Shafran Roz, Rachman Stanley, Whittal Maureen, Radomsky Adam, Coughtrey Anna
UCL Great Ormond Street Institute of Child Health, London.
University British Columbia.
Cogn Behav Pract. 2021 Nov;28(4):459-467. doi: 10.1016/j.cbpra.2021.03.003. Epub 2021 Apr 19.
The general population has experienced a significant elevation in fear and anxiety during COVID-19 both as a direct result of the virus but also due to measures taken to prevent it spreading, such as the need to stay inside and increase hand-washing. Lockdown has been used in many/most countries to prevent widespread infection. The advice and imposed actions are necessary to prevent the virus from spreading, but they might exacerbate the problems experienced by people with a preexisting anxiety-related disorder. The treatment of anxiety-related disorders can be provided while in quarantine. Staying at home in self-isolation does not preclude obtaining psychological treatment for anxiety-related disorders. Dealing with cognitive biases, over-estimations of threat, intolerance of uncertainty, inflated responsibility and excessive safety behavior, are useful clinical directions.
在新冠疫情期间，普通民众的恐惧和焦虑情绪显著加剧，这既是病毒直接导致的结果，也是为防止病毒传播而采取的措施所致，比如需要居家以及增加洗手频次。许多/大多数国家都实施了封锁措施以防止病毒广泛传播。这些建议和强制行动对于防止病毒传播是必要的，但它们可能会加剧已有焦虑相关障碍的人群所面临的问题。在隔离期间可以对焦虑相关障碍进行治疗。自我隔离居家并不妨碍获得针对焦虑相关障碍的心理治疗。应对认知偏差、对威胁的过度估计、对不确定性的不耐受、夸大的责任感以及过度的安全行为，都是有益的临床指导方向。
