Subramaney Ugasvaree, Kim Andrew Wooyoung, Chetty Indhrin, Chetty Shren, Jayrajh Preethi, Govender Mallorie, Maharaj Pralene, Pak EungSok
Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Area 459, Charlotte Maxexe Johannesburg Academic Hospital, Jubilee Road, Parktown 2193, Po Box 10411, Vorna Valley 1686, Johannesburg, South Africa, Tel: (011)7172712 082822 4530, Fax (011) 7172423.
SAMRC Developmental Pathways for Health Research Unit, Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Wits J Clin Med. 2020 Jul;2(2):115-122. doi: 10.18772/26180197.2020.v2n2a2.
The 2019 coronavirus (COVID-19) pandemic has brought unprecedented challenges to the health sector nationwide and internationally. Across all disciplines, unique and novel modes of presentation with substantial morbidity and mortality are being encountered, and growing evidence suggests that psychiatric comorbidity is likely among COVID-19 patients.
This article aims to broaden the current discussion on the psychiatric sequalae of COVID-19, which has largely focused on anxiety, and examine the recently documented psychiatric sequelae of COVID-19 infection, the secondary effects of the pandemic on public mental health, and future psychiatric conditions that may arise due to COVID-19.
We conducted an in-depth review of the current global psychiatric literature and describe the wide range of psychopathological presentations reported among past COVID-19 patients worldwide and those that are expected to emerge.
Current discussions in the psychiatric literature on COVID-19 report anxiety and anxiety disorders as a predominant set of clinical presentations during the pandemic. The impacts of direct COVID-19 infection, associated psychopathological sequelae, and drastic lifestyle changes due to the COVID-19 pandemic in South Africa, are associated with a broad range of psychopathologies and other neuropsychiatric presentations. Pre-existing societal conditions and burdens on the health system in South Africa prompt healthcare providers and public health planners to accordingly prepare for the expected rise in new psychiatric presentations.
Greater awareness of the various psychiatric conditions attributed to COVID-19 infection may allow for earlier screening, more effective treatment, and greater positive health outcomes and better prepare health systems to address the growing pandemic in South Africa.
2019冠状病毒病（COVID-19）大流行给国内外卫生部门带来了前所未有的挑战。在所有学科中，都出现了具有高发病率和死亡率的独特新颖的表现形式，越来越多的证据表明COVID-19患者中可能存在精神疾病合并症。
本文旨在拓宽目前关于COVID-19精神后遗症的讨论，目前的讨论主要集中在焦虑方面，并研究最近记录的COVID-19感染的精神后遗症、大流行对公众心理健康的次生影响以及可能因COVID-19而出现的未来精神疾病状况。
我们对当前全球精神科文献进行了深入综述，并描述了全球过去COVID-19患者中报告的广泛精神病理学表现以及预计会出现的表现。
精神科文献中目前关于COVID-19的讨论报告称，焦虑和焦虑症是大流行期间的主要临床表现。在南非，COVID-19的直接感染、相关的精神病理后遗症以及因COVID-19大流行导致的剧烈生活方式改变，与广泛的精神病理学和其他神经精神表现有关。南非现有的社会状况和卫生系统负担促使医疗保健提供者和公共卫生规划者相应地为新的精神疾病表现预期增加做好准备。
对归因于COVID-19感染的各种精神疾病有更高的认识，可能有助于早期筛查、更有效的治疗，并带来更好的健康积极结果，还能让卫生系统更好地为应对南非不断蔓延的大流行做好准备。
