栏目: 特　稿

摘要
• 摘要: 新型冠状病毒感染疫情（新冠疫情）暴发以来，新型冠状病毒持续变异，国内新发疫情不断出现，疫情防控形势依然严峻。新冠疫情不仅会影响患者的精神心理健康，还会导致家属、医务人员、大学生、青少年、儿童、甚至普通人群的精神心理问题明显增加。目前我国新冠疫情形势复杂，公众面临着病毒感染或再次感染的新威胁和疫情对个人的工作、学习、经济收入等各方面的严重影响，与疫情相关的精神心理问题仍非常突出。我国政府相关部门和卫生机构在实施疫情防控工作过程中，非常重视公众的心理健康工作，如何紧密配合我国疫情防控要求，提高我国突发公共卫生事件精神心理卫生服务水平，保证后疫情时代下公众的心理健康状况和幸福水平是当前的一项重要任务。本文在总结前期新冠疫情相关的精神心理问题的基础上，提出后疫情时代精神心理问题的应对策略。

  关键词:
  • 新冠疫情 / 
  • 精神心理问题 / 
  • 精神心理卫生服务 / 
  • 后疫情时代 
  Abstract: Since the first outbreak of the coronavirus disease 2019 (COVID-19), prevention and control of the pandemic remains a grim issue because of the continuous emergence of new variants of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus causing COVID-19, and the constant emergence of new domestic outbreaks. During the COVID-19 pandemic, mental and psychological problems have increased significantly among different populations, including patients of COVID-19 and their families, health workers, college students, adolescents, children, and even the general population. At present, the COVID-19 epidemic situation in China is rather complicated. The general population is confronted with a variety of challenges, including the threat of infection or reinfection, lower efficiency in study and work, and reduced incomes, and is hence experiencing many mental health problems related to the epidemic situation. Therefore, the relevant governmental departments and health institutions in China have attached high importance to the mental health issue in the process of implementing pandemic control measures of COVID-19. Close collaboration to implement the required epidemic prevention and control measures, improvements in the mental health services for public health emergencies in China, and commitment to the protection of the mental health and well-being of the people in the post-pandemic era have become the top priorities for now. Based on a review of the mental health problems related to COVID-19 pandemic, we suggested strategies to deal with mental health problems in the post-COVID-19 era.

  Key words:
  • COVID-19 pandemic / 
  • Mental problems / 
  • Mental health services / 
  • Post-COVID-19 Era 
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参考文献(44)

