Inge CuC

Pensamiento académico y científico de la salud mental global en los futuros profesionales de la salud: un nuevo reto orientado a necesidades actuales

Monica Acuña Rodriguez

Universidad de la Costa

Ornella

Clínica Iberoamérica

María Paz

Center for Meta-Research and Scientometrics in Biomedical Sciences

Wendy

Universidad de Cuenca

DOI: https://doi.org/10.17981/ingecuc.21.1.2025.05

Palabras clave: Estrategias de Salud Globales, Salud Mental, Personal de Salud, Educación en Salud Pública Profesional, Academia

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Resumen

La salud mental global ha surgido como un área de preocupación crítica en el siglo XXI, impulsada por la creciente prevalencia de trastornos mentales, el impacto de la globalización y el reconocimiento cada vez mayor de la salud mental como un pilar fundamental del bienestar general. La Organización Mundial de la Salud estima que una de cada cuatro personas se verá afectada por trastornos mentales o neurológicos en algún momento de su vida, lo que subraya la urgencia de abordar este problema. A pesar de ello, la salud mental sigue siendo una prioridad secundaria en muchos sistemas de salud, especialmente en países de ingresos bajos y medios, donde los recursos son escasos y el estigma persiste. Las necesidades actuales en salud mental global incluyen la integración de servicios de salud mental en la atención primaria, el desarrollo de intervenciones culturalmente sensibles y la formación de profesionales de la salud capacitados para enfrentar estos desafíos. Fomentar el pensamiento académico y científico entre los futuros profesionales de la salud es una estrategia clave para abordar estas necesidades. Al promover una comprensión profunda de los determinantes sociales, culturales y biológicos de la salud mental, así como de las prácticas basadas en evidencia más recientes, los futuros profesionales estarán mejor preparados para diseñar e implementar soluciones innovadoras. Este enfoque no solo mejora su capacidad para responder a las demandas diversas y complejas de la salud mental global, sino que también fomenta una mentalidad proactiva hacia la investigación y el desarrollo de políticas. En última instancia, invertir en la formación académica y científica de los profesionales de la salud puede conducir a intervenciones más efectivas en salud mental, reducir las disparidades y mejorar los resultados para las poblaciones en todo el mundo, alineándose con las necesidades contemporáneas de un panorama global en rápida evolución.

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Citas

R. Jenkins, “Global mental health and sustainable development 2018,” BJPsych Int., vol. 16, no. 2, pp. 34–37, May 2019.

World Health Organization, “Mental disorders,” [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/mental-disorders. [Accessed: Jan. 28, 2025].

World Health Organization, “COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide,” [Online]. Available: https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide. [Accessed: Jan. 28, 2025].

R. Jenkins, F. Baingana, R. Ahmad, D. McDaid, and R. Atun, “Social, economic, human rights and political challenges to global mental health,” Ment Health Fam Med., vol. 8, no. 2, pp. 87–96, Jun. 2011.

D. Arias, S. Saxena, and S. Verguet, “Quantifying the global burden of mental disorders and their economic value,” EClinicalMedicine, vol. 54, p. 101675, Sep. 28, 2022.

S. Amin, “Globalisation and mental health: is globalisation good or bad for mental health? Testing for quadratic effects,” Health Econ Policy Law, vol. 19, no. 1, pp. 119–150, Jan. 2024.

C. Laranjeira and A. Querido, “Mental Health Promotion and Illness Prevention in Vulnerable Populations,” Healthcare (Basel), vol. 12, no. 5, p. 554, Feb. 28, 2024.

C. Dawson, H. Julku, M. Pihlajamäki, J. K. Kaakinen, J. W. Schooler, and J. Simola, “Evidence-based scientific thinking and decision-making in everyday life,” Cogn Res Princ Implic., vol. 9, no. 1, p. 50, Aug. 7, 2024.

G. Carey, E. Malbon, N. Carey, A. Joyce, B. Crammond, and A. Carey, “Systems science and systems thinking for public health: a systematic review of the field,” BMJ Open, vol. 5, no. 12, p. e009002, Dec. 30, 2015.

World Health Organization, “Mental health,” [Online]. Available: https://www.who.int/health-topics/mental-health#tab=tab_1. [Accessed: Jan. 28, 2025].

R. Armitage, “The WHO’s definition of health: a baby to be retrieved from the bathwater?,” Br J Gen Pract, vol. 73, no. 727, pp. 70–71, Jan. 26, 2023.

D. J. Stein, C. Benjet, O. Gureje, C. Lund, K. M. Scott, V. Poznyak, et al., “Integrating mental health with other non-communicable diseases,” BMJ, vol. 364, p. l295, Jan. 28, 2019.

R. Blackmore, J. A. Boyle, M. Fazel, S. Ranasinha, K. M. Gray, G. Fitzgerald, et al., “The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis,” PLoS Med., vol. 17, no. 9, p. e1003337, Sep. 21, 2020.

