Stress, PTSD, and COVID-19: the Utility of Disaster Mental Health Interventions During the COVID-19 Pandemic.
Stress, PTSD, and COVID-19: the Utility of Disaster Mental Health Interventions During the COVID-19 Pandemic.
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DOI：
10.1007/s40501-021-00253-z
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发表时间：
2022
影响因子：
--
通讯作者：
Watson P
中科院分区：
文献类型：
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作者：
Watson P
在一场持续的、高度不确定的大流行病背景下，灾害心理健康措施可以提高社区的复原力和福祉能力，支持正规的心理健康治疗，并帮助解决高压力职业中的心理健康反应风险。这篇综述的目的是总结灾难心理健康干预的文献，这些干预措施在大流行之前和期间都有广泛的应用，包括用于高压力职业，以减轻创伤后应激障碍（PTSD）和其他心理健康后遗症的风险。在当前COVID-19大流行之前和背景下，已在试点研究、非随机试验和随机临床试验中研究了循证和循证的灾难心理健康干预措施、框架和治疗。这些研究已经证明了这些模式的可行性和可接受性，并改善了感知的支持，以及显着减少痛苦和心理健康症状，如抑郁，焦虑和创伤后应激障碍。针对COVID-19大流行的灾难性心理健康方法可以在多个层面上提供预防和支持的机会，并根据不同的关注点、文化和可用资源进行及时干预。
In the context of an ongoing, highly uncertain pandemic, disaster mental health measures can increase community capacity for resilience and well-being, support formal mental health treatment, and help address the risk for mental health reactions in high-stress occupations. The purpose of this review is to summarize the literature on disaster mental health interventions that have been helpful both prior to and during the pandemic in a broad range of applications, including for use with high-stress occupations in an effort to mitigate risk for post-traumatic stress disorder (PTSD) and other mental health sequelae. Evidence-based and evidence-informed disaster mental health interventions, frameworks, and treatments have been studied in pilot studies, non-randomized trials, and randomized clinical trials prior to and in the context of the current COVID-19 pandemic. The studies have demonstrated feasibility and acceptability of these modalities and improved perceived support, as well as significant reductions in distress, and mental health symptoms such as depression, anxiety, and PTSD. A disaster mental health approach to the COVID-19 pandemic can generate opportunities for prevention and support at multiple levels with timely interventions tailored for different concerns, cultures, and available resources.