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印度精神病学中生物学研究的倡议。

Initiatives in biological research in Indian psychiatry.

机构信息

Mental Health foundation of India, 209, Shivkrupa complex, Gokhale Road, Thane, Mumbai - 400 602, India.

出版信息

Indian J Psychiatry. 2010 Jan;52(Suppl 1):S110-9. doi: 10.4103/0019-5545.69222.

Abstract

Biological psychiatry is an exploratory science for mental health. These biological changes provide some explicit insight into the complex area of 'brain-mind and behavior'. One major achievement of research in biological field is the finding to explain how biological factors cause changes in behavior. In India, we have a clear history of initiatives in research from a biological perspective, which goes back to 1958. In the last 61 years, this field has seen significant evolution, precision and effective utilization of contemporary technological advances. It is a matter of great pride to see that in spite of difficult times in terms of challenges of practice and services, administration, resource, funding and manpower the zest for research was very forthcoming. There was neither dedicated time nor any funding for conducting research. It came from the intellectual insight of our fore fathers in the field of mental health to gradually grow to the state of strategic education in research, training in research, international research collaborations and setting up of internationally accredited centers. During difficult economic conditions in the past, the hypothesis tested and conclusions derived have not been so important. It is more important how it was done, how it was made possible and how robust traditions were established. Almost an entire spectrum of biological research has been touched upon by Indian researchers. Some of these are electroconvulsive therapy, biological markers, neurocognition, neuroimaging, neuroendocrine, neurochemistry, electrophysiology and genetics. A lot has been published given the limited space in the Indian Journal of Psychiatry and other medical journals published in India. A large body of biological research conducted on Indian patients has also been published in International literature (which I prefer to call non-Indian journals). Newer research questions in biological psychiatry, keeping with trend of international standards are currently being investigated by the younger generation with great enthusiasm. What we have achieved so far is the foundation work in last 60 years. Our main challenge in development of biological psychiatry research in India remains resources in terms of manpower, funding and dedicated time for research psychiatrists. Developing basic sciences laboratories, discrete research questions, high quality methodology, and logistical support are some of the essentials. In the present time the culture of research has changed. It is specific and evidence-based. We have time-tested examples of International collaborative research. We need to get more resources, develop education, collaboration and effective leadership. In times to come, India will provide international leadership in basic and clinical biological psychiatry. There is hope.

摘要

生物精神病学是一门探索心理健康的学科。这些生物学变化为“脑-思维与行为”这一复杂领域提供了一些明确的见解。生物学领域研究的一个主要成就是解释了生物因素如何导致行为的变化。在印度,我们有着从生物学角度进行研究的悠久历史,可以追溯到 1958 年。在过去的 61 年里,这个领域经历了重大的演变,精确性和对当代技术进步的有效利用都得到了提高。尽管在实践和服务、管理、资源、资金和人力方面面临着挑战,但研究的热情仍然很高,这是一件非常值得骄傲的事情。当时既没有专门的时间,也没有资金用于开展研究。这是我们精神卫生领域的前辈们的智慧结晶,他们逐渐将研究从教育的战略地位提升到培训、国际研究合作以及建立国际认可的中心。在过去经济困难时期,经过测试的假设和得出的结论并不那么重要。更重要的是如何做到这一点,如何使其成为可能,以及如何建立强大的传统。印度研究人员几乎触及了生物研究的整个领域。其中一些是电惊厥疗法、生物标志物、神经认知、神经影像学、神经内分泌学、神经化学、电生理学和遗传学。在印度精神病学杂志和印度出版的其他医学杂志上发表的文章数量有限,但发表的内容却很多。在国际文献中也发表了大量针对印度患者进行的生物研究(我更愿意称之为非印度期刊)。目前,年轻一代正以极大的热情研究生物精神病学中的更新的研究问题,这些问题与国际标准的趋势保持一致。到目前为止,我们所取得的成就是过去 60 年的基础工作。在印度,生物精神病学研究发展的主要挑战仍然是人力、资金和专门从事精神科研究的研究人员的时间。建立基础科学实验室、确定具体的研究问题、采用高质量的方法和提供后勤支持是一些必要条件。在当前,研究文化已经发生了变化。它是具体的和基于证据的。我们有经得起时间考验的国际合作研究的例子。我们需要获得更多的资源,发展教育、合作和有效的领导。在未来,印度将在基础和临床生物精神病学方面提供国际领导。这是有希望的。

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