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[新冠疫情对精神健康问题患者护理服务的全球影响]

[The global impact of the COVID-19 pandemic on the care provision for people with mental health problems].

作者信息

Liu Shuyan, Heinz Andreas, Haucke Matthias N, Heinzel Stephan

机构信息

Klinik für Psychiatrie und Psychotherapie, Charité-Universitätsmedizin Berlin (Campus Charité Mitte), Charitéplatz 1, 10117, Berlin, Deutschland.

Fachbereich Erziehungswissenschaft und Psychologie, Klinische Psychologie und Psychotherapie, Freie Universität Berlin, Berlin, Deutschland.

出版信息

Nervenarzt. 2021 Jun;92(6):556-561. doi: 10.1007/s00115-021-01068-2. Epub 2021 Feb 11.

Abstract

There are increasingly comprehensive data on recognition of the psychological impact of the coronavirus disease 2019 (COVID 19) pandemic on global populations. In most regions of the world, the economic and psychological burden on the general population and persons with mental disorders has risen sharply over the course of the pandemic. Beyond anxieties regarding severe acute respiratory syndromes due to coronavirus type 2 (SARS-CoV-2) infections, in many countries the measures for containing the pandemic also led to psychological burdens. It was shown that social distancing and contact restrictions were risk factors for the development or deterioration of mental health problems on a global scale. Simultaneously, the COVID-19 pandemic has disrupted or reduced mental health services in many countries. Thus, there is a substantial need for low threshold offers of assistance and for coping strategies. Current studies could show that certain coping strategies, such as virtual social contacts and physical activity, appear to be useful in counteracting the negative psychological sequelae of the pandemic; however, in order to improve care provision for people with psychological burden and mental illness in the medium term, it is necessary to offer targeted treatment, such as online psychotherapy in particular. Collaborative research tackles poverty, social isolation and loneliness.

摘要

关于2019冠状病毒病(COVID-19)大流行对全球人群心理影响的认识,现有数据越来越全面。在世界大多数地区,大流行期间普通人群和精神障碍患者的经济和心理负担急剧上升。除了对2型冠状病毒(SARS-CoV-2)感染导致的严重急性呼吸综合征的焦虑之外,在许多国家,遏制大流行的措施也带来了心理负担。研究表明,社交距离和接触限制是全球范围内心理健康问题产生或恶化的风险因素。同时,COVID-19大流行扰乱或减少了许多国家的心理健康服务。因此,迫切需要提供低门槛的援助和应对策略。目前的研究表明,某些应对策略,如虚拟社交接触和体育活动,似乎有助于抵消大流行带来的负面心理后遗症;然而,为了从中期改善对有心理负担和精神疾病患者的护理,有必要提供有针对性的治疗,特别是在线心理治疗。合作研究致力于解决贫困、社会隔离和孤独问题。

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