Chandrashekar Channapatna R, Math Suresh Bada
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Curr Opin Psychiatry. 2006 Mar;19(2):201-6. doi: 10.1097/01.yco.0000214349.46411.6a.
This paper focuses on understanding of the concept, recent advances, and challenges to be faced in the field of psychosomatic disorders by the developing countries.
Changing health scenario in developing countries has led to imminent epidemic of noncommunicable diseases along with the unmet agenda of controlling infectious diseases. Psychosomatic medicine has a role to play in curtailing the upcoming epidemic. Research studies on psychosomatic disorders from developing countries are very few. Most of the publications are in nonpsychiatric medical journals covering explorative to intervention studies. Traditional, complementary, and alternative medicines such as ayurveda are already playing their role in the area of psychosomatic disorders in developing countries.
The role and responsibility of the psychiatrist is changing from treating major mental disorders to preventing and treating psychosomatic disorders. In this regard, developing countries have to meet various challenges such as development of manpower, training of medical and paramedical staff, funding resources for clinical practice and research, coordinating with complementary and alternative medicines, and networking with policy makers in combating the imminent epidemic.
本文着重探讨发展中国家对心身疾病领域的概念理解、近期进展以及面临的挑战。
发展中国家不断变化的健康状况导致非传染性疾病即将流行，同时传染病控制议程仍未完成。心身医学在遏制即将到来的流行方面可发挥作用。来自发展中国家的心身疾病研究非常少。大多数出版物发表在非精神科医学期刊上，涵盖从探索性研究到干预性研究。阿育吠陀等传统、补充和替代医学已经在发展中国家的心身疾病领域发挥作用。
精神科医生的角色和职责正在从治疗重度精神障碍转变为预防和治疗心身疾病。在这方面，发展中国家必须应对各种挑战，如人力开发、医学和辅助医疗人员培训、临床实践和研究的资金资源、与补充和替代医学的协调以及与政策制定者联网以应对即将到来的流行。
