Mental health research priorities in low- and middle-income countries of Africa, Asia, Latin America and the Caribbean.

Mental health research priorities in low- and middle-income countries of Africa, Asia, Latin America and the Caribbean.
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DOI:
10.1192/bjp.bp.108.050187
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发表时间:
2009-10
期刊:
The British journal of psychiatry : the journal of mental science
影响因子:
--
通讯作者:
World Health Organization-Global Forum for Health Research - Mental Health Research Mapping Project Group
World Health Organization-Global Forum for Health Research - Mental Health Research Mapping Project Group
中科院分区:
其他
文献类型:
--
作者:
Sharan P;Gallo C;Gureje O;Lamberte E;Mari JJ;Mazzotti G;Patel V;Swartz L;Olifson S;Levav I;de Francisco A;Saxena S;World Health Organization-Global Forum for Health Research - Mental Health Research Mapping Project Group

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研究表明,低收入和中等收入国家的心理健康研究成果缺乏优先次序。调查LAMI国家研究人员和其他利益相关者在精神卫生方面的研究优先事项。分两个阶段设计,包括对非洲、亚洲和拉丁美洲及加勒比114个国家的研究人员和利益攸关方进行清点(通过文献检索和滚雪球技术);以及就优先研究进行邮寄调查。该研究显示,研究人员和利益攸关方之间以及各区域之间就精神健康研究的优先事项达成了广泛的一致意见,但是,利益攸关方并不认为研究人员的个人利益是优先研究的重要标准。对流行病学(负担和风险因素)、卫生系统和社会科学的研究是最需要的研究类型。三种优先考虑的疾病是抑郁症/焦虑症、药物使用障碍和精神病,而优先考虑的人口群体是儿童和青少年、妇女和遭受暴力/创伤的人。优先研究的重要标准是疾病负担、社会正义和资金的可获得性。研究人员和利益相关者的优先事项在很大程度上与疾病负担估计一致(然而,自杀被低估),部分与响应研究人员的研究项目一致。一个庞大的,具有合理代表性的活跃的研究人员和利益相关者之间的广泛协议,为全球精神卫生政策和服务相关的证据提供了基础。
Studies suggest a paucity of and lack of prioritization in mental health research output from low- and middle-income (LAMI) countries. To investigate research priorities in mental health among researchers and other stakeholders in LAMI countries. A two-stage design that included enumeration (through literature searches and snowball technique) of researchers and stakeholders in 114 countries of Africa, Asia and Latin America and the Caribbean; and a mail survey on priority research. The study revealed broad agreement between researchers and stakeholders and across regions regarding the priorities for mental health research, however, stakeholders did not consider researchers' personal interest as an important criterion for prioritizing research. Studies on epidemiology (burden and risk factors), health systems, and social science were the highest ranked types of needed research. The three prioritized disorders were depression/anxiety, substance use disorders, and psychoses, while prioritized population groups were children and adolescents, women, and persons exposed to violence/trauma. Important criteria for prioritizing research were burden of disease, social justice, and availability of funds. Researchers' and stakeholders' priorities were largely consistent with burden of disease estimates (however, suicide was under-prioritized) and partly congruent with the research projects of the responding researchers. The broad agreement found between a large and reasonably representative group of active researchers and stakeholders provides a basis for generating policy and service relevant evidence for global mental health.
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