Sekowski Marcin, Gambin Małgorzata, Hansen Karolina, Holas Paweł, Hyniewska Sylwia, Wyszomirska Julia, Pluta Agnieszka, Sobańska Marta, Łojek Emilia
Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland.
Faculty of Psychology, University of Warsaw, Warsaw, Poland.
Front Psychiatry. 2021 Jun 7;12:562899. doi: 10.3389/fpsyt.2021.562899. eCollection 2021.
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.
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。