J. Heymann and A. Sprague, “Meeting the UN Sustainable Development Goals for mental health: why greater prioritization and adequately tracking progress are critical,” World Psychiatry, vol. 22, no. 2, pp. 325–326, Jun. 2023.

N. Votruba and G. Thornicroft, “Sustainable development goals and mental health: learnings from the contribution of the FundaMentalSDG global initiative,” Glob Ment Health (Camb), vol. 3, p. e26, Sep. 9, 2016.

C. S. Hall, E. Fottrell, S. Wilkinson, and P. Byass, “Assessing the impact of mHealth interventions in low- and middle-income countries—what has been shown to work?,” Glob Health Action, vol. 7, p. 25606, Oct. 27, 2014.

F. Rabbani, A. Zahidie, A. Siddiqui, S. Shah, Z. Merali, K. Saeed, et al., “A systematic review of mental health of women in fragile and humanitarian settings of the Eastern Mediterranean Region,” East Mediterr Health J., vol. 30, no. 5, pp. 369–379, May 29, 2024.

World Health Organization, “World mental health report: Transforming mental health for all,” [Online]. Available: https://www.who.int/publications/i/item/9789240049338. [Accessed: Jan. 28, 2025].

L. Samartzis and M. A. Talias, “Assessing and Improving the Quality in Mental Health Services,” Int J Environ Res Public Health, vol. 17, no. 1, p. 249, Dec. 30, 2019.

M. L. Wainberg, P. Scorza, J. M. Shultz, L. Helpman, J. J. Mootz, K. A. Johnson, et al., “Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective,” Curr Psychiatry Rep., vol. 19, no. 5, p. 28, May 2017.

M. Alegría, A. NeMoyer, I. Falgàs Bagué, Y. Wang, and K. Alvarez, “Social Determinants of Mental Health: Where We Are and Where We Need to Go,” Curr Psychiatry Rep., vol. 20, no. 11, p. 95, Sep. 17, 2018.

C. Lund, “Global mental health and its social determinants: How should we intervene?,” Behav Res Ther., vol. 169, p. 104402, Oct. 2023.

J. Maselko, “Social Epidemiology and Global Mental Health: Expanding the Evidence from High-Income to Low- and Middle-Income Countries,” Curr Epidemiol Rep., vol. 4, no. 2, pp. 166–173, 2017.

S. Rathod, N. Pinninti, M. Irfan, P. Gorczynski, P. Rathod, L. Gega, et al., “Mental Health Service Provision in Low- and Middle-Income Countries,” Health Serv Insights, vol. 10, p. 1178632917694350, Mar. 28, 2017.

F. Mascayano, J. E. Armijo, and L. H. Yang, “Addressing stigma relating to mental illness in low- and middle-income countries,” Front Psychiatry, vol. 6, p. 38, Mar. 11, 2015.

World Health Organization, “Atlas: Mental Health Resources in the World,” [Online]. Available: https://iris.who.int/bitstream/handle/10665/66910/WHO_NMH_MSD_MDP_01.1.pdf. [Accessed: Jan. 28, 2025].

R. P. Rajkumar, “The Correlates of Government Expenditure on Mental Health Services: An Analysis of Data From 78 Countries and Regions,” Cureus, vol. 14, no. 8, p. e28284, Aug. 22, 2022.

J. Campion, A. Javed, C. Lund, N. Sartorius, S. Saxena, M. Marmot, et al., “Public mental health: required actions to address implementation failure in the context of COVID-19,” Lancet Psychiatry, vol. 9, no. 2, pp. 169–182, Feb. 2022.

M. Ridley, G. Rao, F. Schilbach, and V. Patel, “Poverty, depression, and anxiety: Causal evidence and mechanisms,” Science, vol. 370, no. 6522, p. eaay0214, Dec. 11, 2020.

N. Gopalkrishnan, “Cultural Diversity and Mental Health: Considerations for Policy and Practice,” Front Public Health, vol. 6, p. 179, Jun. 19, 2018.

R. D. Alarcón, “Culture, cultural factors and psychiatric diagnosis: review and projections,” World Psychiatry, vol. 8, no. 3, pp. 131–139, Oct. 2009.

A. L. Stangl, V. A. Earnshaw, C. H. Logie, W. van Brakel, L. C. Simbayi, I. Barré, et al., “The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas,” BMC Med., vol. 17, no. 1, p. 31, Feb. 15, 2019.

D. L. Barz and A. Achimaș-Cadariu, “The development of scientific reasoning in medical education: a psychological perspective,” Clujul Med., vol. 89, no. 1, pp. 32–37, 2016.

V. Zábó, D. Erát, A. Vargha, A. Vincze, J. Harangozó, M. Iváncsics, et al., “Mental health competencies are stronger determinants of well-being than mental disorder symptoms in both psychiatric and non-clinical samples,” Sci. Rep., vol. 14, p. 12943, 2024.

