primary care中的焦虑和抑郁:国际视角
This book provides practical information about depression and anxiety in primary care, with a focus on the approach in different countries and incorporating global ranges/prevalence, risk factors and health burden including that associated with COVID-19 and its pandemic.
To ensure the challenges of a wide international primary care community are reflected fully, authors from different world regions – Africa, Asia Pacific, East Mediterranean, Europe, IberoAmericana-CIMF, North America and South Asia – have co-contributed to individual chapters on the detection and management of depression and anxiety in primary care in their own countries, including the screening tools used, how widely these tools are adopted and by whom, and current policies. As well as the medical model, it also presents the alternative viewpoint that feeling low or anxious is part of the human condition and the attention should be on supporting people in their journey through life, struggling to deal with the mainly social challenges they meet, rather than defining these problems as disorders or diseases requiring identification and treatment.
Key Features Explores the instruments used for the detection of depression and anxiety in primary care in various countries, and why and how these instruments are being used Describes the pharmaceutical and non-drug interventions for treating depression and anxiety in primary care and compares the similarities and differences in detecting and managing depression and anxiety in primary care among different countries Includes in-depth regional examples of how screening tools are used in practice and how policies can be established in the management of depression and anxiety in primary care Concludes with lessons learned from various countries and from different stakeholders with clear advice on what to do and, importantly, what not to do Addressing primary care detection and management of mental health issues across the globe, the book will be an invaluable practical aid for family medicine practitioners and the wider primary and community care teams and a useful reference for those involved in policy setting at regional and national levels including ministries of health.
这本书提供了关于抑郁症和焦虑症在初级保健领域的实用信息,重点介绍了不同国家的方法,并融入了全球范围内的流行率/患病率、风险因素以及健康负担,包括与COVID-19及其大流行的关联。 为了确保广泛的国际初级保健社区面临的挑战得到充分反映,来自世界不同地区的作者——非洲、亚太地区、东地中海地区、欧洲、伊比利亚美洲- CIMF、北美和南亚——共同为各自国家内抑郁和焦虑的诊断和管理章节做出了贡献,包括使用的筛查工具、这些工具被广泛采用的情况以及实施者的身份,以及当前的政策。除了医学模型之外,它还呈现了另一种观点,即感到低落或焦虑是人类的一种自然状态,重点在于支持人们在生活中的旅程中应对主要的社会挑战,而不是将这些问题定义为需要识别和治疗的紊乱或疾病。 关键特点 探索了用于各种国家抑郁和焦虑筛查的各种工具,以及为什么和如何使用这些工具 描述了初级保健领域内针对抑郁症和焦虑症进行药物治疗和其他非药物干预的方法,并比较了不同国家在检测和管理方面存在的相似性和差异性 包含了一些关于筛查工具在实际应用中是如何使用的地区示例及其在管理过程中政策建立的深入剖析 以从多个国家和地区获得的经验教训为结尾,提供了明确的建议,最重要的是要避免什么 针对全球初级保健领域中的心理健康问题进行诊断和管理,这本书将为家庭医生和其他初级及社区护理团队提供宝贵的实用助手,并且对于参与地区和国家层面政策制定的人员来说也是一个有用的参考书,包括卫生部。
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