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Frontiers in Psychiatry· Wulf Rössler·· 3 小时前AI 评分22

Frontiers in Psychiatry 15 周年社论:心理健康与社会

Editorial: 15 years of frontiers in psychiatry – wellbeing and society

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Frontiers in Psychiatry 15 周年社论收录 9 篇文章,聚焦精神病学中的社会心理、系统与伦理维度。Koh 与 Lee 量化韩国精神障碍对健康相关生活质量的影响,EQ-5D 得分降低 71%,并指出自评健康是可干预的保护因素。Xue 与 Chen 比较 WHO 2006 与 2023 指南,发现从接受非自愿治疗的生物医学取向转向拒绝强制、促进支持性决策的人权框架。

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EDITORIAL article

Front. Psychiatry, 01 October 2026

Sec. Anxiety and Stress Disorders

Volume 17 - 2026 | https://doi.org/10.3389/fpsyt.2026.1993698

As Frontiers in Psychiatry celebrates its 15th anniversary, this Research Topic critically reflects on some pivotal milestones, paradigm shifts, and debates that have defined psychiatric research since then.

From a total of 18 submissions, nine articles were selected for publication. While this collection naturally cannot claim to be representative of the entire breadth of psychiatric research, these contributions strategically highlight key directions that have gained significant influence. Notably, the selected articles focus predominantly on psychosocial, systemic, and ethical dimensions, rather than biological or neuroscientific mechanisms. Together, they illustrate the wide spectrum of contemporary psychosocial themes in psychiatry, ranging from complex systemic interactions to rights-based frameworks, charting a course for future breakthroughs aimed at advancing mental wellbeing at both societal and individual levels.

A dominant theme across this collection is the urgent need to expand psychiatry’s lens beyond the individual. (Ajdacic-Gross et al.) argue, that while complexity is increasingly recognized in mental disorder research, current approaches risk generating findings without transformative breakthroughs. They propose a multisystem perspective that embraces the heterogeneity of systems, processes, and interactions inherent in mental health, drawing on examples from suicide and neurodevelopmental disorder research.

Similarly, (Batstra and Frances) contend that the dramatic rise in psychiatric diagnoses since the DSM-III has diverted attention from the social contexts in which mental suffering occurs. They advocate for supplementing individual diagnosis with “context diagnosis” to address the root causes of distress.

This contextual shift is further explored through geopolitical and economic determinants. (Bhugra et al.) introduce geo-psychiatry as a framework for understanding how “poly-crisis - the convergence of armed conflict, climate change, and forced migration - creates psychiatric vulnerabilities that transcend borders. They argue that patient-centered interventions alone are insufficient without addressing these structural inequalities.

In a complementary analysis (Kalinowski & Rössler) demonstrate that women face a “double risk” in contexts of economic inequality: higher exposure to disadvantage and greater vulnerability to its mental health effects, particularly regarding depression. Their multivariate meta-analysis underscores the necessity of gender-sensitive approaches in policy and research.

The tension between established practices and emerging ethical paradigms is sharply evident in discussions of coercion and legislation. (Jaeger and Theodoridou) analyze the Swiss professional discourse on coercive measures, revealing a broad consensus on the ethical problems of coercion but significant divergence on normative goals - ranging from reduction to abolition.

This debate mirrors the global paradigm shift documented by (Xue and Chen), who compare WHO guidelines from 2006 and 2023. They highlight a decisive transition from biomedical approaches accepting involuntary treatment toward a human rights-based framework that rejects coercion and promotes supported decision-making, albeit with significant implementation challenges.

Finally, the collection addresses the critical need for prevention and the long-term impacts of systemic failures. (El Alaoui) proposes a shift from “run-to-failure” models to condition-based care, presenting a multi-domain framework for preventive psychiatry that leverages objective monitoring of sleep, nutrition, and inflammatory markers.

The consequences of reactive models are illustrated by (Chen et al.), whose longitudinal data show increasing psychological distress among healthcare workers exposed to biological disasters over two decades, emphasizing the need for sustained, system-level support. Complementing this, (Koh and Lee) quantify the profound impact of mental disorders on health-related quality of life in Korea, showing a 71% reduction in EQ-5D scores, while highlighting self-rated health as a modifiable protective factor.

Together, these articles underscore that the next decade of psychiatric research must integrate multisystem complexity, social context, human rights, and preventive care. By deliberately prioritizing psychosocial and structural determinants over purely biological inquiries, this collection demonstrates the rich variety of approaches available to address the root causes of mental distress. Moving beyond reactive, individual-focused interventions allows psychiatry to engage more deeply with the geopolitical and societal forces shaping mental health, ultimately fostering resilience and wellbeing on a global scale.

Statements

Author contributions

WR: Writing – original draft, Writing – review & editing. MG: Writing – original draft, Writing – review & editing.

Conflict of interest

The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

The authors WR, MG declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Generative AI statement

The author(s) declared that generative AI was not used in the creation of this manuscript.

Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Keywords

coercion, contextual diagnosis, gender-sensitive, prevention, psychosocial

Citation

Rössler W and Grados M (2026) Editorial: 15 years of frontiers in psychiatry – wellbeing and society. Front. Psychiatry 17:1993698. doi: 10.3389/fpsyt.2026.1993698

Received

09 September 2026

Accepted

14 September 2026

Published

01 October 2026

Volume

17 - 2026

Updates

Copyright

© 2026 Rössler and Grados.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Wulf Rössler, wulf.roessler@uzh.ch

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

来源:Frontiers in Psychiatry · frontiersin.org

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