Mental Health Issues During and After COVID-19 Vaccine Era.

Mental Health Issues During and After COVID-19 Vaccine Era.
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Covid-19-19-19疫苗时代期间和之后的心理健康问题。

DOI:
10.1016/j.brainresbull.2021.08.012
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发表时间:
2021-11
影响因子:
3.8
通讯作者:
Byrareddy SN
Byrareddy SN
中科院分区:
医学3区
文献类型:
--
作者:
Pandey K;Thurman M;Johnson SD;Acharya A;Johnston M;Klug EA;Olwenyi OA;Rajaiah R;Byrareddy SN

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COVID-19大流行已持续一年多,COVID-19后神经系统并发症的后遗症(包括对中枢神经系统(CNS)的直接和间接影响)已得到认可。有大量证据表明,COVID-19患者存在神经、认知和情感缺陷。急性神经系统症状,如神经炎症,认知障碍,嗅觉丧失和脑中风是SARS-CoV-2感染者的常见直接影响。与工作相关的压力,封锁,社交距离和隔离以应对SARS-CoV-2也影响了大量人群的心理健康,无论年龄大小。突发公共卫生事件影响了个人和社区,导致情绪反应和不健康行为。尽管疫苗已在大量人群中广泛分发和接种,但疫苗犹豫仍然存在,可能是由于对疫苗效力、初步试验和相关副作用的担忧。本综述通过概述在整个COVID-19大流行期间(包括疫苗接种期间和之后)导致人们心理健康下降的直接和间接影响以及因素,强调了COVID-19对CNS的影响。此外,我们还讨论了疫苗犹豫的原因,以及为什么一些人群被剥夺了疫苗。最后,我们谈到了心理健康的社会决定因素及其在危机时期对弱势群体的影响,这可能有助于政策制定者制定一些行动计划,以缓解COVID-19持续流行期间的心理健康动荡。
The COVID-19 pandemic has persisted for more than a year, and post-COVID-19 sequelae of neurological complications, including direct and indirect effects on the central nervous system (CNS), have been recognized. There is a plethora of evidence for neurological, cognitive, and emotional deficits in COVID-19 patients. Acute neurological symptoms like neuroinflammation, cognitive impairment, loss of smell, and brain stroke are common direct effects among SARS-CoV-2 infected individuals. Work-associated stress, lockdowns, social distancing, and quarantine in response to contain SARS-CoV-2 have also affected the mental health of large populations, regardless of age. Public health emergencies have affected individuals and communities, resulting in emotional reactions and unhealthy behaviors. Although vaccines have been widely distributed and administered among large populations, vaccine hesitancy still exists and may be due to apprehension about vaccine efficacy, preliminary trials, and associated side effects. This review highlights the impact of COVID-19 on the CNS by outlining direct and indirect effects and factors contributing to the decline in people's mental health throughout the COVID-19 pandemic both during and after vaccine administration. Furthermore, we also discuss reasons for vaccine hesitancy and why some groups of people are deprived of vaccines. Finally, we touched upon the social determinants of mental health and their impact on disadvantaged populations during times of crisis which may help policymakers set up some action plans to mitigate the COVID-19 mental health turmoil during this ongoing pandemic.
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