Gaviria Silvia Lucía
Departamento de Psiquiatría, Universidad CES, Medellín, Colombia.
Vertex. 2008 Sep-Oct;19(81):309-16.
The study of gender and its effects on mental health is a fascinating and growing field of clinical research aimed at obtaining benefits for both men and women. The exclusion of women in most clinical studies has resulted in significant gaps in our knowledge about the effects of disease and treatments in women. We try to understand how the disease develops as a result of a complex matrix of factors that affect each patient. One of these factors is the genre. Many other factors also play a role, as recent experiences and early life, the availability of social support or genetic influences. This article provides some ideas on the relationship between gender and vulnerability to mental disorders. It is an historical overview of the evolution of gender and its impact on mental health, and its inclusion in the DSM. An analysis documented through recent publications, and a look towards the next version: the DSM V.
性别及其对心理健康影响的研究是一个引人入胜且不断发展的临床研究领域，旨在让男性和女性都从中受益。大多数临床研究中排除女性的做法，导致我们在疾病对女性的影响以及治疗效果方面的认知存在重大差距。我们试图理解疾病是如何因影响每位患者的复杂因素矩阵而发展的。其中一个因素就是性别。许多其他因素也发挥着作用，比如近期经历和早年生活、社会支持的可获得性或基因影响。本文就性别与易患精神障碍之间的关系提供了一些见解。它是对性别演变及其对心理健康的影响，以及其在《精神疾病诊断与统计手册》（DSM）中的纳入情况的历史概述。通过近期出版物进行的分析，以及对下一版《精神疾病诊断与统计手册》（DSM - 5）的展望。
