Mengin A, Allé M C, Rolling J, Ligier F, Schroder C, Lalanne L, Berna F, Jardri R, Vaiva G, Geoffroy P A, Brunault P, Thibaut F, Chevance A, Giersch A
Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, centre régional psychotraumatisme Grand Est, Strasbourg, France.
Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, université de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France; Center on Autobiographical Memory Research, Department of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Danemark.
Encephale. 2020 Jun;46(3S):S43-S52. doi: 10.1016/j.encep.2020.04.007. Epub 2020 Apr 22.
The psychological effects of isolation have already been described in the literature (polar expeditions, submarines, prison). Nevertheless, the scale of confinement implemented during the COVID-19 pandemic is unprecedented. In addition to reviewing the published studies, we need to anticipate the psychological problems that could arise during or at a distance from confinement. We have gone beyond the COVID-19 literature in order to examine the implications of the known consequences of confinement, like boredom, social isolation, stress, or sleep deprivation. Anxiety, post-traumatic stress disorder, depression, suicidal or addictive behaviours, domestic violence are described effects of confinement, but the mechanisms of emergence of these disorders and their interrelationships remain to be studied. For example, what are the mechanisms of emergence of post-traumatic stress disorders in the context of confinement? We also remind the reader of points of vigilance to be kept in mind with regard to eating disorders and hallucinations. Hallucinations are curiously ignored in the literature on confinement, whereas a vast literature links social isolation and hallucinations. Due to the broad psychopathological consequences, we have to look for these various symptoms to manage them. We quickly summarize the diagnostic and therapeutic approaches already in place, such as telemedicine, which is undergoing rapid development during the COVID-19 crisis.
隔离的心理影响在文献中已有描述(极地探险、潜艇、监狱)。然而,新冠疫情期间实施的禁闭规模是前所未有的。除了回顾已发表的研究,我们还需要预测在禁闭期间或之后可能出现的心理问题。我们超越了新冠疫情相关文献,以便研究禁闭已知后果的影响,如无聊、社会隔离、压力或睡眠剥夺。焦虑、创伤后应激障碍、抑郁、自杀或成瘾行为、家庭暴力都是禁闭的影响,但这些障碍的出现机制及其相互关系仍有待研究。例如,在禁闭背景下创伤后应激障碍的出现机制是什么?我们还提醒读者要注意饮食失调和幻觉问题。奇怪的是,禁闭文献中忽略了幻觉,而大量文献将社会隔离与幻觉联系起来。由于广泛的精神病理学后果,我们必须寻找这些各种症状以便进行处理。我们快速总结了现有的诊断和治疗方法,比如远程医疗,它在新冠疫情危机期间正在迅速发展。