Can a 'second disaster' during and after the COVID-19 pandemic be mitigated?

Can a 'second disaster' during and after the COVID-19 pandemic be mitigated?
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DOI:
10.1080/20008198.2020.1815283
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发表时间:
2020-09-23
影响因子:
5
通讯作者:
McFarlane A
McFarlane A
中科院分区:
医学2区
文献类型:
--
作者:
Gersons BPR;Smid GE;Smit AS;Kazlauskas E;McFarlane A

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在已经研究过的大多数灾难中,潜在的危险原因不会持续很长时间。然而,在COVID-19大流行期间,逐渐出现的生命威胁仍然存在,使每个人都面临不同程度的感染疾病、死亡或感染他人的风险。疏远和回避公司对社会生活有很大的影响。此外,COVID-19大流行对许多失去工作和收入的人产生了巨大的经济影响,甚至影响到获得食物和住房等基本需求。此外,失去亲人可能会加剧恐惧和资源损失的影响。本文旨在从一系列已发表的文献中汲取过往灾难的教训,以协助减轻对COVID-19大流行的不良心理反应。欧洲、美国和亚洲对灾害的研究表明,灾害的长期社会和心理后果可能会损害最初的团结。心理社会混乱,实际和财务问题,以及复杂的社区和政治问题可能会导致“第二次灾难”。从过去的灾难中吸取的教训表明,社区及其领导人以及精神卫生保健提供者需要注意对持续威胁的恐惧,以及悲伤和悲痛,并提供希望以减轻社会破坏。
In most disasters that have been studied, the underlying dangerous cause does not persist for very long. However, during the COVID-19 pandemic a progressively emerging life threat remains, exposing everyone to varying levels of risk of contracting the illness, dying, or infecting others. Distancing and avoiding company have a great impact on social life. Moreover, the COVID-19 pandemic has an enormous economic impact for many losing work and income, which is even affecting basic needs such as access to food and housing. In addition, loss of loved ones may compound the effects of fear and loss of resources. The aim of this paper is to distil, from a range of published literature, lessons from past disasters to assist in mitigating adverse psychosocial reactions to the COVID-19 pandemic. European, American, and Asian studies of disasters show that long-term social and psychological consequences of disasters may compromise initial solidarity. Psychosocial disruptions, practical and financial problems, and complex community and political issues may then result in a ‘second disaster’. Lessons from past disasters suggest that communities and their leaders, as well as mental healthcare providers, need to pay attention to fear regarding the ongoing threat, as well as sadness and grief, and to provide hope to mitigate social disruption.
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