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Addressing the mental health impact of COVID-19 through population health
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2021-03-05 , DOI: 10.1016/j.cpr.2021.102006
Matt Boden 1 , Lindsey Zimmerman 2 , Kathryn J Azevedo 3 , Josef I Ruzek 4 , Sasha Gala 5 , Hoda S Abdel Magid 6 , Nichole Cohen 7 , Robyn Walser 8 , Naina D Mahtani 9 , Katherine J Hoggatt 10 , Carmen P McLean 11
Affiliation  

The COVID-19 pandemic has and will continue to result in negative mental health outcomes such as depression, anxiety and traumatic stress in people and populations throughout the world. A population mental health perspective informed by clinical psychology, psychiatry and dissemination and implementation science is ideally suited to address the broad, multi-faceted and long-lasting mental health impact of the pandemic. Informed by a systematic review of the burgeoning empirical research on the COVID-19 pandemic and research on prior coronavirus pandemics, we link pandemic risk factors, negative mental health outcomes and appropriate intervention strategies. We describe how social risk factors and pandemic stressors will contribute to negative mental health outcomes, especially among vulnerable populations. We evaluate the scalability of primary, secondary and tertiary interventions according to mental health target, population, modality, intensity and provider type to provide a unified strategy for meeting population mental health needs. Traditional models, in which evidence-based therapies delivered are delivered in-person, by a trained expert, at a specialty care location have proved difficult to scale. The use of non-traditional models, tailoring preventive interventions to populations based on their needs, and ongoing coordinated evaluation of intervention implementation and effectiveness will be critical to refining our efforts to increase reach.



中文翻译:

通过人口健康解决 COVID-19 对心理健康的影响

COVID-19 大流行已经并将继续对全世界的人们和人群造成负面的心理健康结果,例如抑郁、焦虑和创伤性压力。以临床心理学、精神病学和传播与实施科学为基础的人口心理健康观点非常适合解决大流行病广泛、多方面和持久的心理健康影响。通过对新兴的 COVID-19 大流行实证研究和对先前冠状病毒大流行的研究的系统回顾,我们将大流行风险因素、负面心理健康结果和适当的干预策略联系起来。我们描述了社会风险因素和流行病压力因素将如何导致负面的心理健康结果,尤其是在弱势群体中。我们评估主要的可扩展性,根据心理健康目标、人群、方式、强度和提供者​​类型进行二级和三级干预,以提供满足人群心理健康需求的统一策略。事实证明,由训练有素的专家在专业护理场所亲自提供循证疗法的传统模式难以扩展。使用非传统模型、根据人群的需求量身定制预防性干预措施,以及持续对干预措施的实施和有效性进行协调评估,对于完善我们扩大影响范围的努力至关重要。事实证明,由训练有素的专家在专科护理地点亲自提供循证疗法的方法难以推广。使用非传统模型、根据人群的需求量身定制预防性干预措施,以及持续对干预措施的实施和有效性进行协调评估,对于完善我们扩大影响范围的努力至关重要。事实证明,由训练有素的专家在专科护理地点亲自提供循证疗法的方法难以推广。使用非传统模型、根据人群的需求量身定制预防性干预措施,以及持续对干预措施的实施和有效性进行协调评估,对于完善我们扩大影响范围的努力至关重要。

更新日期:2021-03-11
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