WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy.
Cochrane Global Mental Health, University of Verona, Verona, Italy.
Epidemiol Psychiatr Sci. 2020 Aug 3;29:e150. doi: 10.1017/S204579602000061X.
Recently, mental health and ill health have been reframed to be seen as a continuum from health to ill health, through the stages of being asymptomatic 'at risk', to experiencing 'mental distress', 'sub-syndromal symptoms' and finally 'mental disorders'. This new conceptualisation emphasised the importance of mental health promotion and prevention interventions, aimed at reducing the likelihood of future disorders with the general population or with people who are identified as being at risk of a disorder. This concept generated discussion on the distinction between prevention and treatment interventions, especially for those mental health conditions which lie between psychological distress and a formal psychiatric diagnosis. The present editorial aims to clarify the definition of promotion, prevention and treatment interventions delivered through a task-shifting approach according to a global mental health perspective.
最近，心理健康和不健康已被重新定义为一个从健康到不健康的连续体，经历无症状的“处于危险中”、出现“精神困扰”、“亚综合征症状”，最终发展为“精神障碍”。这种新的概念化强调了促进和预防干预的重要性，旨在降低一般人群或被认为有障碍风险的人群未来出现障碍的可能性。这一概念引发了关于预防和治疗干预措施之间区别的讨论，特别是对于那些处于心理困扰和正式精神科诊断之间的心理健康状况。本社论旨在根据全球心理健康观点，通过任务转移方法，澄清通过促进、预防和治疗干预措施的定义。
