Carbone Stephen R
Executive Director Prevention United and Honorary, University of Melbourne School of Population and Global Health, 552 Victoria Street North Melbourne Victoria, 3051, Australia.
Ment Health Prev. 2020 Sep;19:200185. doi: 10.1016/j.mhp.2020.200185. Epub 2020 May 15.
The COVID-19 pandemic is one the biggest challenges the global community has faced this century. The threat of the virus coupled with the impacts of the social and economic shut-down measures required to slow its spread, appear to be impacting on people's mental health and wellbeing. Over the weeks, months and years ahead it is likely that many countries will experience a 'wave' of COVID-19 related mental disorders as a result of an increase in risk factors linked to the pandemic such as social isolation; unemployment; housing and income stress; intimate partner violence; work-related trauma; and grief and loss. The 'two-pronged' approach used to deal with COVID-19, provides an excellent blueprint for managing its mental health impacts as well. Nations must focus on preventing the occurrence of new-onset cases of mental disorders as well as strengthening their mental healthcare response to support people who become mentally unwell. A focus on primary prevention is particularly important to 'flatten the curve' and avoid a surge in incidence of mental disorders stemming from the COVID-19 pandemic. Evidence-based interventions designed to prevent common disorders are already available and should be scaled-up. These interventions include parenting programs, social and emotional learning programs, self-care strategies, and workplace mental wellbeing programs, among others.
新冠疫情是全球社会在本世纪面临的最大挑战之一。病毒的威胁，再加上为减缓其传播而采取的社会和经济封锁措施的影响，似乎正在对人们的心理健康和幸福产生影响。在未来的数周、数月乃至数年里，由于与疫情相关的风险因素增加，如社交隔离、失业、住房和收入压力、亲密伴侣暴力、工作相关创伤以及悲伤和失落等，许多国家可能会经历一波与新冠疫情相关的精神障碍。用于应对新冠疫情的“双管齐下”方法，也为管理其对心理健康的影响提供了一个绝佳的蓝本。各国必须专注于预防新发性精神障碍病例的出现，同时加强其精神卫生保健应对措施，以支持那些出现精神问题的人。关注一级预防对于“ flatten the curve”并避免因新冠疫情导致精神障碍发病率激增尤为重要。旨在预防常见疾病的循证干预措施已经存在，应予以扩大推广。这些干预措施包括育儿项目、社会和情感学习项目、自我护理策略以及职场心理健康项目等。 （注：“flatten the curve”直译为“ flatten the curve”，可能是特定语境下的专业术语，暂保留英文，若有更准确含义可进一步调整）
