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新冠疫情时期的伦理与临床问题思考

Ethical and Clinical Considerations During the Coronavirus Era.

机构信息

Creighton University School of Medicine and Catholic Health Initiatives Health, Omaha, Nebraska.

Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, Pennsylvania.

出版信息

J Am Acad Child Adolesc Psychiatry. 2021 Mar;60(3):332-335. doi: 10.1016/j.jaac.2020.12.010. Epub 2020 Dec 15.

DOI:10.1016/j.jaac.2020.12.010
PMID:33338576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7836851/
Abstract

The practice of child and adolescent psychiatry is evolving during an unprecedented global health catastrophe, the coronavirus disease 2019 (COVID-19) pandemic. As child and adolescent psychiatrists grapple with COVID-19's enormous medical, educational, social, and economic toll, a mental health crisis is co-occurring. Pre-existing disparities are recognized as contributors to the disproportionate impact of the COVID-19 pandemic on racial and ethnic minorities. The magnitude of COVID-19's effects on child and family mental health has yet to be fully revealed. child and adolescent psychiatrists are in a unique position to address this mental health crisis. Child and adolescent psychiatrists must stay up-to-date regarding federal, state, local, and institutional mandates, regulations, and policies informed by the Centers for Disease Control and Prevention and other public health institutions, while also navigating the ethical dilemmas unique to child and adolescent psychiatry during the coronavirus era.

摘要

在这场史无前例的全球卫生灾难——2019 年冠状病毒病(COVID-19)大流行期间,儿童和青少年精神病学的实践正在发生变化。随着儿童和青少年精神病学家努力应对 COVID-19 带来的巨大的医疗、教育、社会和经济损失,一场心理健康危机也同时出现了。先前存在的差异被认为是 COVID-19 大流行对少数族裔和族裔造成不成比例影响的原因之一。COVID-19 对儿童和家庭心理健康的影响的程度尚未完全显现。儿童和青少年精神病学家处于解决这场心理健康危机的独特位置。儿童和青少年精神病学家必须及时了解联邦、州、地方和机构的授权、法规和政策,这些政策由疾病控制和预防中心以及其他公共卫生机构提供信息,并在冠状病毒时代,还要应对儿童和青少年精神病学特有的伦理困境。

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本文引用的文献

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MMWR Morb Mortal Wkly Rep. 2020 Aug 21;69(33):1122-1126. doi: 10.15585/mmwr.mm6933e1.
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Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020.《2020 年 6 月 24 日至 30 日美国在新冠疫情期间的心理健康、物质使用和自杀意念状况》
MMWR Morb Mortal Wkly Rep. 2020 Aug 14;69(32):1049-1057. doi: 10.15585/mmwr.mm6932a1.
3
Intellectual and developmental disability and COVID-19 case-fatality trends: TriNetX analysis.智力和发育障碍与 COVID-19 病死率趋势:TriNetX 分析。
Disabil Health J. 2020 Jul;13(3):100942. doi: 10.1016/j.dhjo.2020.100942. Epub 2020 May 24.
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COVID-19: overcoming the challenges faced by individuals with autism and their families.新冠疫情:克服自闭症患者及其家庭面临的挑战
Lancet Psychiatry. 2020 Jun;7(6):481-483. doi: 10.1016/S2215-0366(20)30197-8. Epub 2020 May 20.
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Managing mental health challenges faced by healthcare workers during covid-19 pandemic.应对医护人员在新冠疫情期间面临的心理健康挑战。
BMJ. 2020 Mar 26;368:m1211. doi: 10.1136/bmj.m1211.
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Resilience from a developmental systems perspective.从发展系统视角看复原力。
World Psychiatry. 2019 Feb;18(1):101-102. doi: 10.1002/wps.20591.