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辩论:我们是否过度诊断年轻人的心理健康问题?研究表明并非如此——心理健康状况在医疗环境中未得到识别或诊断。

Debate: Are we overpathologising young people's mental health? Research shows otherwise - mental health conditions are not being recognised or diagnosed in healthcare settings.

作者信息

Sayal Kapil, Hiller Rachel

机构信息

Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK.

Division of Psychology & Language Sciences, University College London, London, UK.

出版信息

Child Adolesc Ment Health. 2025 Sep;30(3):305-307. doi: 10.1111/camh.70019. Epub 2025 Jul 31.

Abstract

Over recent years, there have been increasing societal, political and media concerns in relation to the 'over-diagnosis' and 'self-diagnosis' of common mental health conditions or emotional disorders, such as depression and anxiety. Using two large research projects as illustrative examples, we highlight that there is a mismatch between concern about 'over-pathologising' young people's mental health and the recognition and diagnosis of emotional mental health conditions in health and care settings. Concerns around labelling risks us losing a shared understanding and language around mental health and mental health care, within services, between sectors, and for young people and families.

摘要

近年来,社会、政治和媒体对常见心理健康状况或情绪障碍(如抑郁症和焦虑症)的“过度诊断”和“自我诊断”愈发关注。以两个大型研究项目为例,我们强调,在担心对年轻人心理健康“过度病理化”与健康和护理环境中对情绪心理健康状况的识别和诊断之间存在不匹配。围绕贴标签的担忧可能使我们在服务机构内部、不同部门之间以及在年轻人和家庭中失去对心理健康和心理保健的共同理解及相关语言。

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