Polizzi Craig P, McDonald Charlie W, Sleight Fiona G, Lynn Steven Jay
Veterans Affairs Boston Healthcare System, Boston, Massachusetts, United States.
Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine.
Clin Neuropsychiatry. 2023 Aug;20(4):316-326. doi: 10.36131/cnfioritieditore20230411.
The SARS-CoV-2 (COVID-19) pandemic is a mass traumatic event that has universally and indiscriminately negatively affected the world. The adverse consequences of the pandemic have globally impacted psychological health and well-being via increased stressors, such as uncertainty, health anxieties, and financial instability. During the initial months of the pandemic, we (Polizzi et al., 2020) identified coping strategies that may be well-suited to address the sequelae of the pandemic. These strategies included behavioral activation, acceptance-based coping, mindfulness practice, and loving-kindness meditation. We argued that these coping skills may foster resilience and recovery during the pandemic by generating a sense of social connection, encouraging meaning-making, and enhancing feelings of control amid uncertainty. Three years later, we update our initial suggestions by providing a narrative review that considers empirical evidence collected during the pandemic to support the utility of the previously identified coping strategies as well as additional strategies. We also discuss cross-cultural similarities and differences among these strategies and how research supports their application across diverse countries and groups. Finally, we conclude by synthesizing the literature within a regulatory flexibility framework that emphasizes flexible skill implementation with respect to sensitivity to context, coping repertoires, and feedback from the environment.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新冠病毒)大流行是一场大规模创伤性事件,对全球造成了普遍且无差别的负面影响。这场大流行的不利后果通过增加压力源,如不确定性、健康焦虑和经济不稳定,在全球范围内影响了心理健康和幸福。在大流行的最初几个月里,我们(波利齐等人,2020年)确定了可能非常适合应对大流行后遗症的应对策略。这些策略包括行为激活、基于接纳的应对、正念练习和慈心禅修。我们认为,这些应对技巧可能通过产生社会联系感、鼓励意义建构以及在不确定性中增强控制感,在大流行期间促进恢复力和康复。三年后,我们通过提供一篇叙述性综述来更新我们最初的建议,该综述考虑了在大流行期间收集的实证证据,以支持先前确定的应对策略以及其他策略的效用。我们还讨论了这些策略之间的跨文化异同,以及研究如何支持它们在不同国家和群体中的应用。最后,我们在一个监管灵活性框架内综合文献进行总结,该框架强调在对情境敏感性、应对方式和来自环境的反馈方面灵活实施技巧。