Heitzman Janusz
Instytut Psychiatrii i Neurologii, Klinika Psychiatrii Sądowej.
Psychiatr Pol. 2020 Apr 30;54(2):187-198. doi: 10.12740/PP/120373.
Human confrontation with such a stressor as the COVID-19 pandemic outbreak, caused by SARS-CoV-2 virus, manifested in severe acute respiratory distress, results also in the decrease of fitness and mental resistance on an unprecedented scale and with difficult to estimate consequences [1]. More important than the intensity of the disorder is its prevalence. When we compare our current knowledge of the impact of the pandemic on the development of mental disorders with the findings of research on acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) over the last 40 years, it may turn out that they are different from each other, the symptomatic spectrum of mental disorders varies and the possibilities of an effective treatment are very limited. We cannot rule out that a new diagnostic category for specific mental disorders resulting from the COVID-19 pandemic may emerge in the near future. This paper presents the extent of the impact of the pandemic on the development of mental instability and current diagnostic possibilities. Subpopulations necessary for planning short-term intervention in the organisational, informative and medical areas were identified. A psychiatric guide for immediate support and assistance was proposed.
人类面对由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒引发的新冠疫情这样的应激源,表现为严重急性呼吸窘迫,这也导致了健康状况和心理抵抗力前所未有的下降,其后果难以估量[1]。比疾病强度更重要的是其普遍性。当我们将目前对疫情对精神障碍发展影响的认识与过去40年关于急性应激障碍(ASD)和创伤后应激障碍(PTSD)的研究结果进行比较时,可能会发现它们彼此不同,精神障碍的症状谱各不相同,有效治疗的可能性非常有限。我们不能排除在不久的将来可能会出现一种针对新冠疫情导致的特定精神障碍的新诊断类别。本文阐述了疫情对精神不稳定发展的影响程度以及当前的诊断可能性。确定了在组织、信息和医疗领域规划短期干预所需的亚人群。提出了一份即时支持和援助的精神科指南。