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The Psychological Impact of the COVID-19 Pandemic on Frontline Healthcare Workers : A Systematic Review and a Meta-Analysis COVID-19大流行对一线医护人员的心理影响:系统综述和荟萃分析
IF 0.7 Q4 Social Sciences Pub Date : 2023-01-01 DOI: 10.5708/ejmh.18.2023.0003
Samantha So, Tenger Wang, B. Yu, Monali S. Malvankar-Mehta
Introduction: The COVID-19 pandemic has created a chronically stressful work environment for healthcare workers, increasing the negative psychological effects experienced. Aims: The authors of this systematic review and meta-analysis aimed to assess the impact of COVID-19 on frontline healthcare workers’ mental health, using various psychological outcomes. Methods: A systematic literature search was conducted up until June 30th, 2022 on MEDLINE, EMBASE, CINAHL, Cochrane Library, Web of Science, ClinicalTrials.gov, and Dissertations and Theses. Results: This meta-analysis includes 22 cross-sectional studies with a total of 32,690 participants. Anxiety (ES = 0.23, CI: [0.18, 0.28]), depression (ES = 0.17, CI: [0.10, 0.24]), PTSD (ES = 0.28, CI: [0.08, 0.48]), and stress (ES = 0.35, CI: [0.17, 0.53]) was significantly prevalent among frontline healthcare workers. Conclusions: Our results suggested that European healthcare workers were experiencing high psychological symptoms associated with the COVID-19 pandemic. The monitoring of their psychological symptoms, preventative interventions, and treatments should be implemented to prevent, reduce, and treat the worsening of their mental health.
2019冠状病毒病大流行给医护人员造成了长期紧张的工作环境,增加了他们所经历的负面心理影响。目的:本系统综述和荟萃分析的作者旨在评估COVID-19对一线医护人员心理健康的影响,使用各种心理结果。方法:系统检索截至2022年6月30日的MEDLINE、EMBASE、CINAHL、Cochrane Library、Web of Science、ClinicalTrials.gov、disserts and Theses等网站的文献。结果:本荟萃分析包括22项横断面研究,共有32,690名参与者。焦虑(ES = 0.23, CI:[0.18, 0.28])、抑郁(ES = 0.17, CI:[0.10, 0.24])、创伤后应激障碍(ES = 0.28, CI:[0.08, 0.48])和压力(ES = 0.35, CI:[0.17, 0.53])在一线医护人员中普遍存在。结论:我们的研究结果表明,欧洲医护人员正在经历与COVID-19大流行相关的高度心理症状。应实施对其心理症状的监测、预防性干预和治疗,以预防、减少和治疗其心理健康的恶化。
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引用次数: 0
Affective Symptoms and Traumatic Stress Among College Students at Risk for ADHD During the Second Lockdown in Greece 在希腊第二次封锁期间,有多动症风险的大学生的情感症状和创伤性压力
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.2.3
Kleio Koutra, Effrosyni D. Kokaliari
Introduction: Due to the pandemic, individuals with ADHD have been facing noticeable challenges in their daily life. Prolonged quarantine and isolation may contribute to higher affective and PTSD symptoms among college students with ADHD. Aims: The study aimed to explore the impact of COVID-19 on affective symptoms such as depression, anxiety, stress, along with loneliness and post-traumatic stress on college students at risk for ADHD in Greece during the second COVID-19 lockdown in November 2020. Methods: A sample of 362 students completed an online survey consisting of demographic questions and four instruments: the ADHD Self-Report Scale-V1.1 (ASRS-V1.1), the DASS-21, the UCLA Loneliness Scale, and the PTSD checklist (PCL-5). Results: Over 18% of the students met the criteria for being at risk of ADHD, which is higher than in other studies conducted prior to the pandemic. Students at risk for ADHD reported significantly higher (p < .05) mean scores on all scales: depression, anxiety, stress, loneliness, and post-traumatic stress. A model to predict at-risk ADHD diagnosis indicated those who presented symptoms of depression, had low GPA, who were employed, were 46% more likely to struggle with ADHD.
