Koski Lisa, Brouillette Marie-Josée, Mayo Nancy E, Scott Susan C, Fellows Lesley K, Sookman Debbie
Department of Psychology, McGill University Health Centre (MUHC), Montreal, Canada.
Department of Psychology, McGill University, Montreal, Canada.
Int J Cogn Ther. 2022;15(1):21-41. doi: 10.1007/s41811-021-00127-5. Epub 2021 Nov 12.
Research on the psychosocial impact of COVID-19 has found significant levels of distress among the general population, and among those especially vulnerable due to chronic social or health challenges. Among these are individuals aging with HIV infection, who are encountering COVID-19 as a new infectious threat to their health and wellbeing. In a longitudinal observational study of the psychosocial impact of COVID-19 in middle-aged and older people living with HIV, we identified a subset of participants who expressed heightened levels of distress and were referred for clinical intervention. This paper describes the supportive and contemporary cognitive-behavioral interventions that were provided and presents data on changes in distress in this case series. This work provides a model for identifying people in at-risk groups in acute need of psychological intervention and for implementing an individualized clinical response that can be safely delivered in the context of COVID-19 and future crisis situations.
关于新冠病毒病（COVID-19）社会心理影响的研究发现，普通人群以及那些因长期社会或健康挑战而特别脆弱的人群中存在显著程度的痛苦。其中包括感染艾滋病毒的老年人，他们正面临新冠病毒病这一对其健康和福祉的新的感染威胁。在一项关于新冠病毒病对中年及老年艾滋病毒感染者社会心理影响的纵向观察研究中，我们确定了一部分表达出更高痛苦程度并被转介接受临床干预的参与者。本文描述了所提供的支持性和当代认知行为干预措施，并呈现了该病例系列中痛苦程度变化的数据。这项工作提供了一个模型，用于识别急需心理干预的高危人群，并实施能够在新冠病毒病及未来危机情况下安全提供的个性化临床应对措施。
