Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Dhanvantari Nagar Post, Pondicherry - 605006, India,
Psychiatr Danub. 2020 Summer;32(2):256-261. doi: 10.24869/psyd.2020.256.
The novel coronavirus disease (COVID-19) pandemic has had a significant impact on the psychological health of individuals and societies. A theoretical framework is required in order to understand this impact and strategies to mitigate it. In this paper, individual and community responses to COVID-19 are discussed from the point of view of attachment theory, a psychological theory which examines the formation and disruption of attachment bonds across the life-span from an evolutionary perspective. The contributions of this perspective to individual psychological disorders such as anxiety, depression and post-traumatic stress, as well as to social responses such as interpersonal violence and stigmatization, are discussed in the light of findings from attachment research. Proposals for incorporating the knowledge derived from attachment theory into therapeutic strategies, as well as in developing community resilience in the face of COVID-19, are discussed based on the available evidence. It is hoped that this information will be of value to clinicians and researchers, as well as to those involved in planning health services and social policy.
新型冠状病毒病(COVID-19)大流行对个人和社会的心理健康产生了重大影响。为了了解这种影响并制定减轻影响的策略,需要一个理论框架。本文从依恋理论的角度讨论了 COVID-19 期间个体和社区的反应,依恋理论是一种心理学理论,从进化的角度研究了整个生命周期中依恋关系的形成和破裂。根据依恋研究的发现,本文讨论了该理论对焦虑、抑郁和创伤后应激等个体心理障碍以及人际暴力和污名化等社会反应的贡献。本文还根据现有证据,探讨了将依恋理论知识纳入治疗策略以及在 COVID-19 面前增强社区复原力的建议。希望这些信息对临床医生和研究人员以及参与卫生服务和社会政策规划的人员有价值。