• [1]	XIE Y, XU E, Al-ALY Z. Risks of mental health outcomes in people with covid-19: Cohort study. BMJ,2022,376: e068993. doi: 10.1136/bmj-2021-068993
  [2]	DRAGIOTI E, LI H, TSITSAS G, et al. A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic. J Med Virol,2022,94(5): 1935–1949. doi: 10.1002/jmv.27549
  [3]	PHIRI P, RAMAKRISHNAN R, RATHOD S, et al. An evaluation of the mental health impact of SARS-CoV-2 on patients, general public and healthcare professionals: a systematic review and meta-analysis. E Clin Med,2021,34: 100806. doi: 10.1016/j.eclinm.2021.100806
  [4]	YUAN K, ZHENG Y B, WANG Y J, et al. A systematic review and meta-analysis on prevalence of and risk factors associated with depression, anxiety and insomnia in infectious diseases, including COVID-19: a call to action. Mol Psychiatry,2022,27(8): 3214–3222. doi: 10.1038/s41380-022-01638-z
  [5]	YUAN K, GONG Y M, LIU L, et al. Prevalence of posttraumatic stress disorder after infectious disease pandemics in the twenty-first century, including COVID-19: a meta-analysis and systematic review. Mol Psychiatry,2021,26(9): 4982–4998. doi: 10.1038/s41380-021-01036-x
  [6]	CHOMMELOUX J, VALENTIN S, WINISZEWSKI H, et al. One-year mental and physical health assessment in survivors after ECMO for COVID-19-related ARDS. Am J Respir Crit Care Med,2023,207(2): 150–159. doi: 10.1164/rccm.202206-1145OC
  [7]	YUAN K, HUANG X L, YAN W, et al. A systematic review and meta-analysis on the prevalence of stigma in infectious diseases, including COVID-19: a call to action. Mol Psychiatry,2022,27(1): 19–33. doi: 10.1038/s41380-021-01295-8
  [8]	AZOULAY E, RESCHE-RIGON M, MEGARBANE B, et al. Association of COVID-19 acute respiratory distress syndrome with symptoms of posttraumatic stress disorder in family members after ICU discharge. JAMA,2022,327(11): 1042–1050. doi: 10.1001/jama.2022.2017
  [9]	ROSE L, COOK A, ONWUMERE J, et al. Psychological distress and morbidity of family members experiencing virtual visiting in intensive care during COVID-19: an observational cohort study. Intensive Care Med,2022,48(9): 1156–1164. doi: 10.1007/s00134-022-06824-9
  [10]	SUN Y, BAO Y, LU L. Addressing mental health care for the bereaved during the COVID-19 pandemic. Psychiatry Clin Neurosci,2020,74(7): 406–407. doi: 10.1111/pcn.13008
  [11]	XIANG Y T, YANG Y, LI W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry,2020,7(3): 228–229. doi: 10.1016/S2215-0366(20)30046-8
  [12]	QUE J, SHI L, DENG J, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr,2020,33(3): e100259. doi: 10.1136/gpsych-2020-100259
  [13]	LI Y, FAN R, LU Y, et al. Prevalence of psychological symptoms and associated risk factors among nurses in 30 provinces during the COVID-19 pandemic in China. Lancet Reg Health West Pac,2023,30: 100618. doi: 10.1016/j.lanwpc.2022.100618
  [14]	XU Y, SU S, JIANG Z, et al. Prevalence and risk factors of mental health symptoms and suicidal behavior among university students in Wuhan, China during the COVID-19 pandemic. Front Psychiatry,2021,12: 695017. doi: 10.3389/fpsyt.2021.695017
  [15]	CAO W, FANG Z, HOU G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res,2020,287: 112934. doi: 10.1016/j.psychres.2020.112934
  [16]	MA Z, ZHAO J, LI Y, et al. Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiol Psychiatr Sci,2020,29: e181. doi: 10.1017/S2045796020000931
  [17]	MA L, MAZIDI M, LI K, et al. Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: a systematic review and meta-analysis. J Affect Disord,2021,293: 78–89. doi: 10.1016/j.jad.2021.06.021
  [18]	YARD E, RADHAKRISHNAN L, BALLESTEROS M F, et al. Emergency department visits for suspected suicide attempts among persons aged 12-25 years before and during the COVID-19 pandemic - United States, January 2019-May 2021. Morb Mortal Wkly Rep,2021,70(24): 888–894. doi: 10.15585/mmwr.mm7024e1
  [19]	ZHANG L, ZHANG D, FANG J, et al. Assessment of mental health of Chinese primary school students before and after school closing and opening during the COVID-19 pandemic. JAMA Netw Open,2020,3(9): e2021482. doi: 10.1001/jamanetworkopen.2020.21482
  [20]	PFEFFERBAUM B. Children's psychological reactions to the COVID-19 pandemic. Curr Psychiatry Rep,2021,23(11): 75. doi: 10.1007/s11920-021-01289-x
  [21]	LOADES M E, CHATBURN E, HIGSON-SWEENEY N, et al. Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry,2020,59(11): 1218–1239.e1213. doi: 10.1016/j.jaac.2020.05.009
  [22]	VINER R, RUSSELL S, SAULLE R, et al. School closures during social lockdown and mental health, health behaviors, and well-being among children and adolescents during the first COVID-19 wave: a systematic review. JAMA Pediatr,2022,176(4): 400–409. doi: 10.1001/jamapediatrics.2021.5840
