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本文引用的文献

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Population mental health improves with increasing access to treatment: evidence from a dynamic modelling analysis.人口心理健康随着治疗机会的增加而改善:来自动态建模分析的证据。
BMC Psychiatry. 2022 Nov 9;22(1):692. doi: 10.1186/s12888-022-04352-w.
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Measuring, Modeling, and Forecasting the Mental Wealth of Nations.衡量、建模和预测国家的精神财富。
Front Public Health. 2022 Jul 28;10:879183. doi: 10.3389/fpubh.2022.879183. eCollection 2022.
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Income inequality, social cohesion, and crime against businesses: Evidence from a global sample of firms.收入不平等、社会凝聚力与针对企业的犯罪:来自全球企业样本的证据。
J Int Bus Stud. 2023;54(2):385-400. doi: 10.1057/s41267-022-00535-5. Epub 2022 Jun 11.
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Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.全球、区域和国家 204 个地区 1990-2019 年 12 种精神障碍疾病的负担:基于 2019 年全球疾病负担研究的系统分析。
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The association between income inequality and adult mental health at the subnational level-a systematic review.国家以下层面的收入不平等与成年人心理健康之间的关联:系统评价。
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经济政策对社会环境和心理健康的影响。

The influence of economic policies on social environments and mental health.

机构信息

The Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, New South Wales2050, Australia.

Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, United States of America (USA).

出版信息

Bull World Health Organ. 2024 May 1;102(5):323-329. doi: 10.2471/BLT.23.290286. Epub 2024 Jan 31.

DOI:10.2471/BLT.23.290286
PMID:38680470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11046160/
Abstract

Despite increased advocacy and investments in mental health systems globally, there has been limited progress in reducing mental disorder prevalence. In this paper, we argue that meaningful advancements in population mental health necessitate addressing the fundamental sources of shared distress. Using a systems perspective, economic structures and policies are identified as the potential cause of causes of mental ill-health. Neoliberal ideologies, prioritizing economic optimization and continuous growth, contribute to the promotion of individualism, job insecurity, increasing demands on workers, parental stress, social disconnection and a broad range of manifestations well-recognized to erode mental health. We emphasize the need for mental health researchers and advocates to increasingly engage with the economic policy discourse to draw attention to mental health and well-being implications. We call for a shift towards a well-being economy to better align commercial interests with collective well-being and social prosperity. The involvement of individuals with lived mental ill-health experiences, practitioners and researchers is needed to mobilize communities for change and influence economic policies to safeguard well-being. Additionally, we call for the establishment of national mental wealth observatories to inform coordinated health, social and economic policies and realize the transition to a more sustainable well-being economy that offers promise for progress on population mental health outcomes.

摘要

尽管全球范围内在精神卫生系统方面的宣传和投资有所增加,但在降低精神障碍患病率方面进展有限。本文认为,要实现人群精神卫生方面的真正进步,就必须解决共同痛苦的根本根源。我们采用系统观点,将经济结构和政策确定为精神卫生不良的潜在根源。新自由主义意识形态优先考虑经济优化和持续增长,导致个人主义、工作不稳定、工人需求不断增加、父母压力、社会脱节以及一系列公认的会损害精神健康的现象盛行。我们强调精神卫生研究人员和倡导者需要更多地参与经济政策讨论,以引起对精神健康和幸福感的关注。我们呼吁转向福利经济,使商业利益更好地与集体福祉和社会繁荣保持一致。需要让有精神健康问题经历的个人、从业者和研究人员参与进来,以便动员社区进行变革,并影响经济政策来维护福祉。此外,我们呼吁建立国家精神财富观察站,为协调卫生、社会和经济政策提供信息,并实现向更可持续的福利经济的过渡,这有望在人群精神卫生结果方面取得进展。