J. T. Trevors, G. H. Pollack, M. H. Saier Jr., and L. Masson, “Transformative research: definitions, approaches and consequences,” Theory Biosci., vol. 131, no. 2, pp. 117–123, Jun. 2012.

J. Clarke, J. Proudfoot, and H. Ma, “Mobile Phone and Web-based Cognitive Behavior Therapy for Depressive Symptoms and Mental Health Comorbidities in People Living With Diabetes: Results of a Feasibility Study,” JMIR Ment Health, vol. 3, no. 2, p. e23, May 31, 2016.

D. Ayar, F. Karasu, and M. Sahpolat, “The relationship between levels of solution-focused thinking and internalized stigma and social functionality in mental disorders,” Perspect Psychiatr Care, vol. 58, no. 4, pp. 1399–1409, Oct. 2022.

A. Waqas, S. Malik, A. Fida, N. Abbas, N. Mian, S. Miryala, et al., “Interventions to Reduce Stigma Related to Mental Illnesses in Educational Institutes: a Systematic Review,” Psychiatr Q., vol. 91, no. 3, pp. 887–903, Sep. 2020.

Y.-T. Xiang, Y. Jin, and T. Cheung, “Joint International Collaboration to Combat Mental Health Challenges During the Coronavirus Disease 2019 Pandemic,” JAMA Psychiatry, vol. 77, no. 10, pp. 989–990, Oct. 1, 2020.

M. Berk, L. J. Williams, and D. J. Stein, “Global mental health and collaborative care,” Lancet, vol. 404, no. 10465, pp. 1785–1787, Nov. 9, 2024.

M. Semrau, A. Alem, J. L. Ayuso-Mateos, D. Chisholm, O. Gureje, C. Hanlon, et al., “Strengthening mental health systems in low- and middle-income countries: recommendations from the Emerald programme,” BJPsych Open, vol. 5, no. 5, p. e73, Aug. 6, 2019.

W. Chu, G. Wippold, and K. D. Becker, “A Systematic Review of Cultural Competence Trainings for Mental Health Providers,” Prof Psychol Res Pr., vol. 53, no. 4, pp. 362–371, Aug. 2022.

C. R. Montenegro and F. Ortega, “Thinking beyond implementation: context and culture in global mental health,” BMJ Glob Health, vol. 5, no. 12, p. e004539, Dec. 2020.

I. D. Lozada-Martinez, L. M. Lozada-Martinez, and O. Fiorillo-Moreno, “Leiden manifesto and evidence-based research: Are the appropriate standards being used for the correct evaluation of pluralism, gaps and relevance in medical research?,” J R Coll Physicians Edinb., vol. 54, no. 1, pp. 4–6, Mar. 2024.

I. D. Lozada-Martinez, M. Bolaño-Romero, Y. A. Picón-Jaimes, and L. R. Moscote-Salazar, “Quality or quantity? Questions on the growth of global scientific production,” Int J Surg., vol. 105, p. 106862, Sep. 2022.

J. E. Chiaro, I. Lozada-Martinez, and L. Moscote-Salazar, “Anxiety, depression, and stress in response to the coronavirus disease-19 pandemic,” Cir Cir., vol. 90, no. 4, pp. 577–578, 2022.

J. A. Miranda-Pacheco, S. A. De Santis-Tamara, S. L. Parra-Pinzón, J. J. González-Monterroza, and I. D. Lozada-Martinez, “Medical interest groups and work policies as emerging determinants of a successful career: A student perspective – Correspondence,” Int J Surg., vol. 92, p. 106020, Aug. 2021.

I. Lozada-Martinez, M. Bolaño-Romero, L. Moscote-Salazar, and D. Torres-Llinas, “Letter to the Editor: 'Medical Education in Times of COVID-19: What's New in Neurosurgery?',” World Neurosurg., vol. 143, p. 603, Nov. 2020.

I. D. Lozada-Martinez, L. M. Acevedo-Aguilar, L. M. Mass-Hernández, D. Matta-Rodríguez, J. A. Jiménez-Filigrana, K. E. Garzón-Gutiérrez, et al., “Practical guide for the use of medical evidence in scientific publication: Recommendations for the medical student: Narrative review,” Ann Med Surg (Lond), vol. 71, p. 102932, Oct. 9, 2021.

I. D. Lozada-Martinez, “Carta al Editor: Herramienta para la iniciación científica del estudiante de medicina,” Acta Neurol Colomb., vol. 38, no. 3, pp. 182–183, 2022.

Y. A. Picón-Jaimes, “Innovación y Transformación Digital en la Educación en Salud: Oportunidades para Impulsar el Desarrollo Tecnológico en la Formación de los Futuros Profesionales,” Inge CuC., vol. 20, no. 2, pp. 1–7, 2024, doi: 10.17981/ingecuc.20.2.2024.10.