Department of Psychiatry (EEB, SK, TKR, BGP, BHM), University of Toronto, Toronto, Canada; Adult Neurodevelopment and Geriatric Psychiatry Division (EEB, SK, TKR, BGP, BHM), Centre for Addiction and Mental Health, Toronto, Canada.
Department of Psychiatry (EEB, SK, TKR, BGP, BHM), University of Toronto, Toronto, Canada; Adult Neurodevelopment and Geriatric Psychiatry Division (EEB, SK, TKR, BGP, BHM), Centre for Addiction and Mental Health, Toronto, Canada.
Am J Geriatr Psychiatry. 2020 Jul;28(7):712-721. doi: 10.1016/j.jagp.2020.04.010. Epub 2020 Apr 18.
The COVID-19 pandemic is causing global morbidity and mortality, straining health systems, and disrupting society, putting individuals with Alzheimer's disease and related dementias (ADRD) at risk of significant harm. In this Special Article, we examine the current and expected impact of the pandemic on individuals with ADRD. We discuss and propose mitigation strategies for: the risk of COVID-19 infection and its associated morbidity and mortality for individuals with ADRD; the impact of COVID-19 on the diagnosis and clinical management of ADRD; consequences of societal responses to COVID-19 in different ADRD care settings; the effect of COVID-19 on caregivers and physicians of individuals with ADRD; mental hygiene, trauma, and stigma in the time of COVID-19; and the potential impact of COVID-19 on ADRD research. Amid considerable uncertainty, we may be able to prevent or reduce the harm of the COVID-19 pandemic and its consequences for individuals with ADRD and their caregivers.
新型冠状病毒肺炎大流行正在造成全球发病率和死亡率，使卫生系统紧张，并扰乱社会，使阿尔茨海默病和相关痴呆症（ADRD）患者面临重大伤害的风险。在这篇特别文章中，我们研究了大流行对 ADRD 患者的当前和预期影响。我们讨论并提出了减轻以下方面风险的策略：ADRD 患者感染 COVID-19 及其相关发病率和死亡率的风险；COVID-19 对 ADRD 诊断和临床管理的影响；不同 ADRD 护理环境下对 COVID-19 的社会反应的后果；COVID-19 对 ADRD 患者的护理人员和医生的影响；COVID-19 期间的心理健康、创伤和耻辱感；以及 COVID-19 对 ADRD 研究的潜在影响。在存在相当大的不确定性的情况下，我们或许能够预防或减少 COVID-19 大流行及其对 ADRD 患者及其护理人员的后果造成的伤害。
