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Mental Health and Well Being. Prof.Yan He-Qin Shanghai Mental Health Center Jiao-Tong University School of Medicine. . .Definition of Health. WHO: (19 48) Health is a state of complete physical,mental and social well-being and not merely the absence of disease or infirmity.

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Mental health and well being
Mental Health and Well Being

Prof.Yan He-Qin

Shanghai Mental Health Center

Jiao-Tong University

School of Medicine


Definition of health
..Definition of Health

  • WHO:(1948)

    Health is a state of complete physical,mental and social well-being and not merely the absence of disease or infirmity


Well being include
Well Being include:

  • Normal Intelligent

  • Nice mental state

  • Harmony personal relationship

  • Good social function

  • Strong-Willed

  • Stable Personality.

  • Noble Morality.


Social development and stress
Social Development and Stress

  • Great Change

  • Competitions Stress

  • Various inference

  • Family structure change

  • One child family

  • Aging problem

  • Big City problem

  • Unemployed etc.


Psychological problems in each period
Psychological Problems in each period

  • Infantile period:

  • Child period:

  • Adolescent period:

  • Adult period:

  • Involution period:

  • Senile period:


Mental health problems
Mental Health Problems

Psychoses:Schizophrenia ,Manic-Depression disorder, Alzheimer Disease etc

Neuroses:Depression ,Anxiety,, Obsession, Neurasthenia etc

Psychological disorder:Adjustment Disorder, Alcohol and Drug Addiction etc

Psychosomatic Disorder:Hypertension, Asthma ,Peptic Ulcer etc.

PersonalityDisorder: Antisocial. Paranoid, Schizoid, Histronic etc.


Stress and health
Stress and Health

  • Appropriate stress can improve one’s adaptation.

  • Excessive stress cause over reaction, exhaustion and death

  • Psychological stress cause change of neuro-endocrine, immunity function, neurotransmitters, NGF and Brain neuron

  • Medication, Psychological management, Relaxations procedure and Exercise help to recover


Statistics according to daly disability adjusted life years
Statistics according to DALY (Disability Adjusted Life Years )

sequence disorders percentage to all burdens % treatment %

  • chronic lung obstruction 8.5 50

  • depressive disorders 6.2 5

  • lower respiratory tract infection 5.7 ?

  • brain vascular disorders 5.2 50

  • self hurt 3.9 ?

  • ischemic anemia3.2 ?

  • ischemicheart disorders 2.9 50

  • falling down 2.2 ?

  • drowning 2.1 ?

  • traffic accident 2.1 ?

  • tuberculosis 2.0 ?

  • liver cancer 1.9 30

  • diarrhea 1.8 ?


Daly 1990
DALY(1990)

Percentage of Reduction of Disability Adjusted Life Years

(World Bank, 1993)


Mental health problems prevalence of mental illness usa eca dis dsmiii
Mental Health Problems Prevalence of Mental Illness (USA)ECA/DIS/DSMIII


Social burdens from mental illness
Social Burdens from Mental Illness

  • Mental illness is common disease : high incidence,often relapse,behaviors out of control, lack of insight,harmful to society, family and persons( making troubles), eg: schizophrenia, mood disorders, paranoid disorders .

  • Personality disorders:unstable emotions,compulsive behaviors, unable to learn a lesson, harmful to others and himself, unstable factors to the society. eg:compulsive personality disorder,paranoid personality disorder, obsessive-compulsive personality disorder and perversion ,etc.


Depression
Depression

Report by WHO:1.5 billions Affective Disorder in the World

Austraria(1995)prevalence rate of Depression” 1.32%

South Korea :3.1-5.5%

Hong Kong :2.4-5.2%

576 out patient clinic of internal medicine in Shanghai:4%



Depression of inpatients in internal medicine word
Depression of Inpatients in Internal Medicine Word

  • hematology, endocrine department 44.7%

  • neurology department 37.5%

  • cardiovascular department 34.5%

  • gastrointestinal department 30.4%

  • tumor department 20-40%

  • related disorders: stroke 26-34%, rheumatoid arthritis 20%, parkinsonism 40%, cardiovascular diseases 19%


Definite diagnosis rates of depression in general hospitals
Definite Diagnosis Rates of Depression in General Hospitals

  • WHO survey in 15 countries and areas :

    incidence of psychological disorders 24%

    average recognition rate of general practioner 48.9%

  • Analysis in 576 cases in Shanghai:

    incidence of psychological disorders 9.7%

    major depressive disorder 4%

    recognition rate of physicians 15.9%


Problems and propose
Problems and Propose

Problems:

  • Knowledge of Mental Health still not popular.

  • General medical staff lack of mental health training

  • High prevalence rate, High death rate, High disable rate

  • Mental Health need legislation to guarantee

  • Stigma and privileges still exist in society


Treatment of mental diseases
Treatment of Mental Diseases

  • Drugs therapy: Antipsychotic drugs

    Antidepressant

    Antianxiety

    Hypnotic etc.

  • Psychotherapy:Psychoanalytic,Cognitive-behavior, Interpersonal relationship, Family therapy, Relaxation therapy, Group therapy etc

  • Physic therapy: ECT, Biofeedback etc

  • Social support and management


Prevention mental illness
Prevention Mental Illness

  • Primary prevention: to increase protective factors and reduce risky factors for mental illness.

  • Secondary prevention: to reduce harm through early discovery, early diagnosis and treatment

  • Tertiary prevention:to train the patients to improve their abilities of looking after themselves, adapting to society and occupational skills in order to reduce disability and social dysfunctions, promote rehabilitation and prevent relapse.


Methods to promote mental health
Methods to Promote Mental Health

  • Foster healthy personalities

  • Healthy life methods and behavior habits

  • Improve adaptation to natural and social environment

  • Improve coping abilities to mental stresses

  • Reduce negative influences, prevent mental disorders and psychosomatic disorders

  • Develop community psychiatric services


Methods to promote mental health cont
Methods to Promote Mental Health (Cont.)

  • To have knowledge of oneself

  • To accept oneself

  • To explore one’s potential abilities and keep contacts with reality through practices

  • To build positive interpersonal relationships

  • To seek help and support

  • To improve adaptation and coping skills


Learning self management
Learning Self Management

  • Methods to control emotions: distraction, dissociation, weakening, empathy,sublimation, undoing, catharsis, etc

  • Learn to be patience and tolerant

  • Treat frustration and unfortunate things correctly

  • Properly adapt “The method of mental victory”

  • Pay an attenuation to train strong will and build up scientific world view.


Ways to reduce mental stress
Ways to reduce mental Stress

  • Talk to a person you trust

  • Try a change of pace

  • Take one step at a time

  • Get rid of anger safely

  • Take it easy

  • Do something for yourself

  • Do something for someone else


Mental health and well being

Propose : to guarantee society harmony and stabilization and people’s health

  • To widespread mental health knowledge , everybody needs mental health (especially for weak populations )

  • Both governmental and non-governmental branches and organizations need to participate and cooperate in mental health

  • To be against stigma and insult to patients with mental illness

  • To popularize methods of prompting psychological health

  • To include mental health to construction of spiritual civilization

  • To expand and make the mental health service system perfect