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理解全球心理健康:概念综述。

Understanding global mental health: a conceptual review.

机构信息

Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK

Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.

出版信息

BMJ Glob Health. 2021 Mar;6(3). doi: 10.1136/bmjgh-2020-004631.

Abstract

BACKGROUND

Mental health disorders are viewed as a global concern requiring globally led approaches to address them. Since the publication of the 2007 series on global mental health (GMH), the term has become widespread. Over the last two decades, GMH has become increasingly affiliated with policy reform, academic courses, funding bodies and research. However, it is not always obvious how those working in the field of GMH are using the term, resulting in a lack of clarity. Therefore, work is needed to synthesise the current understanding(s) of GMH to help characterise its meaning.

AIM

To synthesise the literature and identify the different ways GMH is understood.

METHOD

A conceptual review, using a systematic search and a content analysis, was conducted to develop a conceptual framework of the different conceptual understandings of GMH.

RESULTS

We developed a conceptual framework of four understandings of GMH. These understandings of GMH are as follows: an area of research generating findings to establish a GMH evidence-base; implementation of research into practice; improving the mental health environment; learning from and supporting low-and-middle-income countries (LMICs).

CONCLUSION

Our review proposes a simple framework, clarifying the key characteristics of the GMH landscape. The findings highlight the diversity of usage of the term in the literature, as well as present the wide scope that comprises the field of GMH. Referring to this framework may help those engaged with GMH to be more specific with which aspect of the field they are concerned with.

摘要

背景

精神健康障碍被视为全球关注的问题,需要采取全球主导的方法来解决。自 2007 年全球精神卫生系列文章发表以来,这个术语已经广为流传。在过去的二十年中,全球精神卫生越来越与政策改革、学术课程、资助机构和研究相关联。然而,从事全球精神卫生工作的人如何使用这个术语并不总是很清楚,因此缺乏明确性。因此,需要进行综合研究来综合当前对全球精神卫生的理解,以帮助描述其含义。

目的

综合文献,确定全球精神卫生的不同理解方式。

方法

采用系统搜索和内容分析进行概念性综述,以制定全球精神卫生不同概念理解的概念框架。

结果

我们制定了一个关于全球精神卫生的四个理解的概念框架。这些对全球精神卫生的理解如下:一个产生研究结果以建立全球精神卫生证据基础的研究领域;将研究付诸实践;改善精神卫生环境;向中低收入国家(LMICs)学习和支持。

结论

我们的综述提出了一个简单的框架,阐明了全球精神卫生领域的关键特征。研究结果突出了文献中该术语使用的多样性,并呈现了包含全球精神卫生领域的广泛范围。参考这个框架可以帮助那些从事全球精神卫生工作的人更具体地了解他们关注的是该领域的哪个方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3b4/7993328/7a82bc26c029/bmjgh-2020-004631f01.jpg

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