导言:由于大流行,ADHD患者在日常生活中面临着明显的挑战。长时间的隔离和隔离可能会导致患有多动症的大学生出现更高的情感和创伤后应激障碍症状。目的:该研究旨在探讨2019冠状病毒病对2020年11月第二次封锁期间希腊有多动症风险的大学生的抑郁、焦虑、压力、孤独和创伤后压力等情感症状的影响。方法:362名学生完成了一项在线调查,包括人口统计学问题和四种工具:ADHD自我报告量表- v1.1 (ASRS-V1.1)、DASS-21、UCLA孤独量表和PTSD检查表(PCL-5)。结果:超过18%的学生符合ADHD风险标准,这比大流行之前进行的其他研究要高。有ADHD风险的学生在抑郁、焦虑、压力、孤独和创伤后应激等所有量表上的平均得分均显著较高(p < 0.05)。一个预测ADHD诊断风险的模型表明,那些表现出抑郁症状、GPA低、有工作的人患ADHD的可能性要高出46%。
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引用次数: 0
Feelings Related to the Academic Path in Virtue of the COVID-19 Pandemic: Testimonies from Portuguese Higher Education Students Attending Healthcare Courses 新冠肺炎疫情下的学术路径感受——葡萄牙高等教育学生参加医疗保健课程的见证
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.2.6
B. Minghelli, E. Tavares, T. Pinheiro
Introduction: In Portugal, two periods of confinement were implemented due to the COVID-19 pandemic (i.e., March 2020, January 2021), and closing the educational institutions was one of the containment measures adopted. Medical students felt the impact of these confinement periods because healthcare education has a very high practical component in the context of clinical teaching: it is impossible to teach these healthcare disciplines via distance learning methodology. Aims: This study aims to identify the feelings related to the academic path in higher education students attending healthcare courses as a consequence of confinement. Methods: The sample included 133 students, aged between 18 and 55 years, 77 (68.1%) were female. This was a qualitative and cross-sectional study using a content analysis approach. The measurement instrument included an online questionnaire. Results: From the results, demotivation, anxiety, insecurity and fear of being contaminated stand out as the most present and reported student feelings. All these new feelings led to a shift in the mental health status, which most students currently classify negatively as a result of all the changes ex-perienced during this time. Most students expressed negative feelings resulting from the pandemic, asserting that confinement interfered with their academic path in a negative way regarding their mental health. Conclusions: The decrease in practical classes led to a feeling of insecurity and fear in patient care. It is suggested that the mental health of university students be monitored during epidemics in order to try to minimize the impacts caused on their mental health.
导言:在葡萄牙,由于COVID-19大流行(即2020年3月和2021年1月),实施了两次禁闭期,关闭教育机构是所采取的遏制措施之一。医学生感受到这些禁闭期的影响,因为医疗保健教育在临床教学的背景下具有非常高的实践性:通过远程学习方法教授这些医疗保健学科是不可能的。目的:本研究旨在探讨高等教育学生在接受医疗保健课程后,对学业道路的相关感受。方法:学生133人,年龄18 ~ 55岁,其中女性77人,占68.1%。这是一项使用内容分析方法的定性和横断面研究。测量工具包括一份在线问卷。结果:从结果来看,动力不足、焦虑、不安全感和害怕被污染是学生最常见的感受。所有这些新的感受导致了心理健康状况的转变,由于这段时间经历的所有变化,大多数学生目前将其归类为负面的。大多数学生都表达了因新冠疫情而产生的负面情绪,认为禁闭对他们的学术道路产生了负面影响,影响了他们的精神健康。结论:实践课的减少导致了患者护理的不安全感和恐惧感。建议在疫情期间对大学生进行心理健康监测,尽量减少疫情对大学生心理健康的影响。
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引用次数: 0
Features of Anesthesiologists-Reanimatologists’ Emotional States in Different COVID-19 Pandemic Periods in Russia 俄罗斯不同疫情时期麻醉医师的情绪状态特征
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.2.9
M. Korehova, M. Kirov, Irina Novikova, A. Soloviev, E. Golubeva
