Impact of the COVID-19 pandemic on psychosocial health and well-being in South-Asian (World Psychiatric Association zone 16) countries: A systematic and advocacy review from the Indian Psychiatric Society.
Impact of the COVID-19 pandemic on psychosocial health and well-being in South-Asian (World Psychiatric Association zone 16) countries: A systematic and advocacy review from the Indian Psychiatric Society.
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DOI：
10.4103/psychiatry.indianjpsychiatry_1002_20
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发表时间：
2020-09
影响因子：
3.1
通讯作者：
Jagiwala MP
中科院分区：
文献类型：
--
作者：
Banerjee D;Vaishnav M;Rao TS;Raju M;Dalal PK;Javed A;Saha G;Mishra KK;Kumar V;Jagiwala MP
2019冠状病毒病（COVID-19）已成为全球健康威胁。南亚（SA）国家目睹了疫情的最初冲击以及病例的持续上升。他们在大流行期间面临的与心理健康有关的独特挑战值得探讨。对所有关于COVID-19和封锁对世界精神病学协会第16区南非国家心理健康/福祉影响的原始研究进行了系统性审查。检索了PubMed、Google Scholar、PSYMBERFO、EMBASE和SCOPUS，直至2020年6月。在18-60岁年龄组中进行的研究，最小样本量为10，并纳入统计学显著性结果。13项研究被纳入该综述。他们显示在一般人群中非精神病性抑郁症、焦虑前期、躯体问题、酒精相关疾病和失眠的患病率增加。心理症状与老年人对疲劳和疼痛的身体抱怨相关性更高，与社交媒体使用、错误信息、仇外心理和社交距离直接相关。一线工作人员报告了内疚、耻辱、焦虑和睡眠质量差，这与缺乏足够的个人防护设备、工作量增加和歧视有关。一项研究验证了印度人群的冠状病毒焦虑量表，而另一项研究则探讨了在青少年封锁期间游戏是一把双刃剑。孟加拉国的另一项研究探讨了封锁期间的性心理健康。大多数研究都是跨部门的在线调查，使用筛选工具，可访问性有限。持续的COVID-19危机及其影响是充分的精神卫生保健，促进，研究和精神疾病的整体生物心理社会管理的重要时期，特别是在弱势群体中。随后提出了大流行期间的心理保健和研究策略以及大流行后的准备工作。
Coronavirus disease 2019 (COVID-19) has emerged as a global health threat. The South-Asian (SA) countries have witnessed both the initial brunt of the outbreak as well as the ongoing rise of cases. Their unique challenges in relation to mental health during the pandemic are worth exploring. A systematic review was conducted for all the original studies on the impact of COVID-19 and lockdown on psychological health/well-being in the SA countries of the World Psychiatric Association Zone 16. PubMed, Google Scholar, PSYCHINFO, EMBASE, and SCOPUS were searched till June 2020. Studies conducted in the age group of 18–60 years with a minimum sample size of 10, and statistically significant results were included. Thirteen studies were included in the review. They showed increase prevalence in nonpsychotic depression, preanxiety, somatic concerns, alcohol-related disorders, and insomnia in the general population. Psychological symptoms correlated more with physical complaints of fatigue and pain in older adults and were directly related to social media use, misinformation, xenophobia, and social distancing. Frontline workers reported guilt, stigma, anxiety, and poor sleep quality, which were related to the lack of availability of adequate personal protective equipment, increased workload, and discrimination. One study validated the Coronavirus anxiety scale in the Indian population while another explored gaming as a double-edged sword during the lockdown in adolescents. Another study from Bangladesh explored psychosexual health during lockdown. Most studies were cross-sectional online surveys, used screening tools and had limited accessibility. The ongoing COVID-19 crisis and its impact serve as an important period for adequate mental healthcare, promotion, research, and holistic biopsychosocial management of psychiatric disorders, especially in vulnerable groups. Mental healthcare and research strategies during the pandemic and preparedness for postpandemic aftermath are advocated subsequently.