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新冠疫情的突发危机:心理健康挑战与机遇

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities.

作者信息

Radfar Amir, Ferreira Maria M, Sosa Juan P, Filip Irina

机构信息

Assistant Professor of Medical Education, University of Central Florida, Orlando, FL, United States.

Division of Research, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.

出版信息

Front Psychiatry. 2021 Jul 19;12:631008. doi: 10.3389/fpsyt.2021.631008. eCollection 2021.

Abstract

Mental health is a fundamental human right and is part of the well-being of society. The public health burden of mental health disorders affects people's social and economic status around the world. Coronavirus's (COVID-19) negative impact on the economy and mental health worldwide is concerning. This is a worldwide emergency, and there is an urgent need for research about this topic to prevent long-lasting adverse effects on the population. Unpreparedness and inconsistencies in guidelines, lockdowns, containment strategies, unemployment, financial losses, physical distancing, isolation, chaos, and uncertainty are among factors that lead to a rise in emotional distress, anxiety, and depression. Governments' decisions affect the socioeconomic status of a country and the psychological well-being of the people. COVID-19 pandemic exposed disparities in multiple mental health care systems by having adverse mental health effects in people with pre-existing mental health disorders and previously healthy individuals. Aggregation of concurrent or cumulative comorbid risk factors for COVID-19 disease and its psychosocial sequelae could provide invaluable information for the public health stakeholders. This review aims to address the burden and the psychosocial impact of the COVID-19 pandemic, the challenges and opportunities facing mental health systems, and proposes new strategies to improve the mental health outcomes in the post-COVID era.

摘要

心理健康是一项基本人权,也是社会福祉的一部分。精神健康障碍的公共卫生负担影响着世界各地人们的社会和经济地位。冠状病毒病(COVID-19)对全球经济和心理健康的负面影响令人担忧。这是一场全球紧急情况,迫切需要对这一主题进行研究,以防止对民众产生长期的不利影响。指南的缺乏准备和不一致、封锁、防控策略、失业、经济损失、身体距离、隔离、混乱和不确定性等都是导致情绪困扰、焦虑和抑郁增加的因素。政府的决策影响着一个国家的社会经济地位和民众的心理健康。COVID-19大流行通过对已有精神健康障碍的人和以前健康的个体产生不良心理健康影响,暴露了多个精神卫生保健系统中的差异。COVID-19疾病及其心理社会后遗症的并发或累积共病风险因素的汇总可为公共卫生利益相关者提供宝贵信息。本综述旨在探讨COVID-19大流行的负担和心理社会影响、精神卫生系统面临的挑战和机遇,并提出新的策略以改善后COVID时代的心理健康结果。

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