Introduction: The COVID-19 pandemic is one of the most stressful events in recent times. Medical professionals, including anesthesiologists-reanimatologists, suffered the main blow in this difficult and stressful environment. Aims: This study aimed at identifying the features of anesthesiologists-reanimatologists’ emotional states in different COVID-19 pandemic periods. Methods: The study was conducted through an anonymous questionnaire among anesthesiologists-reanimatologists in two periods. In the First stage – which was carried out in May 2020 (during the first COVID-19 pan¬demic wave) – 58 anesthesiologists-reanimatologists in the Arkhangelsk region took part. During the Second segment – which took place in October 2020 (in the second COVID-19 pandemic wave) – 43 anesthesiologists-reanimatologists were examined. Repeated questioning was carried out among the same participants. Results: In October 2020, compared to May, the number of doctors who noted a high intensity of professional activity increased. Regardless of the study period, one-third of the subjects experienced constant pronounced anxiety. Anesthesiologists-reanimatologists, whose professional activity was directly related to the patients in COVID-19 care, noted a poorer emo¬tional state more frequently in October, accompanied by anxiety, depressed mood, irritability and a high burnout level, which may indicate a depletion of internal resources in this group. Conclusions: The study results showed that for anesthesiologists-reanimatologists, a further depletion of emotional resources accompanied the second pandemic wave. The anesthesiologists-reanimatologists’ emotional state was mediated by a number of social and gender factors, as well as specific labor organization features.
2019冠状病毒病大流行是近年来最令人紧张的事件之一。医疗专业人员,包括麻醉师和复活学家,在这种困难和紧张的环境中遭受了主要打击。目的:本研究旨在了解不同疫情时期麻醉师-复活师情绪状态特征。方法:采用匿名问卷调查的方式,分两个阶段对麻醉医师和复活医师进行调查。第一阶段于2020年5月(在第一次COVID-19大流行期间)进行,阿尔汉格尔斯克地区的58名麻醉师和复活学家参加了试验。第二部分于2020年10月(第二次COVID-19大流行期间)进行,对43名麻醉师和复活学家进行了检查。在相同的参与者中进行了重复的提问。结果:2020年10月,与5月相比,注意到高强度专业活动的医生数量增加。无论研究期间如何,三分之一的受试者持续经历明显的焦虑。麻醉医师-复苏医师的专业活动与COVID-19护理患者直接相关,他们在10月份更频繁地注意到情绪状态较差,伴有焦虑、抑郁、易怒和高度倦怠,这可能表明该组内部资源枯竭。结论:研究结果表明,对于麻醉师-复活师来说,情感资源的进一步枯竭伴随着第二次大流行浪潮。麻醉师-复活师的情绪状态受多种社会和性别因素以及特定的劳动组织特征的调节。
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引用次数: 0
Mental Health Literacy Regarding Depression and Suicide 关于抑郁症和自杀的心理健康素养
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.3.7
D. D. Neto, Pramod L. Maugi
Introduction: Mental health literacy enables individuals to recognize the symptoms associated with mental illness, and thus adjust their behavior to manage and seek help and treatment for mental illness. Aims: The present research aims to study determinants of mental health literacy and whether an association exists between mental health literacy and the understanding of content related to depression and suicide. Methods: In each group, the participants read one leaflet about depression or suicide and answered a questionnaire to assess their understanding. All the participants also filled out a mental health literacy self-report. Results: The results showed higher mental health literacy for women and individuals with a higher education. Mental health literacy predicted the understanding of suicide content, but the same did not apply for depression. Conclusions: Mental health literacy stands as an important factor to be considered in developing campaigns and promotional actions. However, its effect remains contingent on the contents and context. It is crucial to consider this interaction in maximizing the campaigns’ impact on the population.
