Menezes Alice Lopes do Amaral, Muller Manuela R, Soares Tatiana Regina de Andrade, Figueiredo Angela Pereira, Correia Celina Ragoni de Moraes, Corrêa Letícia Moraes, Ortega Francisco
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2018 Nov 23;34(11):e00158017. doi: 10.1590/0102-311X00158017.
Global Mental Health is a field of teaching, research, and practice whose goal is to improve access to mental health and reduce inequalities in mental health outcomes for all people worldwide, especially proposing action in low- and middle-income countries like Brazil. Given this global scenario and Brazil's progress in health and psychiatric reforms, it is important to investigate the current status of the Brazilian mental health literature and its relationship to Global Mental Health, describing how Brazilian research deals with key topics in the Global Mental Health field. The authors performed an integrative literature review using a qualitative and descriptive approach. The article search was performed for the years 2014 and 2015 in Portuguese and English, using the terms "mental health" and "Brazil", combined with key words corresponding to the principal themes addressed by authors in Global Mental Health. The search yielded 88 articles, which were analyzed according to authorship, periodicals and regions, and the analytical categories of access, primary care, community mental health services, social determinants of health, human rights, and equity. Brazil's mental health research revealed a rich and diverse body of studies, showing parallels with the literature on global mental health, but with limited systematization. Although the review revealed efforts to generate knowledge in this field within Brazil, some barriers may be limiting Brazil's participation in the international debate on Global Mental Health.
全球精神卫生是一个教学、研究和实践领域，其目标是让全世界所有人都能更便捷地获得精神卫生服务，并减少精神卫生结果方面的不平等现象，尤其要在巴西等低收入和中等收入国家采取行动。鉴于这种全球形势以及巴西在卫生和精神卫生改革方面取得的进展，调查巴西精神卫生文献的现状及其与全球精神卫生的关系，描述巴西研究如何处理全球精神卫生领域的关键主题，是很重要的。作者采用定性和描述性方法进行了一项综合文献综述。在2014年和2015年使用葡萄牙语和英语进行文章检索，使用了“精神卫生”和“巴西”这两个术语，并结合了作者在全球精神卫生领域所探讨的主要主题对应的关键词。检索得到88篇文章，根据作者、期刊和地区以及获取、初级保健、社区精神卫生服务、健康的社会决定因素、人权和平等的分析类别对这些文章进行了分析。巴西的精神卫生研究揭示了丰富多样的研究成果，与全球精神卫生文献有相似之处，但系统化程度有限。尽管综述显示巴西在该领域有知识生成方面的努力，但一些障碍可能限制了巴西参与全球精神卫生的国际辩论。
