预防脑部疾病：行动框架
Preventing brain disorders: a framework for action.
作者信息
Rudenstine Sasha, Galea Sandro
机构信息
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, 15th Floor, New York, NY, 10032, USA,
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2015 May;50(5):833-41. doi: 10.1007/s00127-015-1007-4. Epub 2015 Jan 17.
INTRODUCTION
Prevention efforts have greatly reduced the prevalence of many communicable and non-communicable diseases worldwide. In contrast, prevention strategies for mental disorders remain in their infancy. This paper provides a summary of the key issues surrounding mental disorder prevention and proposes a framework for how to catalyze action in the area.
MATERIALS AND METHODS
Three core assumptions guide this work (1) the onset of mental disorders is often preventable, (2) among those individuals with a mental disorder, the trajectory of health and functioning can be shaped by external resources, and (3) many specific and generic risk and protective factors for mental disorders are associated with specific stages of the life course.
CONCLUSION
We propose that the adoption of a life course approach to prevention can be clarifying and motivating for both research and practice.
引言
预防工作已大幅降低了全球许多传染病和非传染病的患病率。相比之下，精神障碍的预防策略仍处于起步阶段。本文总结了围绕精神障碍预防的关键问题，并提出了一个如何推动该领域行动的框架。
材料与方法
三项核心假设指导本研究工作：（1）精神障碍的发病往往是可预防的；（2）在患有精神障碍的个体中，健康和功能轨迹可受外部资源影响；（3）精神障碍的许多特定和一般风险及保护因素与生命历程的特定阶段相关。
结论
我们建议采用生命历程预防方法对研究和实践都具有指导和激励作用。
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