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Covid-19 and mental health: a transformational opportunity to apply an evidence-based approach to clinical practice and research.
BMJ Mental Health ( IF 5.2 ) Pub Date : 2020-05-01 , DOI: 10.1136/ebmental-2020-300155
Katharine Smith 1, 2 , Edoardo Ostinelli 1, 2 , Andrea Cipriani 2, 3
Affiliation  

Covid-19 was first recognised in December 2019 and is now posing critical challenges for public health, clinical research and medical care worldwide.1 The covid-19 outbreak has rapidly evolved into a fast-moving global pandemic, with world updates produced on a daily basis.2 For busy clinicians, this presents a problem of information overload: while there is a sea of information, finding easily accessible, reliable and up-to-date answers to immediate clinical questions can be difficult and time-consuming. The data available are a broad sweep of official guidance from different organisations (including specialty-based, country-based and worldwide), original research papers, personal/professional experiences and commentaries. Mental health patients are particularly vulnerable in the context of covid-19, both directly because of their mental health difficulties, but also because of some of the long-term effects of psychotropic medication (such as metabolic syndrome with long-term antipsychotics), comorbid physical health problems and the effects of smoking.3 These factors together mean they are more vulnerable both to covid-19 itself and its complications, as well as to the adverse psychological effects of measures such as self-isolation and disruption to their normal healthcare and lifestyle.4 Moreover, the field of mental health is a particularly challenging area in which to source evidence related to covid-19. Covid-19 is primarily a respiratory disease and so much of the guidance and papers focus on the physical manifestations and their management. Mental health reports to date have generally examined the psychological effects of isolation/quarantine in the general public and psychological impacts on healthcare workers, rather than mental health patients/mental health services themselves. In addition, information specific to mental health is …

中文翻译:

Covid-19 和心理健康:将循证方法应用于临床实践和研究的变革机会。

Covid-19 于 2019 年 12 月首次得到认可,目前正在对全球公共卫生、临床研究和医疗保健构成严峻挑战。1 covid-19 疫情已迅速演变成一场快速蔓延的全球大流行病,每天都会发布全球最新情况2 对于忙碌的临床医生来说,这带来了信息超载的问题:虽然信息海量,但为眼前的临床问题找到易于获取、可靠和最新的答案可能会很困难且耗时。可用数据包括来自不同组织(包括专业组织、国家组织和全球组织)的广泛官方指导、原始研究论文、个人/专业经验和评论。精神健康患者在 covid-19 的背景下特别容易受到伤害,这不仅是因为他们的精神健康困难,还因为精神药物的一些长期影响(例如长期抗精神病药物的代谢综合征)、共病身体健康问题和吸烟的影响。3这些因素加在一起意味着他们更容易受到 covid-19 本身及其并发症的影响,也更容易受到自我隔离和正常医疗保健中断等措施的不利心理影响。 4 此外,心理健康领域是一个特别具有挑战性的领域,在该领域寻找与 covid-19 相关的证据。Covid-19 主要是一种呼吸道疾病,因此许多指南和论文都侧重于身体表现及其治疗。迄今为止的心理健康报告一般都研究了隔离/检疫对普通公众的心理影响以及对医护人员的心理影响,而不是心理健康患者/心理健康服务本身。此外,特定于心理健康的信息是……
更新日期:2020-05-01
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