Experiences of living with mental health problems during the COVID-19 pandemic in the UK: a coproduced, participatory qualitative interview study.
Experiences of living with mental health problems during the COVID-19 pandemic in the UK: a coproduced, participatory qualitative interview study.
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DOI：
10.1007/s00127-021-02051-7
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发表时间：
2021-08
影响因子：
4.4
通讯作者：
NIHR Mental Health Policy Research Unit Covid coproduction research group
中科院分区：
文献类型：
--
作者：
Gillard S;Dare C;Hardy J;Nyikavaranda P;Rowan Olive R;Shah P;Birken M;Foye U;Ocloo J;Pearce E;Stefanidou T;Pitman A;Simpson A;Johnson S;Lloyd-Evans B;NIHR Mental Health Policy Research Unit Covid coproduction research group
研究开始量化COVID-19对已有心理健康状况的人的影响。我们的论文解决了缺乏深入的定性研究，探索他们的经验和对生活如何在这个时候改变的看法。我们使用定性访谈（N = 49）来探索有心理健康问题的人在大流行中的经历。在一个参与式的，共同制作的方法，研究人员与心理健康状况的生活经验进行了采访和分析数据作为一个多学科的研究团队的一部分。对许多人来说，现有的心理健康问题更加严重。人们经历了大流行病的特定心理影响，与社会联系的斗争，以及获得心理健康服务的机会不足，而一些人找到了科普和与社区联系的新方法。包括数字解决方案在内的新的远程获得精神卫生保健的方式为一些人提供了连续的护理，但对其他人来说却构成了巨大的障碍。来自黑人和少数民族社区的人经历了与大流行病相关的焦虑、耻辱和种族主义加剧，进一步影响了他们的心理健康。有必要制定循证解决方案，以实现可获得和有效的精神卫生保健，以应对这一流行病，特别是远程护理方法。进一步的研究应探讨COVID-19对已有心理健康状况的人的长期影响。应特别注意了解对心理健康影响的不平等现象，特别是对BAME社区的人。在线版本包含补充材料，可通过10.1007/s 00127 -021-02051-7获得。
Research is beginning to quantify the impact of COVID-19 on people with pre-existing mental health conditions. Our paper addresses a lack of in-depth qualitative research exploring their experiences and perceptions of how life has changed at this time. We used qualitative interviews (N = 49) to explore experiences of the pandemic for people with pre-existing mental health conditions. In a participatory, coproduced approach, researchers with lived experiences of mental health conditions conducted interviews and analysed data as part of a multi-disciplinary research team. Existing mental health difficulties were exacerbated for many people. People experienced specific psychological impacts of the pandemic, struggles with social connectedness, and inadequate access to mental health services, while some found new ways to cope and connect to the community. New remote ways to access mental health care, including digital solutions, provided continuity of care for some but presented substantial barriers for others. People from black and ethnic minority (BAME) communities experienced heightened anxiety, stigma and racism associated with the pandemic, further impacting their mental health. There is a need for evidence-based solutions to achieve accessible and effective mental health care in response to the pandemic, especially remote approaches to care. Further research should explore the long-term impacts of COVID-19 on people with pre-existing mental health conditions. Particular attention should be paid to understanding inequalities of impact on mental health, especially for people from BAME communities. The online version contains supplementary material available at 10.1007/s00127-021-02051-7.
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