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新冠病毒与精神健康:一场“大流行中的大流行”。

COVID-19 and Mental Health: A "Pandemic Within a Pandemic".

机构信息

Department of Biomedical and Biotechnological Sciences, University of Catania, Via Santa Sofia 97, 95123, Catania, Italy.

Department of Surgery and Medical-Surgery Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.

出版信息

Adv Exp Med Biol. 2024;1458:1-18. doi: 10.1007/978-3-031-61943-4_1.

Abstract

The COVID-19 pandemic has brought significant changes in daily life for humanity and has had a profound impact on mental health. As widely acknowledged, the pandemic has led to notable increases in rates of anxiety, depression, distress, and other mental health-related issues, affecting both infected patients and non-infected individuals. COVID-19 patients and survivors face heightened risks for various neurological and psychiatric disorders and complications. Vulnerable populations, including those with pre-existing mental health conditions and individuals living in poverty or frailty, may encounter additional challenges. Tragically, suicide rates have also risen, particularly among young people, due to factors such as unemployment, financial crises, domestic violence, substance abuse, and social isolation. Efforts are underway to address these mental health issues, with healthcare professionals urged to regularly screen both COVID-19 and post-COVID-19 patients and survivors for psychological distress, ensuring rapid and appropriate interventions. Ongoing periodic follow-up and multidimensional, interdisciplinary approaches are essential for individuals experiencing long-term psychiatric sequelae. Preventive strategies must be developed to mitigate mental health problems during both the acute and recovery phases of COVID-19 infection. Vaccination efforts continue to prioritize vulnerable populations, including those with mental health conditions, to prevent future complications. Given the profound implications of mental health problems, including shorter life expectancy, diminished quality of life, heightened distress among caregivers, and substantial economic burden, it is imperative that political and health authorities prioritize the mental well-being of all individuals affected by COVID-19, including infected individuals, non-infected individuals, survivors, and caregivers.

摘要

COVID-19 大流行给人类的日常生活带来了重大变化,并对心理健康产生了深远影响。众所周知,大流行导致焦虑、抑郁、痛苦和其他与心理健康相关问题的发生率显著增加,影响了感染患者和未感染患者。COVID-19 患者和幸存者面临着各种神经和精神障碍及并发症的风险增加。脆弱人群,包括有精神健康问题的人群和生活在贫困或脆弱环境中的人群,可能会面临更多的挑战。可悲的是,由于失业、金融危机、家庭暴力、药物滥用和社会隔离等因素,自杀率也有所上升,尤其是年轻人。正在努力解决这些心理健康问题,敦促医疗保健专业人员定期对 COVID-19 和 COVID-19 后患者和幸存者进行心理困扰筛查,确保快速和适当的干预。对经历长期精神科后遗症的个体进行持续定期随访和多维度、跨学科方法至关重要。必须制定预防策略,以减轻 COVID-19 感染的急性和恢复期的心理健康问题。疫苗接种工作继续优先考虑弱势群体,包括有精神健康问题的人群,以预防未来的并发症。鉴于心理健康问题的深远影响,包括预期寿命缩短、生活质量下降、照顾者痛苦加剧和巨大的经济负担,政治和卫生当局必须优先考虑所有受 COVID-19 影响的个体的心理健康,包括感染个体、未感染个体、幸存者和照顾者。

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