疫情时代的精神病学。新冠病毒肺炎正在改变这一学科吗?

Psychiatry in the time of the pandemic. Is COVID-19 changing the discipline?

作者信息

Pajor Patrycja

机构信息

Institute of Psychiatry and Neurology, Warsaw, Poland.

出版信息

Postep Psychiatr Neurol. 2021 Jun;30(2):113-121. doi: 10.5114/ppn.2021.108475. Epub 2021 Aug 15.

Abstract

PURPOSE

COVID-19 is an infectious disease caused by the newly discovered coronavirus SARS-CoV-2. The research conducted to date has focused mainly on the somatic complications of the disease, while only a few studies look at the potential direct mental health effects of the virus and its neurotropic potential.

VIEWS

The COVID-19 pandemic is also a psychologically significant stressor, affecting not only every aspect of an individual's life, but also economic and social sectors around the world. The deterioration of mental health can be caused not only by the fear of illness, death, or job loss, and uncertainty about the future, but also social isolation resulting from the loss of structured educational activities, professional activities and sanitary regime. We are slowly beginning to see the progressing effect of the current pandemic - not only the increasing symptoms of panic, anxiety and depression, but also somatization disorders, disadaptive syndromes, chronic fatigue syndrome, psychoactive substance abuse, and possibly also fixed post-pandemic personality disorders. Nosophobia, when it comes to the pandemic, takes the form of "coronaphobia".

CONCLUSIONS

The protracted duration of the pandemic poses a threat to mental health. It causes a growing failure of psychological mechanisms for coping with the current situation. The study attempts to identify especially mentally vulnerable social groups, including the impact on health protection professionals from the perspective of a physician specializing in psychiatry. Disturbing social phenomena, highlighted by the pandemic, were identified, and practical aspects of the pandemic discussed - the new tasks that psychiatrists and psychologists face.

摘要

目的

新型冠状病毒肺炎(COVID-19)是一种由新发现的冠状病毒严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的传染病。迄今为止开展的研究主要集中在该疾病的躯体并发症上,而仅有少数研究关注病毒潜在的直接心理健康影响及其嗜神经潜力。

观点

新型冠状病毒肺炎大流行也是一个具有重大心理意义的应激源,不仅影响个人生活的方方面面,还影响全球的经济和社会部门。心理健康的恶化不仅可能由对疾病、死亡或失业的恐惧以及对未来的不确定性引起,还可能由结构化教育活动、职业活动和卫生制度缺失导致的社会隔离引起。我们正逐渐开始看到当前大流行的渐进影响——不仅是恐慌、焦虑和抑郁症状的增加,还有躯体化障碍、适应不良综合征、慢性疲劳综合征、精神活性物质滥用,以及可能出现的大流行后固定性人格障碍。就大流行而言,疾病恐惧表现为“新冠恐惧症”。

结论

大流行的持续时间延长对心理健康构成威胁。它导致应对当前形势的心理机制越来越失效。该研究试图确定特别容易出现心理问题的社会群体,包括从精神科专科医生的角度探讨对卫生保健专业人员的影响。确定了大流行凸显的令人不安的社会现象,并讨论了大流行的实际问题——精神科医生和心理学家面临的新任务。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索