心理健康素养使个人能够认识到与精神疾病相关的症状,从而调整自己的行为来管理和寻求精神疾病的帮助和治疗。目的:本研究旨在研究心理健康素养的决定因素,以及心理健康素养与对抑郁和自杀相关内容的理解之间是否存在关联。方法:在每组中,参与者阅读一份关于抑郁或自杀的传单,并回答一份调查问卷来评估他们的理解。所有参与者还填写了一份心理健康素养自我报告。结果:受过高等教育的妇女和个人的心理健康素养较高。心理健康素养预测自杀内容的理解,但同样不适用于抑郁症。结论:心理健康素养是开展宣传活动和推广活动时应考虑的重要因素。然而,其效果仍然取决于内容和语境。在最大限度地扩大运动对人口的影响方面,考虑这种相互作用是至关重要的。
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引用次数: 1
Differences of Subjective Well-Being in European Long-term Care Regimes 欧洲长期护理制度中主观幸福感的差异
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh/17.2022.1.1
Márta Fekete, László Pattyán, Lajos Hüse, É. Huszti, Péter Takács
Introduction: With the increase of life expectancy, the issue of quality of life (QoL) for the elderly is getting more focus. Beside the individual view, social and economic aspects are becoming more pronounced. Aims: In this study, we set out to establish a new classification of long-term care (LTC) regimes by examining the relationship between care systems and subjective quality of life. Methods: Our work was based on data from the Survey of Health, Ageing and Retirement in Europe through a secondary analysis of CASP-12 results. It was assumed that higher quality of life values could be observed in countries providing a higher standard of social care. We studied the background variables in different LTC regimes. Results: The data shows that the development and availability of care systems have a significant indirect correlation with older people’s subjective well-being. Our results raise the possibility of a new subdivision of care regimes. Conclusions: Those countries featured earlier as family-based systems and Central-Eastern European countries were growing closer to each other in this classification. As our statistical method proved, family-based and Central-Eastern European regimes are not significantly different (Minimisers). Northern countries, where investment and quality of life are also high, remain highly positioned on the scale (Maximisers). Countries that have medium-level investments and subjective well-being parameters place in the middle of the scale (Optimisers). Global changes (climate, migration, political culture, technology) are expected to have an effect on social care regimes, especially on Minimisers, where the realization or failure of investments is a critical question.
导读:随着人类预期寿命的延长,老年人的生活质量问题越来越受到关注。除了个人观点之外,社会和经济方面也变得越来越明显。目的:在本研究中,我们通过检查护理系统与主观生活质量之间的关系,着手建立一种新的长期护理(LTC)制度分类。方法:我们的工作基于欧洲健康、老龄化和退休调查的数据,通过对CASP-12结果的二次分析。人们认为,在提供较高标准的社会关怀的国家,可以观察到较高的生活质量价值。我们研究了不同LTC制度下的背景变量。结果:数据显示,护理系统的发展和可用性与老年人的主观幸福感有显著的间接相关。我们的结果提出了一种新的护理制度细分的可能性。结论:以前以家庭为基础的制度为特色的国家和中欧-东欧国家在这一分类中越来越接近。正如我们的统计方法所证明的那样,以家庭为基础的制度和中欧东欧的制度没有显著差异(最小化者)。北方国家的投资和生活质量也很高,在规模上仍然处于很高的位置(最大化者)。拥有中等投资水平和主观幸福感参数的国家位于规模的中间(优化者)。预计全球变化(气候、移民、政治文化、技术)将对社会关怀制度产生影响,特别是对最小化者,在这些制度中,投资的实现或失败是一个关键问题。
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引用次数: 0
Dementia in Czechia: Prevalence Estimations Until 2050 痴呆在捷克:患病率估计直到2050年
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh/17.2022.1.6
Kornélia Svačinová, M. Pechholdová
Introduction: The Czechia is facing population aging. The number of people with dementia is increasing. Conflicting conclusions of European studies confirm the difficulties of quantifying the disease. Aims: We aim to estimate the number of people with dementia in Czechia until 2050: a) projecting dementia prevalence using prevalence rates from EURODEM and EuroCoDe studies, b) projecting dementia based on mortality tables of individuals living with dementia. Comparing both approaches to dementia estimation. Methods: We conducted a literature review. The projection is based on socio-demographic and health variables; construction of life tables for people with dementia. Results: According to the results a) projecting the prevalence of dementia; over 300,000 seniors aged 60+ will suffer from dementia by 2050; b) estimating the number of individuals living with dementia: The number of men and women with dementia aged 65+ was estimated at over 120 thousand. Conclusions: Czech society is not prepared for this intense increase in the number of individuals living with dementia. We argue early diagnosis as well as appropriate health and social care are urgent.
