Managing COVID-19 related distress in primary care: principles of assessment and management.
Managing COVID-19 related distress in primary care: principles of assessment and management.
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DOI：
10.1186/s12875-021-01399-8
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发表时间：
2021-04-14
影响因子：
2.9
通讯作者：
Bisson JI
中科院分区：
文献类型：
--
作者：
Astill Wright L;Gnanapragasam S;Downes AJ;Bisson JI
COVID-19 会引起正常的担忧和压力感，随着社会恢复到 COVID-19 之前的功能，许多经历较高程度痛苦的人的症状将会得到缓解。只有少数人可能患上精神疾病。某些人可能容易出现持续症状，例如那些已有合并症的人。管理方法可以围绕使用协作方法来提供和建立现有的社会经济支持结构、避免过度医疗、观察等待并最终治疗那些符合精神病学诊断标准的人。初级保健临床医生可能是大多数与 COVID-19 相关的困扰的第一医疗保健联系人，重要的是他们能够提供基于证据和证据知情的应对措施，其中包括社会、心理和药理学方法。本专家意见文件旨在总结一些方法，主要基于有关心理困扰一般管理的证据的间接推断，在缺乏 COVID-19 特定证据的情况下，帮助初级保健临床医生评估和管理与 COVID-19 相关的困扰。
COVID-19 will cause normal feelings of worry and stress and many of those who experience higher levels of distress will experience resolution of their symptoms as society returns to pre-COVID-19 functioning. Only a minority are likely to develop a psychiatric disorder. Certain individuals may be vulnerable to experiencing persisting symptoms, such as those with pre-existing comorbidity. Management approaches could centre around using collaborative approaches to provide and build on already existing socioeconomic support structures, the avoidance of over-medicalisation, watchful waiting and finally treating those who do meet the criteria for psychiatric diagnosis. Primary care clinicians are likely be the first healthcare point of contact for most COVID-19 related distress and it is important that they are able to provide evidence based and evidence informed responses, which includes social, psychological and pharmacological approaches. This expert opinion paper serves to summarise some approaches, based primarily on indirect extrapolation of evidence concerning the general management of psychological distress, in the absence of COVID-19 specific evidence, to assist primary care clinicians in their assessment and management of COVID-19 related distress.
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