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新冠疫情及封锁期间的青少年精神障碍

Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown.

作者信息

Guessoum Sélim Benjamin, Lachal Jonathan, Radjack Rahmeth, Carretier Emilie, Minassian Sevan, Benoit Laelia, Moro Marie Rose

机构信息

Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.

Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.

出版信息

Psychiatry Res. 2020 Sep;291:113264. doi: 10.1016/j.psychres.2020.113264. Epub 2020 Jun 29.

Abstract

The aim of this paper was to review the literature on adolescent psychiatric disorders related to the COVID-19 pandemic and lockdown. Stressful life events, extended home confinement, brutal grief, intrafamilial violence, overuse of the Internet and social media are factors that could influence the mental health of adolescents during this period. The COVID-19 pandemic could result in increased psychiatric disorders such as Post-Traumatic Stress, Depressive, and Anxiety Disorders, as well as grief-related symptoms. Adolescents with psychiatric disorders are at risk of a break or change in their care and management; they may experience increased symptoms. The COVID-19 pandemic and lockdown may have a negative impact on the mental health of adolescents, although there is still no data on the long term impact of this crisis. Adolescents' individual, familial, and social vulnerability, as well as individual and familial coping abilities, are factors related to adolescent mental health in times of crisis. Adolescents are often vulnerable and require careful consideration by caregivers and healthcare system adaptations to allow for mental health support despite the lockdown. Research on adolescent psychiatric disorders in times of pandemics is necessary, as such a global situation could be prolonged or repeated.

摘要

本文旨在综述与新冠疫情及封锁相关的青少年精神障碍方面的文献。生活应激事件、长期居家隔离、惨痛悲伤、家庭内暴力、过度使用互联网和社交媒体等都是在此期间可能影响青少年心理健康的因素。新冠疫情可能导致创伤后应激障碍、抑郁症、焦虑症等精神障碍增加,以及出现与悲伤相关的症状。患有精神障碍的青少年在其护理和管理方面有中断或改变的风险;他们可能会出现更多症状。尽管目前仍没有关于这场危机长期影响的数据,但新冠疫情及封锁可能会对青少年的心理健康产生负面影响。青少年的个人、家庭和社会脆弱性,以及个人和家庭的应对能力,都是危机时期与青少年心理健康相关的因素。青少年往往较为脆弱,需要照顾者给予仔细考虑,医疗保健系统也需要做出调整,以便在封锁期间仍能提供心理健康支持。对疫情期间青少年精神障碍的研究很有必要,因为这样的全球形势可能会持续或再次出现。

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