Saraceno B, Barbui C
Laboratory of Epidemiology and Social Psychiatry, WHO Collaborating Centre, Mario Negri Institute for Pharmacological Research, Milan, Italy.
Can J Psychiatry. 1997 Apr;42(3):285-90. doi: 10.1177/070674379704200306.
To assess the relationship between poverty and mental illness in order to stimulate debate on future international cooperation programs in mental health.
Epidemiological data in the international literature addressing the issue of material poverty as a risk factor for the development of mental illness and as a prognostic factor for the outcome of mental illness were reviewed.
The international literature reviewed supports the notion that material poverty is a risk factor for a negative outcome among mentally ill people. In addition, preliminary epidemiological data suggest that service-related variables may be determinants of outcome of mental illnesses. In our view, cooperation with developing countries is a great opportunity to evaluate mental health services in a natural setting.
A new generation of programs for international cooperation in mental health is needed, in which knowledge and technology transfer is based on a service-research attitude. Attention should be focused on variables related to the poverty of services that might be linked to the course and outcome of mental illnesses.
评估贫困与精神疾病之间的关系，以激发关于未来精神卫生领域国际合作项目的讨论。
回顾国际文献中的流行病学数据，这些数据涉及物质贫困作为精神疾病发生的危险因素以及作为精神疾病预后因素的问题。
所回顾的国际文献支持这样一种观点，即物质贫困是精神疾病患者出现负面结果的危险因素。此外，初步的流行病学数据表明，与服务相关的变量可能是精神疾病预后的决定因素。我们认为，与发展中国家合作是在自然环境中评估精神卫生服务的绝佳机会。
需要新一代的精神卫生国际合作项目，其中知识和技术转移应基于服务研究的态度。应关注与服务贫困相关的变量，这些变量可能与精神疾病的病程和预后有关。
