{"title":"扩大心理治疗:从全球精神卫生吸取的经验教训。","authors":"D. Singla","doi":"10.1037/amp0000944","DOIUrl":null,"url":null,"abstract":"Evidence-based psychological treatments are among the most effective interventions in medicine and are recommended as the first line of treatment to address the significant burden of depression, anxiety, and stress-related disorders worldwide. Despite this evidence, these treatments remain inaccessible for the great majority of the world's population. Global Mental Health (GMH) is an evolving discipline of research and practice that places a priority on improving mental health and achieving equity in mental health for all people worldwide. Equity is a driving principle, and this recognizes that inequalities exist within all nations and between nations. At the heart of this equity, there is the need for person-centered care. This essay discusses how GMH has sought to address a range of barriers to scale up the delivery of psychological treatments for common mental disorders. While the initial focus of the field has been to address access to quality care in low- and middle-income countries, this article also draws attention to how similar strategies are being implemented at scale in some high-income countries, with appropriate modifications to suit the context. In considering some of these evidence-based, contextually driven strategies, psychological communities have potential to address the growing burden of depression and anxiety worldwide. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":217617,"journal":{"name":"The American psychologist","volume":"24 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"Scaling up psychological treatments: Lessons learned from global mental health.\",\"authors\":\"D. Singla\",\"doi\":\"10.1037/amp0000944\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Evidence-based psychological treatments are among the most effective interventions in medicine and are recommended as the first line of treatment to address the significant burden of depression, anxiety, and stress-related disorders worldwide. Despite this evidence, these treatments remain inaccessible for the great majority of the world's population. Global Mental Health (GMH) is an evolving discipline of research and practice that places a priority on improving mental health and achieving equity in mental health for all people worldwide. Equity is a driving principle, and this recognizes that inequalities exist within all nations and between nations. At the heart of this equity, there is the need for person-centered care. This essay discusses how GMH has sought to address a range of barriers to scale up the delivery of psychological treatments for common mental disorders. While the initial focus of the field has been to address access to quality care in low- and middle-income countries, this article also draws attention to how similar strategies are being implemented at scale in some high-income countries, with appropriate modifications to suit the context. In considering some of these evidence-based, contextually driven strategies, psychological communities have potential to address the growing burden of depression and anxiety worldwide. (PsycInfo Database Record (c) 2022 APA, all rights reserved).\",\"PeriodicalId\":217617,\"journal\":{\"name\":\"The American psychologist\",\"volume\":\"24 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The American psychologist\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1037/amp0000944\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American psychologist","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1037/amp0000944","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
摘要
循证心理治疗是医学上最有效的干预措施之一,被推荐作为解决世界范围内抑郁、焦虑和压力相关疾病的重大负担的第一线治疗方法。尽管有这些证据,但世界上绝大多数人口仍然无法获得这些治疗。全球精神卫生是一门不断发展的研究和实践学科,其重点是改善精神卫生和实现全世界所有人在精神卫生方面的公平。公平是一项主导原则,它承认所有国家内部和国家之间都存在不平等。这种公平的核心是需要以人为本的护理。本文讨论了GMH如何寻求解决一系列障碍,以扩大对常见精神障碍的心理治疗。虽然该领域最初的重点是解决低收入和中等收入国家获得高质量医疗服务的问题,但本文也提请注意在一些高收入国家如何大规模实施类似战略,并根据具体情况进行适当修改。考虑到这些以证据为基础、情境驱动的策略,心理社区有可能解决世界范围内日益严重的抑郁和焦虑负担。(PsycInfo Database Record (c) 2022 APA,版权所有)。
Scaling up psychological treatments: Lessons learned from global mental health.
Evidence-based psychological treatments are among the most effective interventions in medicine and are recommended as the first line of treatment to address the significant burden of depression, anxiety, and stress-related disorders worldwide. Despite this evidence, these treatments remain inaccessible for the great majority of the world's population. Global Mental Health (GMH) is an evolving discipline of research and practice that places a priority on improving mental health and achieving equity in mental health for all people worldwide. Equity is a driving principle, and this recognizes that inequalities exist within all nations and between nations. At the heart of this equity, there is the need for person-centered care. This essay discusses how GMH has sought to address a range of barriers to scale up the delivery of psychological treatments for common mental disorders. While the initial focus of the field has been to address access to quality care in low- and middle-income countries, this article also draws attention to how similar strategies are being implemented at scale in some high-income countries, with appropriate modifications to suit the context. In considering some of these evidence-based, contextually driven strategies, psychological communities have potential to address the growing burden of depression and anxiety worldwide. (PsycInfo Database Record (c) 2022 APA, all rights reserved).