必须复兴经过重新思考和重新概念化的、以公共心理健康为重点的社会和社会精神病学。鉴于近期的经验和科学,将心理健康视为可能是最重要的公共卫生问题,创新努力至关重要且势在必行。

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