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间接干预措施:治疗精神障碍的生活方式选择

Indirect Interventions: Lifestyle Options to Treat Mental Disorders.

作者信息

Kazdin Alan E

机构信息

Department of Psychology, Yale University, Henry Koerner Center, 149 Elm Street, New Haven, CT 06511, USA.

出版信息

Healthcare (Basel). 2025 Feb 26;13(5):505. doi: 10.3390/healthcare13050505.

Abstract

Mental disorders are highly prevalent worldwide. Unfortunately, most people with these disorders do not receive any treatment. This is due in part to a large set of barriers (e.g., no access to therapists or clinics, lack of insurance, stigma) that impede seeking and obtaining mental health services. Many lifestyle interventions that are not part of traditional mental health services have indirect effects on reducing symptoms of mental disorders. These are interventions that target a direct focus (e.g., physical health, socialization, general well-being) but also have indirect and significant impact on reducing mental disorders. This article discusses indirect interventions as an additional way of reaching people in need of help with mental health problems. Interventions such as physical activity and exercise, diet, addressing sleep problems, yoga, tai chi, qigong, and volunteering have indirect beneficial effects. This article highlights the scope of mental illness as a background, introduces indirect interventions, and details three illustrations with evidence that targeting one focus with indirect effects on improving mental disorders. The interventions point to a category of interventions are not systematically used in the care of mental health problems. Among their many advantages is the prospect of their use at the levels of individuals and populations. Indirect interventions do not replace any of the current advances in treatment but add to ways of reaching people in need.

摘要

精神障碍在全球范围内高度流行。不幸的是,大多数患有这些障碍的人没有接受任何治疗。这部分是由于一系列巨大的障碍(例如,无法获得治疗师或诊所的服务、缺乏保险、存在污名化现象)阻碍了人们寻求和获得心理健康服务。许多不属于传统心理健康服务范畴的生活方式干预措施,对减轻精神障碍症状具有间接影响。这些干预措施的直接关注点是其他方面(例如,身体健康、社交、总体幸福感),但对减轻精神障碍也具有间接且显著的影响。本文将讨论间接干预措施,将其作为帮助有心理健康问题的人的另一种方式。诸如体育活动与锻炼、饮食、解决睡眠问题、瑜伽、太极、气功和志愿服务等干预措施都具有间接的有益效果。本文以精神疾病的范围为背景进行阐述,介绍间接干预措施,并详细说明三个实例,这些实例有证据表明针对一个方面进行干预会对改善精神障碍产生间接影响。这些干预措施指出了一类在心理健康问题护理中未被系统使用的干预措施。它们有许多优点,包括有望在个人和人群层面得到应用。间接干预措施并不会取代当前治疗方面的任何进展,而是增加了帮助有需要的人的方式。

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