COVID-19 Associated Suicidal Ideation in Older Adults: Two Case Reports With a Review of the Literature.
COVID-19 Associated Suicidal Ideation in Older Adults: Two Case Reports With a Review of the Literature.
复制标题
DOI：
10.1016/j.jagp.2021.05.026
复制
发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Sewell DD
中科院分区：
文献类型：
--
作者：
Asthana NK;Mehaffey E;Sewell DD
COVID-19大流行可能会严重损害许多老年人的心理健康和情绪健康。旨在尽量减少病毒传播的公共卫生干预措施产生了意想不到的后果，即社会隔离、财政压力和失业状况恶化。早期的研究工作评估这些干预措施对老年人心理健康的影响，结果喜忧参半。现有研究结果表明，一部分居住在社区的老年人受到的负面影响比年轻人要小，而有色人种、穷人、疗养院和其他社区生活环境的居民以及痴呆症患者及其护理人员更有可能患有与新冠病毒相关的健康问题。本手稿描述了两名老年人，他们与COVID-19相关的压力导致他们的精神疾病显著恶化，包括自杀意念的出现，总结了心理社会压力和生物因素之间的相互作用对老年人心理健康和福祉的影响的文献，并讨论了帮助因COVID-19而精神健康恶化的老年人的干预措施。及时和准确的诊断，利用药物和心理治疗干预措施迅速提供个性化护理，采用能够远距离安全提供护理并允许虚拟社会互动的新技术，同时不断倡导改变政策，以解决保健方面的重大差距，使老年人能够继续获得保健服务，并缓解经济困难，将有助于老年人在大流行期间尽可能保持健康。
The COVID-19 pandemic may profoundly harm the mental health and emotional well- being of many older adults. Public health interventions to minimize the spread of the virus have had the unintended consequences of worsening social isolation, financial stress, and unemployment. Results of early research efforts assessing the impact of these interventions on the mental health of older adults have been mixed. Available findings suggest that a subset of community-dwelling older adults have been less negatively impacted than younger adults, while people of color, the poor, residents of nursing homes and other communal living environments, and those living with dementia and their caregivers are more likely to suffer from COVID-related health problems. This manuscript describes two older adults for whom COVID-19 associated stresses caused significant worsening in their psychiatric illnesses, including the emergence of suicidal ideation, summarizes the literature on the impact of interactions between psychosocial stresses and biological factors on the mental health and well-being of older adults, and discusses interventions to help older adults whose mental health has worsened due to COVID-19. Timely and accurate diagnosis, prompt provision of individualized care using both pharmacologic and psychotherapeutic interventions, adoption of new technologies that permit care to be provided safely at a distance and which allow for virtual social interactions, coupled with ongoing advocacy for policy changes that address significant health care disparities and provide older adults continued access to health care and relief from financial hardship, will help older adults remaining as healthy as possible during the pandemic.
登录
查看更多内容
影响因子：
4.8
作者：
Fountain-Zaragoza S;Prakash RS
通讯作者：
Prakash RS
影响因子：
12.7
作者：
Gerst-Emerson, Kerstin;Jayawardhana, Jayani
通讯作者：
Jayawardhana, Jayani
影响因子：
6.3
作者：
Gellis, Zvi D.;Kenaley, Bonnie L.;Ten Have, Thomas
通讯作者：
Ten Have, Thomas
影响因子：
18.4
作者：
Fiske A;Wetherell JL;Gatz M
通讯作者：
Gatz M
影响因子：
7.2
作者：
Eshel, Yohanan;Kimhi, Shaul;Leykin, Dmitry
通讯作者：
Leykin, Dmitry