Petersen I, Bhana A, Swartz L
Department of Psychology, University of KwaZulu-Natal, Durban, South Africa.
Afr J Psychiatry (Johannesbg). 2012 Nov;15(6):411-6. doi: 10.4314/ajpsy.v15i6.50.
The need for greater attention to mental health promotion and the prevention of mental disorders in South Africa is highlighted by the cycle of poverty and mental ill-health, the potential for social gains, the question of affordability of treatment in the face of the increasing burden of mental disorders, and the limitations of existing treatment methods. This article, which provides a desk review of the current status of mental health promotion and prevention of mental disorders in South Africa, suggests that South Africa has a number of policies that bode well for promoting mental health from infancy through to old age. There is, however, a need for programmatic interventions to promote resilience in vulnerable populations. Of note, is the need for programmes to address maternal depression and strengthen attachment and psychosocial stimulation during infancy, strengthen families, promote health enhancing school environments, and address intimate partner violence and build health enhancing social capital. Given the multifaceted nature of risk and protective influences, the need for a multi-sectoral plan of action is highlighted.
南非贫困与精神健康不佳的恶性循环、社会收益的潜力、面对精神障碍负担日益加重时治疗的可负担性问题以及现有治疗方法的局限性,都凸显了更加关注精神健康促进和精神障碍预防的必要性。本文对南非精神健康促进和精神障碍预防的现状进行了案头审查,表明南非有多项政策有利于从婴儿期到老年期促进精神健康。然而,需要开展计划性干预措施以增强弱势群体的恢复力。值得注意的是,需要实施相关项目来解决孕产妇抑郁问题,在婴儿期加强依恋关系和心理社会刺激,强化家庭,促进有益于健康的学校环境,解决亲密伴侣暴力问题,并建立有益于健康的社会资本。鉴于风险和保护因素具有多面性,凸显了制定多部门行动计划的必要性。