Addressing the mental health impact of COVID-19 through population health.
Addressing the mental health impact of COVID-19 through population health.
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DOI：
10.1016/j.cpr.2021.102006
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发表时间：
2021-04
影响因子：
12.8
通讯作者：
McLean CP
中科院分区：
文献类型：
--
作者：
Boden M;Zimmerman L;Azevedo KJ;Ruzek JI;Gala S;Abdel Magid HS;Cohen N;Walser R;Mahtani ND;Hoggatt KJ;McLean CP
COVID-19大流行已经并将继续对世界各地的人们和人群造成负面的心理健康后果，如抑郁、焦虑和创伤性压力。从临床心理学、精神病学以及传播和实施科学的角度看待人口心理健康问题，非常适合处理这一流行病对心理健康造成的广泛、多方面和长期影响。通过对新兴的COVID-19大流行实证研究和对以往冠状病毒大流行的研究进行系统性回顾，我们将大流行风险因素、负面心理健康结果和适当的干预策略联系起来。我们描述了社会风险因素和大流行压力源将如何导致负面的心理健康结果，特别是在弱势群体中。我们根据心理健康目标、人群、方式、强度和提供者类型评估初级、二级和三级干预措施的可扩展性，以提供满足人群心理健康需求的统一策略。传统的模式，其中提供的循证疗法是由受过训练的专家亲自提供的，在专业护理地点已被证明难以扩展。使用非传统模式，根据人口的需要量身定制预防性干预措施，以及对干预措施的执行情况和有效性进行持续的协调评价，对于改进我们扩大覆盖面的努力至关重要。
The COVID-19 pandemic has and will continue to result in negative mental health outcomes such as depression, anxiety and traumatic stress in people and populations throughout the world. A population mental health perspective informed by clinical psychology, psychiatry and dissemination and implementation science is ideally suited to address the broad, multi-faceted and long-lasting mental health impact of the pandemic. Informed by a systematic review of the burgeoning empirical research on the COVID-19 pandemic and research on prior coronavirus pandemics, we link pandemic risk factors, negative mental health outcomes and appropriate intervention strategies. We describe how social risk factors and pandemic stressors will contribute to negative mental health outcomes, especially among vulnerable populations. We evaluate the scalability of primary, secondary and tertiary interventions according to mental health target, population, modality, intensity and provider type to provide a unified strategy for meeting population mental health needs. Traditional models, in which evidence-based therapies delivered are delivered in-person, by a trained expert, at a specialty care location have proved difficult to scale. The use of non-traditional models, tailoring preventive interventions to populations based on their needs, and ongoing coordinated evaluation of intervention implementation and effectiveness will be critical to refining our efforts to increase reach.
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DOI：
10.1016/j.ijchp.2020.07.007
发表时间：
2021-01-01
影响因子：
8.8
作者：
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影响因子：
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作者：
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通讯作者：
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