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治疗新冠肺炎患者的急性焦虑症。

Treating acute anxiety in patients with COVID-19.

作者信息

Khawam Elias, Khouli Hassan, Pozuelo Leo

机构信息

Department of Psychiatry and Psychology, Neurologic Institute, Cleveland Clinic.

Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic.

出版信息

Cleve Clin J Med. 2020 May 14. doi: 10.3949/ccjm.87a.ccc016.

Abstract

At present, there are no firm guidelines for the treatment of COVID-19-related emotional distress. The current approach is based on our knowledge of how to manage anxiety in medically ill patients, taking into consideration all associated medical comorbidities, drug-drug interactions, and the patient's specific needs and preexisting mental illness. Interventions should be implemented at the bedside to augment the patient's own resiliency in coping with these stressful events. A targeted combination of psychopharmacology (targeting acute anxiety and panic symptoms) and psychotherapy (relaxation techniques, breathing exercises, and encouragement) is recommended.

摘要

目前,对于治疗与新冠病毒病相关的情绪困扰尚无明确的指导方针。当前的方法基于我们对如何管理身患疾病患者焦虑情绪的认知,同时考虑到所有相关的合并症、药物相互作用以及患者的特定需求和既往存在的精神疾病。干预措施应在床边实施,以增强患者自身应对这些应激事件的恢复力。建议有针对性地联合使用心理药理学(针对急性焦虑和惊恐症状)和心理治疗(放松技巧、呼吸练习及鼓励)。

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