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在阿联酋防控新冠疫情:大规模隔离、心理健康及其对危机管理的影响

Containing COVID-19 risk in the UAE: Mass quarantine, mental health, and implications for crisis management.

作者信息

Thomas Justin, Terry James P

机构信息

Department of Psychology, College of Natural and Health Sciences Zayed University Abu Dhabi United Arab Emirates.

Department of Life and Environmental Sciences, College of Natural and Health Sciences Zayed University Dubai United Arab Emirates.

出版信息

Risk Hazards Crisis Public Policy. 2022 Mar;13(1):9-27. doi: 10.1002/rhc3.12237. Epub 2021 Sep 13.

Abstract

The COVID-19 pandemic is the first global "NASECH disaster," owing to its natural hazard (NH) origin and unprecedented subsequent repercussions for global society (S), economy (EC), and health (H). Emergency health control measures required the implementation of compulsory mass quarantine (CMQ) or so-called periods of "lockdown." Yet, CMQ is an instrument with iatrogenic consequences, associated with a rise in societal levels of depression, anxiety, and posttraumatic stress. With a view to informing future crisis management, the study investigated sociodemographic factors associated with mental wellbeing during the March-April 2020 lockdown in the United Arab Emirates. Respondents ( = 1585) completed self-report measures of depression (PHQ8) and generalized anxiety (GAD7). Rates of symptomatology were notably higher than those observed in similar UAE-based studies before the pandemic. Younger age, urban-dwelling, female-gender, and a history of mental health problems were significant factors linked to elevated levels of depression and anxiety. Findings emphasize (1) the crucial need for psychological intervention after disasters and (2) the importance of strengthening the nexus at the intersection of public health and disaster risk reduction (DRR). Implications are that future pandemic containment would benefit from adopting new Health-DRR paradigms and ensuring these are effectively translated into disaster policy.

摘要

由于新冠疫情起源于自然灾害且对全球社会、经济和健康造成了前所未有的后续影响,它成为了第一场全球性的“自然灾害-社会-经济-健康灾难”。紧急卫生控制措施要求实施强制大规模隔离或所谓的“封锁期”。然而,强制大规模隔离是一种具有医源性后果的手段,与社会层面的抑郁、焦虑和创伤后应激水平上升有关。为了为未来的危机管理提供信息,该研究调查了2020年3月至4月阿联酋封锁期间与心理健康相关的社会人口因素。受访者(n = 1585)完成了抑郁(PHQ8)和广泛性焦虑(GAD7)的自我报告测量。症状发生率明显高于疫情前阿联酋类似研究中的观察结果。年龄较小、居住在城市、女性以及有心理健康问题史是与抑郁和焦虑水平升高相关的重要因素。研究结果强调了(1)灾难后进行心理干预的迫切需求,以及(2)加强公共卫生与减少灾害风险(DRR)交叉点联系的重要性。这意味着未来的疫情防控将受益于采用新的健康-减少灾害风险范式,并确保这些范式有效地转化为灾害政策。

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