Patel Vikram, Sartorius Norman
London School of Hygiene & Tropical Medicine, London, UK.
Curr Opin Psychiatry. 2008 Mar;21(2):109-13. doi: 10.1097/YCO.0b013e3282f43c7f.
The Lancet journal has recently published a series of six articles on global mental health, with a focus on mental disorders in low-income and middle-income countries. This article provides a narrative account of the background to the series, its development and the key messages of these articles.
The series reports that mental disorders are so inextricably linked with other health concerns that there can be no health without mental health; mental disorders disproportionately affect the poor, and those who are disadvantaged and vulnerable; mental disorders are, even in the poorest countries of the world, a leading cause of disability and loss of economic productivity; low-cost treatments are feasible, affordable and effective for many mental disorders and these treatments can be delivered by community or general health workers; and the treatment gap approaches 90% even for the most severe disorders.
The series ends with a call for action to scale-up an evidence-based package of services for people with mental disorders, with a commitment to protect their human rights, and provides information on the costs, indicators and research strategies to support this action.
《柳叶刀》杂志近期发表了一系列共六篇关于全球精神卫生的文章,重点关注低收入和中等收入国家的精神障碍问题。本文对该系列文章的背景、发展过程及其关键信息进行了叙述。
该系列文章指出,精神障碍与其他健康问题紧密相连,没有精神卫生就没有健康;精神障碍对贫困人口以及处于不利和脆弱地位的人群影响尤为严重;即使在世界上最贫穷的国家,精神障碍也是导致残疾和经济生产力损失的主要原因;低成本治疗方法对许多精神障碍可行、可负担且有效,这些治疗可由社区或普通卫生工作者提供;即便对于最严重的精神障碍,治疗缺口也接近90%。
该系列文章最后呼吁采取行动,扩大为精神障碍患者提供的循证服务包,承诺保护他们的人权,并提供了支持这一行动的成本、指标和研究策略信息。