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本文引用的文献

1
The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) - China, 2020.2019新型冠状病毒病(COVID-19)疫情的流行病学特征 - 中国,2020年
China CDC Wkly. 2020 Feb 21;2(8):113-122.
2
Associations between interpersonal dependency and severity of prolonged grief disorder symptoms in bereaved surviving family members.丧亲幸存家属人际依赖与延长哀伤障碍症状严重程度的关系。
Compr Psychiatry. 2021 Jul;108:152242. doi: 10.1016/j.comppsych.2021.152242. Epub 2021 Apr 30.
3
Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge.COVID-19 幸存者在出院后 3 个月随访时的创伤后应激障碍。
J Gen Intern Med. 2021 Jun;36(6):1702-1707. doi: 10.1007/s11606-021-06731-7. Epub 2021 Mar 29.
4
Addressing the mental health impact of COVID-19 through population health.通过人群健康应对 COVID-19 对心理健康的影响。
Clin Psychol Rev. 2021 Apr;85:102006. doi: 10.1016/j.cpr.2021.102006. Epub 2021 Mar 5.
5
Posttraumatic Stress Disorder in Patients After Severe COVID-19 Infection.严重 COVID-19 感染后患者的创伤后应激障碍。
JAMA Psychiatry. 2021 May 1;78(5):567-569. doi: 10.1001/jamapsychiatry.2021.0109.
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Post-traumatic stress disorder symptoms in COVID-19 survivors: online population survey.新冠病毒病康复者的创伤后应激障碍症状:在线人群调查
BJPsych Open. 2021 Feb 9;7(2):e47. doi: 10.1192/bjo.2021.3.
7
Validation of the new DSM-5-TR criteria for prolonged grief disorder and the PG-13-Revised (PG-13-R) scale.新的《精神疾病诊断与统计手册》第五版修订版(DSM-5-TR)中持续性悲伤障碍标准及PG-13修订版(PG-13-R)量表的验证
World Psychiatry. 2021 Feb;20(1):96-106. doi: 10.1002/wps.20823.
8
Risk Factors Associated With In-Hospital Mortality in a US National Sample of Patients With COVID-19.与美国 COVID-19 患者住院死亡率相关的风险因素。
JAMA Netw Open. 2020 Dec 1;3(12):e2029058. doi: 10.1001/jamanetworkopen.2020.29058.
9
Population Risk Factors for COVID-19 Mortality in 93 Countries.93 个国家 COVID-19 死亡率的人口风险因素。
J Epidemiol Glob Health. 2020 Sep;10(3):204-208. doi: 10.2991/jegh.k.200721.001.
10
Epidemiology of COVID-19: A systematic review and meta-analysis of clinical characteristics, risk factors, and outcomes.COVID-19 流行病学:临床特征、危险因素和结局的系统评价和荟萃分析。
J Med Virol. 2021 Mar;93(3):1449-1458. doi: 10.1002/jmv.26424. Epub 2020 Aug 25.

重症新冠病毒肺炎康复者、其家人及一线医护人员发生创伤后应激障碍的风险:精神科专家应做哪些准备?

Risk of Developing Post-traumatic Stress Disorder in Severe COVID-19 Survivors, Their Families and Frontline Healthcare Workers: What Should Mental Health Specialists Prepare For?

作者信息

Sekowski Marcin, Gambin Małgorzata, Hansen Karolina, Holas Paweł, Hyniewska Sylwia, Wyszomirska Julia, Pluta Agnieszka, Sobańska Marta, Łojek Emilia

机构信息

Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland.

Faculty of Psychology, University of Warsaw, Warsaw, Poland.

出版信息

Front Psychiatry. 2021 Jun 7;12:562899. doi: 10.3389/fpsyt.2021.562899. eCollection 2021.

DOI:10.3389/fpsyt.2021.562899
PMID:34163377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8215154/
Abstract

Given the high mortality of the coronavirus disease 2019 (COVID-19), having severe COVID-19 may be a life-threatening event, especially for individuals at high risk of complications. Therefore, in the article we try to answer two questions that are relevant to public mental health: Can we define groups who are at higher risk of developing pandemic-related PTSD? How can health specialists prepare for it? Given the results of previous research on PTSD in epidemic (e.g., SARS) survivors, we suggest that mental health professionals in countries touched by the pandemic should prepare for an increase in the PTSD prevalence, specifically in: individuals who have had severe COVID-19; family members of these patients and of patients who have died; and frontline healthcare workers witnessing COVID-19 patients' sudden deaths, or numerous life-threatening situations. We postulate that these groups at risk should be routinely screened for PTSD in primary medical and pediatric care. Mental health services should prepare for providing therapeutic interventions for individuals with PTSD in the vulnerable groups, and support to their families, especially children.

摘要

鉴于2019冠状病毒病(COVID-19)的高死亡率,患上重症COVID-19可能是危及生命的事件,尤其是对于有并发症高风险的个体。因此,在本文中,我们试图回答两个与公众心理健康相关的问题:我们能否确定哪些群体患大流行相关创伤后应激障碍(PTSD)的风险更高?健康专家应如何为此做好准备?鉴于先前对疫情(如非典)幸存者创伤后应激障碍的研究结果,我们建议受疫情影响国家的心理健康专业人员应对创伤后应激障碍患病率的上升做好准备,特别是在以下人群中:患有重症COVID-19的个体;这些患者以及死亡患者的家庭成员;目睹COVID-19患者突然死亡或众多危及生命情况的一线医护人员。我们推测,应在初级医疗和儿科护理中对这些高危群体进行创伤后应激障碍的常规筛查。心理健康服务机构应为弱势群体中患有创伤后应激障碍的个体及其家人,尤其是儿童,提供治疗干预和支持做好准备。