Khawam Elias, Khouli Hassan, Pozuelo Leo
Department of Psychiatry and Psychology, Neurologic Institute, Cleveland Clinic.
Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic.
Cleve Clin J Med. 2020 May 14. doi: 10.3949/ccjm.87a.ccc016.
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.
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）。
