Coronavirus disease 2019 (COVID-19) and global mental health.
Coronavirus disease 2019 (COVID-19) and global mental health.
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DOI：
10.1016/j.glohj.2021.02.004
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Lange KW
中科院分区：
文献类型：
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作者：
Zhang Y;Lange KW
2019年冠状病毒病（COVID-19）大流行对心理健康的影响可能会影响未来许多年的人口健康。如果不能解决大流行造成的心理健康问题，可能会延长其影响。2019冠状病毒病大流行给全球带来了重大挑战，在低收入国家，甚至扰乱了精神卫生服务。鉴于我们以往应对大流行的经验，目前的COVID-19危机可能会造成心理创伤，需要采取措施积极解决这一问题。关注COVID-19长期精神健康后果的政策可能与目前寻求减轻其身体影响的人同等重要。COVID-19大流行对精神卫生的影响要求我们更加关注精神障碍患者的需求以及影响卫生保健工作者和公众的精神卫生问题。及时的预防和治疗性精神卫生保健对于解决面临大流行病的人群的社会心理需求至关重要。除专科护理外，“任务转移”和数字技术可为世界各地低收入国家以及精神卫生服务因COVID-19大流行的影响而不堪重负的高收入国家提供具有成本效益的精神卫生保健手段。鉴于2019冠状病毒病大流行给全球卫生系统带来越来越大的压力，早就应该采取和适应“任务转移”，即将心理治疗干预授权给经过培训的非专业人员，作为提供精神卫生服务的一个组成部分。数字技术可用于加强社会支持，促进抵御疫情对心理健康的有害影响；它们还可能提供一种有效和具有成本效益的方式，使人们容易获得精神保健。
The mental health effects of the coronavirus disease 2019 (COVID-19) pandemic may shape population health for many years to come. Failure to address the mental health issues stemming from the pandemic is likely to prolong its impact. The COVID-19 pandemic has created a significant global challenge and, in lower-income countries, even a disruption of mental health services. Given our experience with previous pandemics, the present COVID-19 crisis can be expected to cause psychological trauma, and steps are needed to address this issue proactively. Policies focusing on the long-term mental health consequences of COVID-19 may equal the importance of those currently seeking to mitigate its physical effects. The implications of the COVID-19 pandemic for mental health call for a greater focus on the needs of those with mental disorders and on mental health issues affecting health care workers and the general public. Timely preventive and therapeutic mental health care is essential in addressing the psychosocial needs of populations exposed to the pandemic. In addition to specialist care, “task-shifting” and digital technologies may provide cost-effective means of providing mental health care in lower-income countries worldwide as well as in higher-income countries with mental health services overwhelmed by the effects of the COVID-19 pandemic. In view of the ever-increasing pressure on global health systems resulting from the COVID-19 pandemic, adopting and adapting “task-shifting”, i.e., the delegation of psychotherapeutic interventions to trained non-specialists, as an element of the provision of mental health services, is overdue. Digital technologies can be used to enhance social support and facilitate resilience to the detrimental mental health effects of the pandemic; they may also offer an efficient and cost-effective way to provide easy access to mental health care.