"We Were Afraid": Mental Health Effects of the COVID-19 Pandemic in Two South African Districts.
"We Were Afraid": Mental Health Effects of the COVID-19 Pandemic in Two South African Districts.
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DOI：
10.3390/ijerph19159217
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发表时间：
2022-07-28
影响因子：
--
通讯作者：
Goldstein, Susan
中科院分区：
文献类型：
--
作者：
Rwafa-Ponela, Teurai;Price, Jessica;Nyatela, Athini;Nqakala, Sizwe;Mosam, Atiya;Erzse, Agnes;Lalla-Edward, Samanta Tresha;Hove, Jennifer;Kahn, Kathleen;Tollman, Stephen;Hofman, Karen;Goldstein, Susan
关键词：
人们认识到，大流行病的影响不仅仅是感染、身体痛苦和社会经济混乱。其他后果包括心理反应。我们使用心理健康透镜，分别分析了在南非提供和定期获得医疗服务的医护人员（HCW）和社区成员的COVID-19相关压力源。2021年2月至9月，在第二波COVID-19疫情期间，我们在一个城市和一个农村地区进行了定性研究。深入访谈和焦点小组讨论被用来收集43 HCW和51个社区成员故意和方便地选择的数据。大多数参与者在COVID-19大流行及其导致的封锁的多个方面经历了心理健康挑战，少数人报告了积极的调整变化。2019冠状病毒病对城市和农村的医务工作者和社区成员的心理健康影响是一致的。参与者的COVID-19引起的心理反应包括对未知事物的焦虑和恐惧，感知的感染风险，对住院的恐惧和对死亡的恐惧。大流行对参与者的身体影响包括COVID-19感染和相关症状、严重疾病的可能性以及使用个人防护装备的不适。由于对家庭福祉的关切和对感染的耻辱感所产生的社会影响，这些痛苦更加严重。封锁规定也加剧了人们对金融不安全和社会孤立的担忧。在无法利用家庭支持等共同应对机制的时候，与缺乏精神聚会和有限的葬礼仪式有关的文化后果给参与者带来了额外的压力。在为未来的突发公共卫生事件做准备时，需要认识到心理健康支持和治疗。
The impacts of pandemics are recognized to go beyond infection, physical suffering, and socio-economic disruptions. Other consequences include psychological responses. Using a mental wellbeing lens, we analyzed COVID-19-related stressors in healthcare workers (HCWs) and community members who provided and regularly accessed health services in South Africa, respectively. From February to September 2021, during the second COVID-19 wave we conducted a qualitative study in one urban and one rural district. In-depth interviews and focus group discussions were used to collect data among 43 HCWs and 51 community members purposely and conveniently selected. Most participants experienced mental health challenges regarding multiple aspects of the COVID-19 pandemic and its resulting lockdown, with a few reporting positive adjustments to change. COVID-19 impacts on mental health were consistent among both HCWs and community members in urban and rural alike. Participants’ COVID-19-induced psychological responses included anxiety and fear of the unknown, perceived risk of infection, fear of hospitalization, and fear of dying. Physical effects of the pandemic on participants included COVID-19 infection and associated symptoms, possibilities of severe illness and discomfort of using personal protective equipment. These distresses were exacerbated by social repercussions related to concerns for family wellbeing and infection stigma. Lockdown regulations also intensified anxieties about financial insecurities and social isolation. At times when common coping mechanisms such as family support were inaccessible, cultural consequences related to lack of spiritual gatherings and limited funeral rites posed additional stress on participants. In preparation for future public health emergencies, recognition needs to be given to mental health support and treatment.
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影响因子：
4
作者：
Cui J;Lu J;Weng Y;Yi GY;He W
通讯作者：
He W
影响因子：
6.4
作者：
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通讯作者：
Brown, Peter J.
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Lu L
影响因子：
11.3
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通讯作者：
Cristaudo A
影响因子：
56.9
作者：
ENGEL, GL
通讯作者：
ENGEL, GL