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新型冠状病毒肺炎中的恐惧与焦虑:既往焦虑症

Fear and Anxiety in COVID-19: Preexisting Anxiety Disorders.

作者信息

Shafran Roz, Rachman Stanley, Whittal Maureen, Radomsky Adam, Coughtrey Anna

机构信息

UCL Great Ormond Street Institute of Child Health, London.

University British Columbia.

出版信息

Cogn Behav Pract. 2021 Nov;28(4):459-467. doi: 10.1016/j.cbpra.2021.03.003. Epub 2021 Apr 19.

Abstract

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.

摘要

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。

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