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心理健康与 COVID-19:挑战与多模态临床解决方案。

Mental Health and COVID-19: Challenges and Multimodal Clinical Solutions.

出版信息

J Psychiatr Pract. 2021 Jul 28;27(4):254-264. doi: 10.1097/PRA.0000000000000560.

Abstract

The Coronavirus Disease 2019 (COVID-19) pandemic has led to an exponential rise in mental health issues. Studies have shown that, in times of increased unemployment rates and economic downturn, rates of mental health issues, suicide, substance use, and domestic violence tend to increase. Barriers to care, including stigma and decreased access to providers, contribute to morbidity and mortality. Telehealth services are being utilized to help increase access to care, and economic stimulus packages have been created to help with the financial burden that is often associated with increased mental health stressors. Efforts to prevent burnout and other policy recommendations can help decrease mental health issues in first responders and health care professionals, who are at an increased risk for these problems. Increasing the ability to provide wellness screenings to the general population, to educate the public about preventive measures and practices, and to provide mental health and substance use treatment, such as medication management and therapy services, are among top priorities to further reduce the socioeconomic impact of COVID-19 on mental illness.

摘要

2019 年冠状病毒病(COVID-19)大流行导致心理健康问题呈指数级增长。研究表明,在失业率上升和经济衰退时期,心理健康问题、自杀、药物使用和家庭暴力的发生率往往会上升。包括耻辱感和获得提供者的机会减少在内的护理障碍导致发病率和死亡率上升。远程医疗服务正在被用于帮助增加获得护理的机会,经济刺激方案的出台也有助于减轻通常与心理健康压力增加相关的经济负担。预防倦怠和其他政策建议的努力可以帮助减少急救人员和医疗保健专业人员的心理健康问题,因为他们面临着这些问题的更高风险。提高向普通人群提供健康筛查的能力,教育公众预防措施和实践,并提供心理健康和药物使用治疗,如药物管理和治疗服务,是进一步减轻 COVID-19 对精神疾病的社会经济影响的首要任务。

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