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新冠疫情余波——我们是否应该为病毒性后抑郁海啸做好准备?

Fallout from the COVID-19 pandemic - should we prepare for a tsunami of post viral depression?

机构信息

Department of Psychiatry of Later Life, St. Patrick's Mental Health Services James's St, Dublin 8, Ireland.

Department of Old Age Psychiatry, Carew House, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

出版信息

Ir J Psychol Med. 2020 Dec;37(4):295-300. doi: 10.1017/ipm.2020.40. Epub 2020 May 15.

Abstract

The current COVID-19 pandemic is not just a medical and social tragedy, but within the threat of the outbreak looms the potential for a significant and persistent negative mental health impact, based on previous experience with other pandemics such as Severe Acute Respiratory Syndrome (SARS) in 2003 and the earlier H1N1 outbreak of 1918. This piece will highlight the links between depression and viral illnesses and explore important overlaps with myalgic encephalomyelitis/chronic fatigue syndrome, potentially implicating inflammatory mechanisms in those exposed to a range of viral agents. While containment of psychological distress currently focuses on social anxiety and quarantine measures, a second wave of psychological morbidity due to viral illness may be imminent.

摘要

当前的 COVID-19 大流行不仅仅是一场医学和社会悲剧,而且根据 2003 年严重急性呼吸系统综合症(SARS)和更早的 1918 年 H1N1 爆发等其他大流行的经验,爆发的威胁潜伏着对心理健康产生重大和持续负面影响的可能性。这篇文章将重点介绍抑郁症与病毒疾病之间的联系,并探讨与肌痛性脑脊髓炎/慢性疲劳综合征的重要重叠,这可能暗示暴露于一系列病毒病原体的人存在炎症机制。虽然目前对心理困扰的控制重点是社交焦虑和隔离措施,但由于病毒疾病引起的第二波心理发病率可能迫在眉睫。

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