Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19.
Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19.
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DOI：
10.1007/s42399-020-00348-3
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Mahr, Greg
中科院分区：
文献类型：
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作者：
Gautam, Mohan;Thakrar, Anjali;Mahr, Greg
美国正处于COVID-19疫情之中。我们评估了COVID-19对医护人员、精神病合并症患者和普通人群精神症状的影响。我们强调未来的挑战，并讨论远程精神病学的相关性增加。我们分析了截至2020年3月25日PubMed、奥维德Medline和PsychInfo上的所有可用文献。我们使用MeSH术语“covid AND（精神病学或心理健康）”并纳入所有文章。删除重复文献，得到32篇文章，其中19篇被引用。四个额外的参考文献包括检查自杀数据。在审查过程中，识别出另外7篇文章，也纳入其中。目前，一线医护人员的精神症状有所增加，其中女性和护士的症状更为严重。非前线医护人员以及普通民众正在经历替代性创伤。患有精神病合并症的人和一般人群面临着增加的精神症状负担。移民工人、老人、儿童和无家可归者可能会受到不成比例的影响。自杀率可能会受到影响。COVID-19大流行导致精神保健服务严重中断。精神病设施在提供护理方面正面临前所未有的中断，因为它们正在努力管理患有精神病症状的感染人群。远程精神治疗是一种有缺陷但合理的解决方案，可以在COVID-19期间增加精神卫生保健的可用性。
The USA is in the midst of the COVID-19 pandemic. We assess the impact of COVID-19 on psychiatric symptoms in healthcare workers, those with psychiatric comorbidities, and the general population. We highlight the challenges ahead and discuss the increased relevance of telepsychiatry. We analyzed all available literature available as of March 25, 2020, on PubMed, Ovid Medline, and PsychInfo. We utilized the MeSH term "covid AND (psychiatry OR mental health)" and included all articles. Duplicates were removed resulting in 32 articles, of which 19 are cited. Four additional references are included to examine suicide data. During the review process, an additional 7 articles were identified which are also included. Frontline healthcare workers are currently experiencing increased psychiatric symptoms and this is more severe in females and nurses. Non-frontline healthcare workers, as well as the general population, are experiencing vicarious traumatization. People with psychiatric comorbidities, and the general population, face increased psychiatric symptom burden. Migrant workers, the elderly, children, and the homeless may be disproportionately impacted. Suicide rates may be impacted. The COVID-19 pandemic has resulted in a severe disruption to the delivery of mental healthcare. Psychiatric facilities are facing unprecedented disruptions in care provision as they struggle to manage an infected population with comorbid psychiatric symptoms. Telepsychiatry is a flawed but reasonable solution to increase the availability of mental healthcare during COVID-19.