Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic.
Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic.
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DOI：
10.11622/smedj.2020046
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发表时间：
2020-07-01
影响因子：
2.7
通讯作者：
Sim, Kang
中科院分区：
文献类型：
--
作者：
Chew, Qian Hui;Wei, Ker Chiah;Sim, Kang
导言：新出现的传染病爆发，如目前的冠状病毒病2019年(新冠肺炎)大流行，往往会对包括幸存者和照顾者在内的普通人群的心理福祉产生影响。方法：对近20年来已发表的有关传染病暴发中心理反应和应对策略的文献进行叙述性综合，并对其中有关传染病暴发中心理反应和应对策略的文献进行质量评价。结果：共检索到144篇文献，其中24篇纳入综述。总体而言，18项研究考察了普通民众对严重急性呼吸综合征疫情的心理社会反应，4项研究侧重于埃博拉疫情，2项研究涉及H1N1疫情。心理反应的常见主题包括焦虑/恐惧、抑郁、愤怒、内疚、悲伤和损失、创伤后应激和耻辱，但也有更大的赋权意识和对他人的同情心。采取的应对策略包括以问题为中心的应对(寻求替代方案、自我保护和他人保护)、寻求社会支持、回避和对情况的积极评价。结论：在以往传染病暴发的一系列心理社会反应中，当前新冠肺炎大流行的实际考虑需要放在更大的社会环境中的个人身上，重点是提高对可能的心理社会反应范围的认识，获得心理帮助，自我护理，增强自我支持团体的能力，并持续参与有关疫情的最新、可靠的信息。
INTRODUCTION: Emerging infectious disease outbreaks, such as the present coronavirus disease 2019 (COVID-19) pandemic, often have a psychological impact on the well-being of the general population, including survivors and caregivers. Our study aimed to synthesise extant literature regarding the combined psychological responses and coping methods used by the general population in past outbreaks.METHODS: We conducted a narrative synthesis of the published literature over the last two decades with a quality appraisal of included articles that reported both psychological responses and coping strategies within infectious disease outbreaks.RESULTS: A total of 144 papers were identified from the search, 24 of which were included in the review. Overall, 18 studies examined the psychosocial responses of the general population towards the severe acute respiratory syndrome epidemic, four studies focused on the Ebola epidemic and two studies covered the H1N1 outbreak. Common themes in psychological responses included anxiety/fears, depression, anger, guilt, grief and loss, post-traumatic stress and stigmatisation, but also a greater sense of empowerment and compassion towards others. Coping strategies adopted included problem-focused coping (seeking alternatives, self- and other-preservation), seeking social support, avoidance, and positive appraisal of the situation.CONCLUSION: Amid the range of psychosocial responses seen in past infectious disease outbreaks, practical considerations for the current COVID-19 pandemic need to focus on the individual in the context of the larger social environment, with an emphasis on raising awareness of the range of possible psychosocial responses, access to psychological help, self-care, empowering self-support groups and sustained engagement with updated, reliable information about the outbreak.