  [23]	SINGH S, ROY D, SINHA K, et al. Impact of COVID-19 and lockdown on mental health of children and adolescents: a narrative review with recommendations. Psychiatry Res,2020,293: 113429. doi: 10.1016/j.psychres.2020.113429
  [24]	SHI L, LU Z A, QUE J Y, et al. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the Coronavirus Disease 2019 pandemic. JAMA Netw Open,2020,3(7): e2014053. doi: 10.1001/jamanetworkopen.2020.14053
  [25]	LUO M, GUO L, YU M, et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public--a systematic review and meta-analysis. Psychiatry Res,2020,291: 113190. doi: 10.1016/j.psychres.2020.113190
  [26]	AMENDOLA S, SPENSIERI V, HENGARTNER M P, et al. Mental health of Italian adults during COVID-19 pandemic. Br J Health Psychol,2021,26(2): 644–656. doi: 10.1111/bjhp.12502
  [27]	GONZÁLEZ-SANGUINO C, AUSÍN B, CASTELLANOS M, et al. Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain Behav Immun,2020,87: 172–176. doi: 10.1016/j.bbi.2020.05.040
  [28]	WANG Y, SHI L, QUE J, et al. The impact of quarantine on mental health status among general population in China during the COVID-19 pandemic. Mol Psychiatry,2021,26(9): 4813–4822. doi: 10.1038/s41380-021-01019-y
  [29]	BOLDRINI M, CANOLL P D, KLEIN R S. How COVID-19 affects the brain. JAMA psychiatry,2021,78(6): 682–683. doi: 10.1001/jamapsychiatry.2021.0500
  [30]	ZENG N, ZHAO Y M, YAN W, et al. A systematic review and meta-analysis of long term physical and mental sequelae of COVID-19 pandemic: call for research priority and action. Mol Psychiatry,2023,28(1): 423–433. doi: 10.1038/s41380-022-01614-7
  [31]	EVANS R A, MCAULEY H, HARRISON E M, et al. Physical, cognitive, and mental health impacts of COVID-19 after hospitalisation (PHOSP-COVID): A UK multicentre, prospective cohort study. Lancet Respir Med,2021,9(11): 1275–1287. doi: 10.1016/S2213-2600(21)00383-0
  [32]	TAQUET M, DERCON Q, LUCIANO S, et al. Incidence, co-occurrence, and evolution of long-COVID features: a 6-month retrospective cohort study of 273, 618 survivors of COVID-19. PLoS Med,2021,18(9): e1003773. doi: 10.1371/journal.pmed.1003773
  [33]	TAQUET M, SILLETT R, ZHU L, et al. Neurological and psychiatric risk trajectories after SARS-CoV-2 infection: an analysis of 2-year retrospective cohort studies including 1 284 437 patients. Lancet Psychiatry,2022,9(10): 815–827. doi: 10.1016/S2215-0366(22)00260-7
  [34]	ANDHAVARAPU S, YARDI I, BZHILYANSKAYA V, et al. Post-traumatic stress in healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Psychiatry Res,2022,317: 114890. doi: 10.1016/j.psychres.2022.114890
  [35]	CHEN X, CHEN J, ZHANG M, et al. Meta-regression on the heterogenous factors contributing to the prevalence of mental health symptoms during the COVID-19 crisis among healthcare workers. Front Psychiatry,2022,13: 833865. doi: 10.3389/fpsyt.2022.833865
  [36]	LU Z A, SHI L, QUE J Y, et al. Long-term psychological profile of general population following COVID-19 outbreak: symptom trajectories and evolution of psychopathological network. Epidemiol Psychiatr Sci,2022,31: e69. doi: 10.1017/S2045796022000518
  [37]	XIE X, LIU Q, ZHU K, et al. Psychological symptom progression in school-aged children after COVID-19 home confinement: a longitudinal study. Front Psychiatry,2022,13: 809107. doi: 10.3389/fpsyt.2022.809107
  [38]	BOREL M, XIE L, KAPERA O, et al. Long-term physical, mental and social health effects of COVID-19 in the pediatric population: a scoping review. World J Pediatr,2022,18(3): 149–159. doi: 10.1007/s12519-022-00515-7
  [39]	GONG Y, LIU X, SU S, et al. Addressing mental health issues amid the COVID-19 pandemic: a wake-up call. Sci Bull (Beijing),2022,67(22): 2259–2262. doi: 10.1016/j.scib.2022.10.022
  [40]	THE L. Science during COVID-19: Where do we go from here? Lancet,2021,396(10267): 1941. doi: 10.1016/S0140-6736(20)32709-4
  [41]	MAZZA M G, PALLADINI M, De LORENZO R, et al. Persistent psychopathology and neurocognitive impairment in COVID-19 survivors: effect of inflammatory biomarkers at three-month follow-up. Brain Behav Immun,2021,94: 138–147. doi: 10.1016/j.bbi.2021.02.021
  [42]	ZHAO Y M, LIU L, SUN J, et al. Public willingness and determinants of COVID-19 vaccination at the initial stage of mass vaccination in China. Vaccines (Basel),2021,9(10): 1172. doi: 10.3390/vaccines9101172
  [43]	ZHENG Y B, SUN J, LIU L, et al. COVID-19 vaccine-related psychological stress among general public in China. Front Psychiatry,2021,12: 774504. doi: 10.3389/fpsyt.2021.774504
  [44]	SACHS J D, KARIM S S A, AKNIN L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet,2022,400(10359): 1224–1280. doi: 10.1016/S0140-6736(22)01585-9

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