Psychological Intervention and COVID-19: What We Know So Far and What We Can Do
Psychological Intervention and COVID-19: What We Know So Far and What We Can Do
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DOI：
10.1007/s10879-020-09460-w
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发表时间：
2020-05-27
影响因子：
2
通讯作者：
Dimaggio, Giancarlo
中科院分区：
文献类型：
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作者：
Inchausti, Felix;MacBeth, Angus;Dimaggio, Giancarlo
新型冠状病毒COVID-19及全球大流行已对社会造成重大破坏性影响，对在危机时刻提供精神健康服务构成重大挑战，并带来精神健康负担增加的阴影，包括现有的精神障碍及因大流行而出现的心理困扰。在本文中，我们提供了一个框架，以了解在大流行期间和之后的心理健康护理的关键挑战。我们确定了三个可以从心理健康的心理方法和/或与COVID-19相关的干预措施中受益的群体。这些人士包括（i）参与前线应对疫情的医护人员及其病人;（ii）因被诊断为COVID-19、或因疾病失去家人和亲人、或长期社交距离的心理影响而出现新的心理健康困扰的人士;及（iii）患有现有精神健康状况的个人，他们被诊断患有COVID-19或其社交距离的经历加剧了现有的脆弱性。借鉴现有的文献和我们自己的经验，适应治疗的危机，我们提出了一些要点，以考虑在识别风险，并提供支持，所有三个群体。我们还提供了一些实际和技术上的考虑因素，用于对现有患者进行心理治疗，其中COVID-19的限制迫使他们转向在线或技术介导的心理干预。
The coronavirus COVID-19 and the global pandemic has already had a substantial disruptive impact on society, posing major challenges to the provision of mental health services in a time of crisis, and carrying the spectre of an increased burden to mental health, both in terms of existing psychiatric disorder, and emerging psychological distress from the pandemic. In this paper we provide a framework for understanding the key challenges for psychologically informed mental health care during and beyond the pandemic. We identify three groups that can benefit from psychological approaches to mental health, and/or interventions relating to COVID-19. These are (i) healthcare workers engaged in frontline response to the pandemic and their patients; (ii) individuals who will experience the emergence of new mental health distress as a function of being diagnosed with COVID-19, or losing family and loved ones to the illness, or the psychological effects of prolonged social distancing; and (iii) individuals with existing mental health conditions who are either diagnosed with COVID-19 or whose experience of social distancing exacerbates existing vulnerabilities. Drawing on existing literature and our own experience of adapting treatments to the crisis we suggest a number of salient points to consider in identifying risks and offering support to all three groups. We also offer a number of practical and technical considerations for working psychotherapeutically with existing patients where COVID-19 restrictions have forced a move to online or technologically mediated delivery of psychological interventions.