Traumatic Stress Service, South West London and St George's Mental Health NHS Trust.
Psychol Trauma. 2022 Nov;14(8):1347-1355. doi: 10.1037/tra0001198. Epub 2022 Feb 7.
There has been great concern about the psychological implications of the coronavirus disease 2019 (COVID-19) pandemic on wellbeing and mental health worldwide. Previous pandemics have been associated with an increased risk of posttraumatic stress disorder (PTSD); however, the experience of a pandemic for those with preexisting diagnoses of PTSD has not previously been researched. We aimed to understand the experience of the COVID-19 pandemic for people with a diagnosis of PTSD before the pandemic.
Ten people, who were under the care of a specialist outpatient clinic for adults with PTSD during the COVID-19 pandemic, took part in semistructured interviews. Thematic analysis was used to analyze the interview transcripts.
Themes were identified relating to changes in how a sense of threat was experienced during the pandemic, with both factors increasing and decreasing threat recognized; challenges related to trying to cope with the pandemic; and resources that helped with coping.
Recommendations for clinicians working with people with PTSD during a pandemic are made. These include assessing for changes in the person's sense of threat and changes in triggers; supporting adaptation of prepandemic ways of coping and engagement with personal and professional support networks; and being alert to a possible increase or change in safety-seeking behaviors and addressing in the treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
人们一直非常关注 2019 年冠状病毒病（COVID-19）大流行对全球福祉和心理健康的心理影响。以前的大流行与创伤后应激障碍（PTSD）的风险增加有关；然而，以前没有研究过患有 PTSD 既往诊断的人对大流行的体验。我们旨在了解大流行前患有 PTSD 诊断的人对 COVID-19 大流行的体验。
在 COVID-19 大流行期间，10 名正在接受成人 PTSD 专科门诊治疗的人参加了半结构化访谈。使用主题分析对访谈记录进行分析。
确定了与大流行期间经历威胁感变化相关的主题，包括增加和减少威胁的因素；与试图应对大流行相关的挑战；以及有助于应对的资源。
为大流行期间与 PTSD 患者合作的临床医生提出了建议。这些建议包括评估个人威胁感的变化和触发因素的变化；支持适应大流行前的应对方式和参与个人和专业支持网络；并警惕寻求安全行为的可能增加或变化，并在治疗中解决。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
