Department of Biomedical and Clinical Sciences, University of Milan , Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology , IRCCS, Milan, Italy.
J Trauma Dissociation. 2020 Oct-Dec;21(5):513-519. doi: 10.1080/15299732.2020.1787296. Epub 2020 Jul 12.
The heterogeneity of COVID-19 experience and response for each individual is irrefutable; nevertheless, similarities can be observed between countries with respect to people's psychological responses. The main aim of this Commentary is to provide a cultural perspective of the sources of trauma, at the individual and social level, in three different countries: Italy, US and UK. The evidence from previous outbreaks, such as SARS, H1N1 flu, Ebola, and the ongoing Italian, the US, and the UK experience of COVID-19 shows that COVID-19 has introduced not only an individual trauma but also a collective trauma, that researchers should attend to now and in future global emergencies. Future clinical interventions should aim to reconnect dissociated parts both in the individual and in society. This commentary discusses four potential sources of trauma: high-stakes decision fatigue in healthcare professionals, traumatic grief, and bereavement in people who have lost loved ones, loss of roles and identity, and social divisions related to economic shutdown.
个体对 COVID-19 的体验和反应存在明显的异质性,但各国在人们的心理反应方面存在相似之处。本述评的主要目的是从个体和社会层面,提供意大利、美国和英国三国创伤源的文化视角。来自先前爆发(如 SARS、H1N1 流感、埃博拉)以及目前意大利、美国和英国 COVID-19 经验的证据表明,COVID-19 不仅带来了个体创伤,也带来了集体创伤,研究人员现在和未来的全球紧急情况中都应该关注这一问题。未来的临床干预应旨在重新连接个体和社会中分离的部分。本述评讨论了四个潜在的创伤源:医护人员的高风险决策疲劳、创伤性悲伤和失去亲人的人悲痛欲绝、角色和身份丧失、以及与经济停摆相关的社会分裂。