欧洲人口在 COVID-19 大流行期间的心理健康后果:机构面临的挑战。

Mental Health Consequences of COVID-19 Pandemic Period in the European Population: An Institutional Challenge.

机构信息

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185 Roma, Italy.

Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, 00189 Roma, Italy.

出版信息

Int J Environ Res Public Health. 2022 Jul 30;19(15):9347. doi: 10.3390/ijerph19159347.

Abstract

The worldwide spread of SARS-CoV-2 has been responsible for an infectious pandemic, with repercussions on socio-economic aspects and on the physical and mental health of the general population. The present systematic review aimed to evaluate the data belonging to the European framework, analyzing the population by age group. Original articles and reviews on the state of mental health of the general European population have been researched starting from 2021. Initially, a total of 1764 studies were found, among which a total of 75 were selected. Youth were the age group most affected by pandemic consequences on mental health, with emotional and behavioral alterations observed from a third to more than a half of children and adolescents examined. Among both adolescents and adults, the female gender had a higher prevalence of psychopathological symptoms. The main risk factors were poor social support, economic difficulties, and, in particular, unemployment or job changes. Additional individual risk factors were the perception of loneliness, the presence of pre-pandemic mental illness/distress, and some personality traits, such as neuroticism, impulsiveness, and the use of maladaptive coping strategies. Unexpectedly, the elderly maintained good resilience towards change, even if a stress factor was represented by the feeling of loneliness and poor social contact. As regards suicidal behaviors, among adolescents, there was an increase in attempts of 25%, with a greater risk for the female gender. This risk increased also among adults, in association with symptoms of anxiety and depression, and poor socio-environmental conditions. In conclusion, some population groups were found to be at greater risk of psychological burden during pandemic waves, thus representing priority targets for socio-health interventions.

摘要

新冠病毒在全球范围内的传播引发了传染病大流行,对社会经济方面以及普通民众的身心健康都产生了影响。本系统评价旨在评估属于欧洲框架的数据,按年龄组分析人群。从 2021 年开始,研究了有关欧洲普通人群心理健康状况的原始文章和综述。最初共发现 1764 项研究,其中共选择了 75 项。青年是受大流行对心理健康影响最大的年龄组,从三分之一到一半以上的儿童和青少年观察到情绪和行为改变。在青少年和成年人中,女性的精神病理症状更为普遍。主要的风险因素是社会支持差、经济困难,特别是失业或工作变动。其他个体风险因素包括孤独感、存在大流行前的精神疾病/困扰以及某些个性特征,如神经质、冲动和使用适应不良的应对策略。出乎意料的是,老年人对变化保持着良好的适应能力,即使孤独感和社交接触不良是一个压力因素。关于自杀行为,在青少年中,尝试自杀的人数增加了 25%,女性的风险更大。这种风险也在成年人中增加,与焦虑和抑郁症状以及较差的社会环境条件有关。总之,一些人群在大流行浪潮中面临更大的心理负担风险,因此是社会健康干预的优先目标。

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