Shah S Mudasser, Sun Taipeng, Xu Wei, Jiang Wenhao, Yuan Yonggui
Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Gen Psychiatr. 2022 Nov 16;35(5):e100885. doi: 10.1136/gpsych-2022-100885. eCollection 2022.
Mental health is one of the major causes of disability worldwide, and mental health problems such as depression and anxiety are ranked among the top 25 leading causes of disease burden in the world. This burden is considerable over the lifetime of both men and women and in various settings and ages. This study aims to compare the mental health status of people in China and Pakistan and to highlight the mental health laws and policies during COVID-19 and afterwards. According to the literature on mental health, before the COVID-19 pandemic, mental health problems increased gradually, but during and after the COVID-19 pandemic, an abrupt surge occurred in mental health problems. To overcome mental health disorders, most (but not all) countries have mental health laws, but some countries ignore mental health disorders. China is one such country that has mental health laws and policies and, during the COVID-19 pandemic, China made beneficial and robust policies and laws, thereby succeeding in defeating the COVID-19 pandemic. The mortality rate and financial loss were also lower than in other countries. While Pakistan has mental health laws and general health policies, the law is only limited to paperwork and books. When it came to COVID-19, Pakistan did not make any specific laws to overcome the virus. Mental health problems are greater in Pakistan than in China, and China's mental health laws and policies are more robust and more widely implemented than those in Pakistan. We conclude that there are fewer mental health issues in China than in Pakistan both before and since the COVID-19 pandemic. China has strong mental health laws and these are robustly implemented, while the mental health law in Pakistan is not applied in practice.
心理健康是全球残疾的主要原因之一,抑郁症和焦虑症等心理健康问题位列全球疾病负担的前25大主要原因之中。这种负担在男性和女性的一生中、在各种环境和年龄段都相当可观。本研究旨在比较中国和巴基斯坦民众的心理健康状况,并强调新冠疫情期间及之后的心理健康法律和政策。根据心理健康方面的文献,在新冠疫情大流行之前,心理健康问题逐渐增加,但在新冠疫情大流行期间及之后,心理健康问题突然激增。为了克服心理健康障碍,大多数(但并非所有)国家都有心理健康法律,但一些国家忽视心理健康障碍问题。中国就是这样一个拥有心理健康法律和政策的国家,在新冠疫情大流行期间,中国制定了有益且有力的政策和法律,从而成功战胜了新冠疫情。死亡率和经济损失也低于其他国家。虽然巴基斯坦有心理健康法律和一般卫生政策,但该法律仅停留在文件和书本层面。在新冠疫情方面,巴基斯坦没有制定任何专门法律来应对该病毒。巴基斯坦的心理健康问题比中国更严重,而且中国的心理健康法律和政策比巴基斯坦更有力且实施范围更广。我们得出结论,在新冠疫情之前及之后,中国的心理健康问题都比巴基斯坦少。中国有强有力的心理健康法律且得到有力实施,而巴基斯坦的心理健康法律并未在实践中得到应用。