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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Prevention of common mental disorders: What can we learn from those who have gone before and where do we go next?
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Prevention of common mental disorders: What can we learn from those who have gone before and where do we go next?

机译：预防常见的精神障碍：我们可以从之前离开的人学习什么，我们接下来要去哪里？

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Objective Prevention strategies have made a major contribution to the considerable successes in reductions in cardiovascular disease and cancer mortality seen in recent decades. However, in the field of psychiatry, similar population-level initiatives in the prevention of common mental disorders, depression and anxiety, are noticeably lacking. This paper aims to provide a brief overview of the existing literature on the topic of the prevention of common mental disorders and a commentary regarding the way forward for prevention research and implementation. Methods This commentary considers what we currently know, what we might learn from the successes and failures of those working in prevention of other high prevalence health conditions, and where we might go from here. Taking cognisance of previous preventive models, this commentary additionally explores new opportunities for preventive approaches to the common mental disorders. Results The consensus from a large body of evidence supports the contention that interventions to prevent mental disorders across the lifespan can be both effective and cost-effective. However, funding for research in the area of prevention of common mental disorders is considerably lower than that for research in the areas of treatment, epidemiology and neurobiology. Thus, there is a clear imperative to direct funding towards prevention research to redress this imbalance. Future prevention interventions need to be methodologically rigorous, scalable to the population level and include economic evaluation. Evidence-based knowledge translation strategies should be developed to ensure that all stakeholders recognise preventing mental disorders as an imperative, with appropriate resources directed to this objective. Conclusion There has been a recent expansion of research into potentially modifiable risk factors for depression, and it is now timely to make a concerted effort to advance the field of prevention of common mental disorders.
机译：客观的预防策略对近几十年来患病的疾病疾病和癌症死亡率的相当成功作出了重大贡献。然而，在精神病学领域，预防常见精神障碍，抑郁和焦虑的类似人的级别举措都是明显缺乏的。本文旨在简要概述关于预防普通精神障碍的主题的现有文献，以及关于预防研究和实施的前进方向的评论。方法这项评论考虑我们目前所知道的，我们可能从努力预防其他高普遍存态健康状况的人的成功和失败中吸取教训，以及我们从这里开始的地方。考虑到以前的预防模型，这项评论还探讨了对普通精神障碍的预防方法的新机会。结果来自大量证据的共识支持争论，涉及防止寿命的精神障碍可能都有效且具有成本效益。然而，在预防常见精神障碍领域的研究资金比治疗，流行病学和神经生物学领域的研究相当低得多。因此，有明确的必要旨在指导预防研究来纠正这种不平衡。未来的预防干预措施需要在方法上严谨，可扩展到人口水平并包括经济评估。应制定基于证据的知识翻译策略，以确保所有利益攸关方都认识到预防精神障碍作为必要的，适当的资源指向这一目标。结论近期将研究扩大到抑郁症的潜在可修改的危险因素，现在及时努力推进预防普通精神障碍领域。

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