Traumatic Stress in the Age of COVID-19: A Call to Close Critical Gaps and Adapt to New Realities
Traumatic Stress in the Age of COVID-19: A Call to Close Critical Gaps and Adapt to New Realities
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DOI：
10.1037/tra0000592
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发表时间：
2020-05-01
影响因子：
6.3
通讯作者：
Brown, Adam D.
中科院分区：
文献类型：
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作者：
Horesh, Danny;Brown, Adam D.
问题：冠状病毒19（COVID-19）正在改变我们生活的方方面面。COVID-19于2019年底被发现，并于2020年3月迅速被定性为全球大流行病。鉴于传播速度迅速加快，加上缺乏预防和治疗这种病毒的准备，COVID-19的负面影响正在波及社会的各个方面。尽管世界各地的大量人群将表现出对与COVID-19相关的巨大损失、压力和恐惧的适应能力，但该病毒可能会加剧现有的心理健康障碍，并导致许多人出现新的压力相关疾病。建议：创伤性压力领域应解决现在和将来出现的严重需求。然而，我们认为这些努力可能会受到限制，部分原因是我们的研究和临床护理中存在的持续差距。特别是，我们建议COVID-19要求我们作为研究和临床社区围绕几个关键领域进行优先考虑和动员：（a）诊断，（B）预防，（c）公共宣传和沟通，（d）与医务人员合作并将其纳入非精神卫生服务的主流，以及（e）COVID-19特定的创伤研究。随着我们社区的成员开始迅速开发和测试针对COVID-19相关痛苦的干预措施，我们希望那些在创伤压力领域处于领导地位的人考虑我们目前方法的局限性，并投入急需的智力和财政资源，以创新，建立伙伴关系，并开发技术来支持最需要的人。
The Issue: Coronavirus-19 (COVID-19) is transforming every aspect of our lives. Identified in late 2019, COVID-19 quickly became characterized as a global pandemic by March of 2020. Given the rapid acceleration of transmission, and the lack of preparedness to prevent and treat this virus, the negative impacts of COVID-19 are rippling through every facet of society. Although large numbers of people throughout the world will show resilience to the profound loss, stress, and fear associated with COVID-19, the virus will likely exacerbate existing mental health disorders and contribute to the onset of new stress-related disorders for many. Recommendations: The field of traumatic stress should address the serious needs that will emerge now and well into the future. However, we propose that these efforts may be limited, in part, by ongoing gaps that exist within our research and clinical care. In particular, we suggest that COVID-19 requires us to prioritize and mobilize as a research and clinical community around several key areas: (a) diagnostics, (b) prevention, (c) public outreach and communication, (d) working with medical staff and mainstreaming into nonmental health services, and (e) COVID-19-specific trauma research. As members of our community begin to rapidly develop and test interventions for COVID-19-related distress, we hope that those in positions of leadership in the field of traumatic stress consider limits of our current approaches, and invest the intellectual and financial resources urgently needed in order to innovate, forge partnerships, and develop the technologies to support those in greatest need.