Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Department of Neuroscience, Yale University, New Haven, CT, USA.
Compr Psychiatry. 2020 Jul;100:152180. doi: 10.1016/j.comppsych.2020.152180. Epub 2020 May 12.
As a response to the COVID-19 pandemic, many governments have introduced steps such as spatial distancing and "staying at home" to curb its spread and impact. The fear resulting from the disease, the 'lockdown' situation, high levels of uncertainty regarding the future, and financial insecurity raise the level of stress, anxiety, and depression experienced by people all around the world. Psychoactive substances and other reinforcing behaviors (e.g., gambling, video gaming, watching pornography) are often used to reduce stress and anxiety and/or to alleviate depressed mood. The tendency to use such substances and engage in such behaviors in an excessive manner as putative coping strategies in crises like the COVID-19 pandemic is considerable. Moreover, the importance of information and communications technology (ICT) is even higher in the present crisis than usual. ICT has been crucial in keeping parts of the economy going, allowing large groups of people to work and study from home, enhancing social connectedness, providing greatly needed entertainment, etc. Although for the vast majority ICT use is adaptive and should not be pathologized, a subgroup of vulnerable individuals are at risk of developing problematic usage patterns. The present consensus guidance discusses these risks and makes some practical recommendations that may help diminish them.
针对 COVID-19 大流行,许多政府已采取了空间隔离和“居家”等措施来遏制其传播和影响。疾病引发的恐惧、“封锁”状态、对未来的高度不确定性以及经济不安全感增加了全世界人民所经历的压力、焦虑和抑郁水平。精神活性物质和其他强化行为(例如赌博、视频游戏、观看色情内容)常被用来减轻压力和焦虑,或缓解抑郁情绪。在 COVID-19 大流行等危机中,人们倾向于将这些物质和行为过度用作应对策略。此外,在当前危机中,信息和通信技术(ICT)的重要性比以往任何时候都更加凸显。ICT 对于维持部分经济运转至关重要,使大量人群能够在家中工作和学习,增强社会联系,提供急需的娱乐等。尽管对于绝大多数人来说,ICT 的使用是适应性的,不应该被病态化,但有一部分弱势群体有出现问题性使用模式的风险。目前的共识指南讨论了这些风险,并提出了一些实用建议,以帮助降低这些风险。