The Mental Health Impact of the COVID-19 Pandemic: Implications for Sub-Saharan Africa.
The Mental Health Impact of the COVID-19 Pandemic: Implications for Sub-Saharan Africa.
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DOI：
10.2147/prbm.s264286
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发表时间：
2020
影响因子：
4.3
通讯作者：
Frissa SM
中科院分区：
文献类型：
--
作者：
Semo BW;Frissa SM
在许多受疫情影响最严重的地区，由于疾病经历、身体距离、耻辱和歧视以及失业，COVID-19 大流行正在导致心理健康问题。医护人员、患有 COVID-19 和其他疾病的患者、儿童、妇女、青少年和老年人正在经历创伤后应激障碍、焦虑、抑郁和失眠。许多环境都建立了虚拟心理健康服务，社交媒体也被用来传授心理健康教育和交流资源。此次快速审查重点介绍了受 COVID-19 大流行影响最严重的国家的心理健康服务。需要做更多的工作来扩大这些服务的规模并确保公平和效率。鉴于卫生保健系统薄弱，COVID-19 对撒哈拉以南非洲地区的心理健康影响可能是巨大的。与 2014 年至 2016 年的埃博拉疫情类似，COVID-19 预计会引起焦虑、抑郁和创伤后应激障碍。精神卫生保健服务的利用率普遍较低，社区依赖社会资源。因此，控制疾病传播的努力应该根据具体情况而定。数字素养低、智能手机普及率低以及互联网连接有限，使得在线心理健康服务成为服务提供的有限选择。在撒哈拉以南非洲地区，保障社会和文化复原力因素和应对机制至关重要。大众传媒是提供社会资源的可行方式。社区卫生工作者可以快速接受培训，提供心理健康教育、筛查和咨询服务。免费心理健康帮助热线可用于为医护人员和需要定制护理的人提供服务。心理健康和社会心理支持服务需要纳入大流行应对措施并在全国范围内进行协调。疫情期间和之后继续提供这些服务至关重要。
The COVID-19 pandemic is leading to mental health problems due to disease experience, physical distancing, stigma and discrimination, and job losses in many of the settings hardest hit by the pandemic. Health care workers, patients with COVID-19 and other illnesses, children, women, youth, and the elderly are experiencing post-traumatic stress disorders, anxiety, depression, and insomnia. Virtual mental health services have been established in many settings and social media is being used to impart mental health education and communication resources. This rapid review highlights mental health services across countries hardest hit by the COVID-19 pandemic. More needs to be done to take these services to scale and ensure equity and efficiency. The impact of COVID-19 on mental health in sub-Saharan Africa could be immense, given the weak health care systems. Similar to the Ebola epidemic of 2014–2016, COVID-19 is expected to cause anxiety, depression and post-traumatic stress disorders. Uptake of mental health care services is generally low, and communities rely on social resources. Hence, efforts to control the disease transmission should be contextualized. Low digital literacy, low smartphone penetration and limited internet connection make online mental health services a limited option for service delivery. Safeguarding social and cultural resilience factors and coping mechanisms is critical in the sub-Saharan African context. Mass media is a feasible way of providing social resources. Community health workers can be trained quickly to provide mental health education, screening and counselling services. Toll-free mental health helplines can be used to provide services to health care workers and those needing customized care. Mental health and psychosocial support services need to be integrated into the pandemic response and coordinated nationally. It is critical for these services to continue during and after the epidemic.