Academic Unit of Psychiatry and Addiction Medicine, Canberra Hospital, 104822The Australian National University Medical School, Canberra, ACT, Australia; and.
Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Australas Psychiatry. 2022 Dec;30(6):732-735. doi: 10.1177/10398562221100090. Epub 2022 May 12.
To provide a rapid clinical review and commentary for psychiatrists on the population mental health consequences of the COVID-19 pandemic in Australia, including evidence-based findings and interventions.
Whilst there was evidence of collective psychological resilience during the first 2 years of the COVID-19 pandemic, younger women, carers for those with COVID-19, and those with more household chores, childcare needs and higher economic strain, were at more risk. Interventions should therefore target people with these socio-demographic risk factors, as well as severe COVID-19 survivors, their relatives and frontline workers. However, the rapid spread of the Omicron SARS-CoV-2 variant has the potential for greater impacts on population mental health. Innovations in telehealth and online therapy should be incorporated into standard care. Ongoing research is needed to assess who remains most vulnerable to negative mental health impacts of the current pandemic, and especially the longer term outcomes of mental ill health. Further research should also investigate evidence-based approaches to resilience and well-being. Prospective risk/benefit analyses of infection control measures, economic effects and mental health consequences are needed.
为精神科医生提供有关澳大利亚 COVID-19 大流行对人群心理健康影响的快速临床综述和评论,包括基于证据的发现和干预措施。
虽然在 COVID-19 大流行的头 2 年有集体心理弹性的证据,但年轻女性、照顾 COVID-19 患者的人、以及有更多家务、育儿需求和更高经济压力的人风险更高。因此,干预措施应针对具有这些社会人口风险因素的人群,以及严重 COVID-19 幸存者、他们的亲属和一线工作人员。然而,Omicron SARS-CoV-2 变体的快速传播有可能对人群心理健康产生更大影响。应将远程医疗和在线治疗的创新纳入标准护理。需要进行持续研究,以评估谁仍然最容易受到当前大流行对心理健康的负面影响,特别是心理健康不良的长期后果。还应进一步研究针对韧性和幸福感的循证方法。需要对感染控制措施、经济影响和心理健康后果进行前瞻性风险/效益分析。