Department of Psychiatry, Harvard Medical School;Cambridge Health Alliance, Cambridge, MA, 02139, USA.
Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, 02139, USA.
Arch Womens Ment Health. 2020 Dec;23(6):741-748. doi: 10.1007/s00737-020-01092-2. Epub 2020 Dec 1.
The current worldwide outbreak of COVID-19 has changed the modus operandi of all segments of society. While some pandemic-related stressors affect nearly everyone, many especially affect women.
To review what is known about the pandemic's effect on women's mental health, what makes them more predisposed to vulnerabilities and adverse impacts, and strategies for preventing and treating these mental health consequences in the female population during specific stages across the lifespan.
The authors performed a narrative review in combination with their observations from clinical experience in the field of women's mental health and reproductive psychiatry. Articles on women's mental health and COVID-19 up to May 30, 2020, were searched using the electronic PubMed and PsychInfo databases, as well as publications by major health entities (e.g., World Health Organization, Centers for Disease Control and Prevention, the United Nations) and press releases from prime communication outlets (e.g., National Public Radio).
Women who are pregnant, postpartum, miscarrying, or experiencing intimate partner violence are at especially high risk for developing mental health problems during the pandemic. Proactive outreach to these groups of women and enhancement of social supports could lead to prevention, early detection, and prompt treatment. Social support is a key protective factor. Similarly, parenting may be substantially more stressful during a pandemic. Gender disparities may be accentuated, particularly for employed women or single parents, as women are disproportionately responsible for the bulk of domestic tasks, including childcare and eldercare.
目的:综述大流行对女性心理健康的影响,以及使女性更容易受到脆弱性和不良影响的因素,并探讨在女性生命各阶段特定时期针对女性人群预防和治疗这些心理健康后果的策略。
方法:作者结合在女性心理健康和生殖精神病学领域的临床经验,进行了叙述性综述。使用电子 PubMed 和 PsychInfo 数据库以及主要卫生实体(如世界卫生组织、疾病控制和预防中心、联合国)的出版物以及主要传播渠道(如全国公共广播电台)的新闻稿,检索了截至 2020 年 5 月 30 日关于女性心理健康和 COVID-19 的文章。
结果与结论:处于孕期、产后、流产或经历亲密伴侣暴力的女性在大流行期间特别容易出现心理健康问题。主动接触这些女性群体并加强社会支持,可能有助于预防、早期发现和及时治疗。社会支持是一个关键的保护因素。同样,在大流行期间,育儿可能会带来更大的压力。性别差异可能会更加明显,尤其是对于有工作的女性或单亲父母,因为女性承担了大部分的家务,包括照顾孩子和照顾老人。