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晚年期精神疾病中的社会隔离——来自美国国立精神卫生研究所的观点。

Social Disconnection in Late Life Mental Illness - Commentary From the National Institute of Mental Health.

机构信息

Geriatrics and Aging Processes Research Branch, Division of Translational Research (EAN, LMR, JDE), National Institute of Mental Health, Bethesda, MD; Office of Science Policy, Office of the Director (EAN), National Institutes of Health, Bethesda, MD.

Geriatrics and Aging Processes Research Branch, Division of Translational Research (EAN, LMR, JDE), National Institute of Mental Health, Bethesda, MD.

出版信息

Am J Geriatr Psychiatry. 2021 Aug;29(8):727-730. doi: 10.1016/j.jagp.2020.08.013. Epub 2020 Aug 26.

Abstract

• Social disconnection – both social isolation as well as social isolation (otherwise known as loneliness) – is a prevalent affliction among older adults, with profound effects on mental health. • Mechanistic understanding of how mental illness contributes to, is exacerbated by, or is otherwise linked to social disconnection remains elusive, and therapeutic interventions which leverage social connection to enhance compliance with or efficacy of mental health treatment, though promising, remain scarce. • The National Institute of Mental Health (NIMH) is committed to transforming the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure. To translate basic knowledge into new methods for diagnosis, treatment, and prevention of mental illness demands appreciation for the broader milieu of social and environmental factors in which mental illness prevails – of which, social connection or disconnection is one.

摘要

• 社会脱节——包括社会隔离和社会孤立(也称为孤独)——在老年人中普遍存在,对心理健康有深远的影响。

• 尽管利用社会联系来增强心理健康治疗的依从性或疗效的治疗干预措施很有前景,但对于精神疾病如何导致、加剧或与社会脱节相关联的机制理解仍然难以捉摸。

• 美国国立精神卫生研究所(NIMH)致力于通过基础和临床研究来改变对精神疾病的理解和治疗方法,为预防、康复和治愈铺平道路。将基础知识转化为精神疾病的新诊断、治疗和预防方法,需要了解精神疾病盛行的更广泛的社会和环境因素——其中之一就是社会联系或脱节。

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