The role of global traditional and complementary systems of medicine in treating mental health problems.
The role of global traditional and complementary systems of medicine in treating mental health problems.
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DOI：
10.1016/s2215-0366(15)00013-9
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发表时间：
2015-02
影响因子：
64.3
通讯作者：
Jenkins, Rachel
中科院分区：
文献类型：
--
作者：
Gureje, Oye;Nortje, Gareth;Makanjuola, Victor;Oladeji, Bibilola D.;Seedat, Soraya;Jenkins, Rachel
传统和补充医学系统（TCM）包含广泛的实践，这些实践通常嵌入上下文文化环境中，反映了社区信仰、经验、宗教和精神。来自世界各地，特别是来自低收入和中等收入国家（LMIC）的证据表明，大量精神疾病患者普遍使用中药。尽管中医和传统生物医学的诊断方法存在一些重叠，但也存在重大差异，这在很大程度上反映了对精神障碍的性质和病因的理解差异。然而，中医提供者采用的治疗方式有时可能无法满足对人权和人道关怀的普遍理解。尽管如此，在精神疾病患者的护理方面，中医和CB之间仍有合作的可能性。需要进行研究，以明确界定这种合作的界限，并测试其在改善患者预后方面的有效性。
Traditional and complementary systems of medicine (TCM) encompass a broad range of practices which are commonly embedded within contextual cultural milieu, reflecting community beliefs, experiences, religion and spirituality. Evidence from across the world, especially from low- and middle-income countries (LMIC), suggests that TCM is commonly used by a large number of persons with mental illness. Even though some overlap exists between the diagnostic approaches of TCM and conventional biomedicine (CB), there are major differences, largely reflecting differences in the understanding of the nature and etiology of mental disorders. However, treatment modalities employed by providers of TCM may sometimes fail to meet common understandings of human rights and humane care. Still, there are possibilities for collaboration between TCM and CB in the care of persons with mental illness. Research is required to clearly delineate the boundaries of such collaboration and to test its effectiveness in bringing about improved patient outcomes.