重大抑郁症对公共健康的影响：呼吁开展跨学科预防工作。
The public health impact of major depression: a call for interdisciplinary prevention efforts.
机构信息
Division of General Pediatrics, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
出版信息
Prev Sci. 2011 Dec;12(4):361-71. doi: 10.1007/s11121-011-0231-8.
Abstract
Major depression is a consequential public health problem in the United States. Depression has long been recognized as an important target of intervention in psychology and psychiatry, but these fields have focused efforts primarily on treatment rather than prevention. Although effective preventive interventions targeting high-risk groups have been developed, they have thus far had poor reach and sustainability in the community. The development of sustainable preventive interventions that have the potential to impact population health represents a critical goal for the field. To this end, a research agenda incorporating the perspectives of both mental health disciplines and public health is proposed as a guide for future depression prevention research. Increased interdisciplinary collaboration between mental health disciplines and public health is recommended to develop, enact, and evaluate multilevel preventive interventions aimed at reducing the population health burden of major depression.
摘要
在美国，重度抑郁症是一个重大的公共卫生问题。长期以来，抑郁症一直被认为是心理学和精神病学干预的重要目标，但这些领域主要集中在治疗上，而不是预防上。尽管已经开发出针对高危人群的有效预防干预措施，但它们在社区中的覆盖范围和可持续性仍然很差。开发具有潜在影响人群健康的可持续预防干预措施是该领域的一个关键目标。为此，提出了一个包含心理健康学科和公共卫生观点的研究议程，作为未来抑郁症预防研究的指南。建议心理健康学科和公共卫生之间加强跨学科合作，以制定、实施和评估旨在减轻重度抑郁症对人群健康负担的多层次预防干预措施。
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