Vereeken Silke, Peckham Emily, Gilbody Simon
Mental Health and Addiction, Health Sciences, University of York, York, United Kingdom.
Hull York Medical School, York, United Kingdom.
Front Psychiatry. 2023 Jan 6;13:1092964. doi: 10.3389/fpsyt.2022.1092964. eCollection 2022.
Current health care systems do not sufficiently address contributors, also known as modifiable behavior factors, to severe mental illnesses (SMI). Instead treatment is focused on decreasing symptom-experience rather than reducing the detrimental effect of biological predisposition and behavioral influences on illness. Health care services and patients alike call for a more comprehensive, individual approach to mental health care, especially for people with SMI. A framework has been previously used to identify ecological and social contributors to an HIV epidemic in the 1990s, and the same framework is transferable to mental health research to identify the relationship between contributing factors and the outcomes of SMI. Using this approach, a holistic insight into mental illness experience could inform more effective health care strategies that lessen the burden of disease on people with SMI. In this review, the components of a Syndemic framework, the scientific contributions to the topic so far, and the possible future of mental health research under the implementation of a Syndemic framework approach are examined.
当前的医疗保健系统未能充分应对导致严重精神疾病（SMI）的因素，这些因素也被称为可改变的行为因素。相反，治疗重点在于减轻症状体验，而非减少生物易感性和行为影响对疾病的有害作用。医疗保健服务机构和患者都呼吁采用更全面、个性化的心理健康护理方法，尤其是针对患有严重精神疾病的人群。此前曾使用一个框架来确定20世纪90年代艾滋病流行的生态和社会因素，同样的框架可用于心理健康研究，以确定促成因素与严重精神疾病结果之间的关系。采用这种方法，对精神疾病体验的全面洞察可为更有效的医疗保健策略提供依据，从而减轻严重精神疾病患者的疾病负担。在本综述中，我们研究了综合征框架的组成部分、迄今为止该主题的科学贡献，以及在综合征框架方法实施下心理健康研究的可能未来。
