Pacchiarotti Isabella, Anmella Gerard, Fico Giovanna, Verdolini Norma, Vieta Eduard
Bipolar and Depressive Disorders Unit, Institute of Neuroscience, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Spain.
BJPsych Open. 2020 Sep 9;6(5):e108. doi: 10.1192/bjo.2020.83.
The COVID-19 pandemic has and will have a huge impact on mental health, especially in countries that have been significantly affected, such as Spain.
Here we aim to provide the perspectives of a group of psychiatrists from Barcelona, one of the epicentres of the pandemic so far, to highlight the potential fatality of a virus that caught us unaware and unprepared, and hopefully this article will be of aid to countries about to face the pandemic.
The unprecedented situations that we have been faced with so far have included reconfiguring hospitals and the redeployment of healthcare professionals, with flexibility and adaptability key to managing the overload in demand. This has led to healthcare professionals being exposed to extremely stressful situations and they have had impossible decisions to make that may have mental health consequences, some of which may be severe and long lasting.
A rebound effect on mental health problems is to be expected in the medium and long term, especially for healthcare professionals and psychiatric patients, necessitating a strengthening of preventive approaches and policies for mental health along with a prompt reopening of mental health services. Ways to provide psychiatric healthcare in the immediate future need to be re-evaluated, and the development of telepsychiatry services is probably to be expected.
新冠疫情已经并将继续对心理健康产生巨大影响，尤其是在西班牙等受到严重影响的国家。
在此，我们旨在提供来自巴塞罗那（迄今为止疫情的中心之一）的一组精神科医生的观点，以强调一种让我们猝不及防且毫无准备的病毒的潜在致命性，希望本文能对即将面临疫情的国家有所帮助。
到目前为止，我们所面临的前所未有的情况包括重新配置医院以及重新部署医护人员，灵活性和适应性是应对需求过载的关键。这使得医护人员面临极度紧张的情况，他们不得不做出可能会对心理健康产生影响的艰难决定，其中一些影响可能是严重且持久的。
从中长期来看，预计心理健康问题会出现反弹效应，尤其是对医护人员和精神科患者而言，因此有必要加强心理健康的预防方法和政策，并迅速重新开放心理健康服务。未来短期内提供精神科医疗服务的方式需要重新评估，远程精神病学服务的发展可能是可以预期的。
