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精神卫生流行病学的未来的关键考虑因素。

Key considerations for the future of mental health epidemiology.

机构信息

Global Health Department, Boston University School of Public Health, Boston, MA 02118, United States.

Epidemiology Department, Boston University School of Public Health, Boston, MA 02118, United States.

出版信息

Am J Epidemiol. 2024 Oct 7;193(10):1307-1312. doi: 10.1093/aje/kwae114.

Abstract

Psychiatric epidemiology has led to substantial progress in our understanding of the causes of mental health disorders. The increasing sophistication of etiologic psychiatric research has been accompanied by a greater focus on the biological and genetic causes of psychiatric disorders, to some extent diverging from field's early focus on the burden of poor mental health due to a breadth of social and economic conditions. We argue that the moment is ripe for advancing a mental health epidemiology that can reconnect the field to these earlier-and still central-concerns while retaining the strengths of psychiatric epidemiology. Embracing 5 considerations can help advance the evolving field of mental health epidemiology. First, conceptually, an ambitious vision for the future of the field necessitates investment in refining our definitions and methodologies. Second, there is a need for a renewed focus on the macrosocial determinants of mental health. Third, a deeper engagement with mental health inequities should be central to our scholarship. Fourth, the field would benefit from a more deliberate assessment of the mechanisms leading to adverse mental health outcomes, which can then be used to inform novel interventions. Finally, realizing this future is contingent upon a wholesale commitment to studying population mental health globally. This article is part of a Special Collection on Mental Health.

摘要

精神病学流行病学的发展极大地促进了我们对精神健康障碍病因的理解。病因学精神病学研究的日益复杂,使人们更加关注精神障碍的生物学和遗传学原因,在一定程度上偏离了该领域早期对由于广泛的社会和经济条件导致的不良精神健康负担的关注。我们认为,现在是推进精神健康流行病学的绝佳时机,这种流行病学可以重新将该领域与这些早期且仍然是核心关注点联系起来,同时保留精神病学流行病学的优势。考虑以下 5 点可以帮助推进不断发展的精神健康流行病学领域。首先,从概念上讲,该领域未来的宏伟愿景需要投资于完善我们的定义和方法。其次,需要重新关注精神健康的宏观社会决定因素。第三,我们的学术研究应该更加深入地关注心理健康方面的不平等问题。第四,该领域将受益于对导致不良精神健康结果的机制进行更深入的评估,然后可以利用这些机制来为新的干预措施提供信息。最后,实现这一未来取决于全面致力于研究全球人口的精神健康。本文是关于精神健康的特刊的一部分。

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