Institute of Psychiatry and Psychology, Department of Geriatrics, Neuroscience and Orthopedics, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University, Rome, Italy -
Institute of Psychiatry and Psychology, Department of Geriatrics, Neuroscience and Orthopedics, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University, Rome, Italy.
Minerva Cardiol Angiol. 2021 Apr;69(2):222-226. doi: 10.23736/S2724-5683.20.05309-8. Epub 2020 May 12.
From the time of Hippocratic medicine, heart-brain interactions have been recognized and contributed to both mental and physical health. Heart-brain interactions are complex and multifaceted and appear to be bidirectional. Exposure to chronic and daily stressors such as quarantine, or severe psychological trauma like a significant person in danger of life can affect the cardiovascular system and the emotional experience of the individual, leading to an increased risk of developing a cardiovascular disease or mental illness. Subjects with comorbidities between mental disorders and heart diseases are obviously more susceptible to be influenced by emotional burden due to the spread of COVID-19, with emotional responses characterized by fear, panic, anger, frustration. Psychological services and crisis interventions are needed at an early stage to reduce anxiety, depression and post-traumatic stress disorder in such a stressful period, with a special attention to special groups of patients, such as women, children, or the elderly.
从希波克拉底时代开始，人们就已经认识到心脑之间的相互作用，并认为其对身心健康都有影响。心脑相互作用是复杂和多方面的，似乎是双向的。暴露于慢性和日常压力源，如隔离，或严重的心理创伤，如生命受到威胁的重要人物，可能会影响心血管系统和个体的情绪体验，导致心血管疾病或精神疾病的风险增加。患有精神障碍和心脏病共病的患者显然更容易受到 COVID-19 传播带来的情绪负担的影响，其情绪反应表现为恐惧、恐慌、愤怒和沮丧。在这样的压力时期，需要早期提供心理服务和危机干预，以减轻焦虑、抑郁和创伤后应激障碍，特别关注特殊患者群体，如妇女、儿童或老年人。
