Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
National Institute on Drug Dependence, Peking University, Beijing, China.
Psychol Med. 2020 Nov;50(15):2498-2513. doi: 10.1017/S0033291720003888. Epub 2020 Nov 5.
The upsurge in the number of people affected by the COVID-19 is likely to lead to increased rates of emotional trauma and mental illnesses. This article systematically reviewed the available data on the benefits of interventions to reduce adverse mental health sequelae of infectious disease outbreaks, and to offer guidance for mental health service responses to infectious disease pandemic. PubMed, Web of Science, Embase, PsycINFO, WHO Global Research Database on infectious disease, and the preprint server medRxiv were searched. Of 4278 reports identified, 32 were included in this review. Most articles of psychological interventions were implemented to address the impact of COVID-19 pandemic, followed by Ebola, SARS, and MERS for multiple vulnerable populations. Increasing mental health literacy of the public is vital to prevent the mental health crisis under the COVID-19 pandemic. Group-based cognitive behavioral therapy, psychological first aid, community-based psychosocial arts program, and other culturally adapted interventions were reported as being effective against the mental health impacts of COVID-19, Ebola, and SARS. Culturally-adapted, cost-effective, and accessible strategies integrated into the public health emergency response and established medical systems at the local and national levels are likely to be an effective option to enhance mental health response capacity for the current and for future infectious disease outbreaks. Tele-mental healthcare services were key central components of stepped care for both infectious disease outbreak management and routine support; however, the usefulness and limitations of remote health delivery should also be recognized.
受 COVID-19 影响的人数不断增加，可能导致情绪创伤和精神疾病的发生率上升。本文系统地回顾了干预措施减少传染病暴发不良心理健康后果的现有数据，并为精神卫生服务应对传染病大流行提供指导。检索了 PubMed、Web of Science、Embase、PsycINFO、世界卫生组织传染病全球研究数据库和预印本服务器 medRxiv。在确定的 4278 份报告中，有 32 份被纳入本综述。大多数心理干预措施的文章都是为了应对 COVID-19 大流行的影响而实施的，其次是埃博拉、SARS 和 MERS 对多个弱势群体的影响。提高公众的心理健康素养对于预防 COVID-19 大流行下的心理健康危机至关重要。群体认知行为疗法、心理急救、社区心理社会艺术计划和其他文化适应的干预措施被报道对 COVID-19、埃博拉和 SARS 的心理健康影响有效。文化适应、具有成本效益和可及性的策略整合到公共卫生应急响应中，并在地方和国家各级建立医疗系统，可能是增强当前和未来传染病暴发的心理健康应对能力的有效选择。远程心理健康服务是传染病暴发管理和常规支持分层护理的关键核心组成部分；然而，也应该认识到远程健康服务的有用性和局限性。
