Wiegand Hauke Felix, Fehr Mandy, Glock Miriam, Rueb Mike, Roth-Sackenheim Christa, Köhler Sabine, Pogarell Oliver, Horster Sophia, Geschke Katharina, Tüscher Oliver, Lieb Klaus, Falkai Peter, Hölzel Lars-Peer, Adorjan Kristina
Klinik für Psychiatrie und Psychotherapie der Universitätsmedizin Mainz, Johannes-Gutenberg Universität Mainz, Mainz, Deutschland.
Klinik für Psychiatrie und Psychotherapie, Klinikum der Universität München (LMU), Numssbaumstr. 7, 80336, München, Deutschland.
Nervenarzt. 2023 Jul;94(7):619-624. doi: 10.1007/s00115-023-01477-5. Epub 2023 May 3.
Severe mental illnesses are risk factors for SARS-CoV-2-related morbidity and mortality. Vaccination is an effective protection; therefore, high vaccination rates should be a major priority for people with mental illnesses.
(1) Identification of at-risk groups for non-vaccination and structures and interventions needed for widespread vaccination among people with mental illnesses from the perspective of outpatient psychiatrists and neurologists, (2) discussion of the results in the context of the international literature and (3) recommendations derived from them.
Qualitative content analysis of COVID-19 vaccination-related questions from the COVID Ψ online survey of n = 85 psychiatrists and neurologists in Germany.
In the survey, people with schizophrenia, severe lack of drive, low socioeconomic status and homelessness were seen as risk groups for non-vaccination. Increased and targeted information, education, addressing and motivation and easily accessible vaccination offers by general practitioners, psychiatrists, and neurologists as well as complementary institutions were considered as important interventions.
COVID-19 vaccinations as well as information, motivation and access support should be systematically offered by as many institutions of the psychiatric, psychotherapeutic and complementary care systems in Germany as possible.
严重精神疾病是感染新型冠状病毒2（SARS-CoV-2）相关发病和死亡的风险因素。接种疫苗是一种有效的防护措施；因此，高疫苗接种率应成为精神疾病患者的首要优先事项。
（1）从门诊精神科医生和神经科医生的角度，确定未接种疫苗的风险群体以及精神疾病患者广泛接种疫苗所需的结构和干预措施，（2）结合国际文献讨论结果，以及（3）从中得出建议。
对来自德国的85名精神科医生和神经科医生参与的COVID Ψ在线调查中与新冠病毒疫苗接种相关问题进行定性内容分析。
在调查中，患有精神分裂症、严重缺乏动力、社会经济地位低下和无家可归的人被视为未接种疫苗的风险群体。增加针对性的信息、教育、关注和激励，以及由全科医生、精神科医生、神经科医生以及补充机构提供易于获得的疫苗接种服务被认为是重要的干预措施。
德国尽可能多的精神科、心理治疗和补充护理系统机构应系统地提供新冠病毒疫苗接种以及信息、激励和接种支持。