捷克正面临着人口老龄化。痴呆症患者的数量正在增加。欧洲研究得出的相互矛盾的结论证实了量化这种疾病的困难。目的:我们的目标是估计到2050年捷克痴呆症患者的数量:a)使用EURODEM和EuroCoDe研究的患病率预测痴呆症的患病率,b)根据痴呆症患者的死亡率表预测痴呆症。比较两种方法对痴呆症的估计。方法:我们进行文献回顾。预测是根据社会人口和健康变量作出的;为痴呆症患者构建生命表。结果:根据结果a)预测痴呆的患病率;到2050年,将有30多万60岁以上的老年人患有痴呆症;b)估计痴呆症患者人数:65岁以上的痴呆症患者估计超过12万人。结论:捷克社会还没有为痴呆症患者数量的急剧增加做好准备。我们认为,早期诊断以及适当的保健和社会护理是迫切需要的。
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引用次数: 0
Cross-Cultural Differences in Psychological Health, Perceived Stress, and Coping Strategies of University Students During the COVID-19 Pandemic 新冠肺炎大流行期间大学生心理健康、压力感知及应对策略的跨文化差异
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.2.8
Noor Hassline Mohamed, Amoneeta Beckstein, P. Hutchings, N. Pang, S. Dawood, R. Fadilah, Katie E. Sullivan, A. Yahaya, Jaynita Baral
Introduction: COVID-19 has affected the entire world, including university students. Students are likely to experience COVID-19 related stress that might adversely affect their psychological health and result in various coping strategies. Aims: This study’s objectives were to examine cross-cultural differences and the relationships between stress, psychological health, and coping among university students during the pandemic. Furthermore, the study explored whether coping strategies mediated the relationship between psychological health and perceived distress for this population. Methods: University students (n = 703) were recruited via convenience sampling from Indonesia, Malaysia, the Philippines, Thailand, the United States, and the United Kingdom. Participants completed an online quantitative questionnaire consisting of demographics, the Perceived Stress Scale, the General Health Questionnaire, and the Brief-COPE. Results: Perceived psychological distress was significantly associated with poorer general psychological health and both were associated with dysfunctional coping. For all countries, psychological health mediated the relationship between perceived distress and dysfunctional coping. Students from individualistic cultures reported higher stress and poorer psychological health when compared to those from collectivistic countries. The latter tended to engage in more emotion-focused and problem-focused coping and used more dysfunctional coping strategies than the former. Conclusions: Future research should explore other mediators and moderators that affect university students’ responses to pandemics and should include longitudinal studies with larger samples. Findings emphasize the need for providing university students with mental health support during and after COVID-19. It is important to develop and research empirically based strategies for reducing their stress and psychological distress through effective and culturally appropriate coping strategies.
导读:COVID-19影响了整个世界,包括大学生。学生可能会经历与COVID-19相关的压力,这可能会对他们的心理健康产生不利影响,并导致各种应对策略。目的:本研究的目的是研究大流行期间大学生的跨文化差异以及压力、心理健康和应对之间的关系。此外,本研究还探讨了应对策略是否介导了这一人群的心理健康与感知痛苦之间的关系。方法:采用方便抽样方法,从印度尼西亚、马来西亚、菲律宾、泰国、美国和英国等地招募703名大学生。参与者完成了一份在线定量问卷,包括人口统计、感知压力量表、一般健康问卷和Brief-COPE。结果:感知到的心理困扰与较差的一般心理健康显著相关,两者都与功能失调的应对有关。对所有国家而言,心理健康都在感知到的痛苦与功能失调的应对之间起到中介作用。与集体主义国家的学生相比,来自个人主义文化的学生压力更大,心理健康状况更差。与前者相比,后者更倾向于以情绪为中心和以问题为中心的应对方式,并使用更多功能失调的应对策略。结论:未来的研究应探索影响大学生对流行病反应的其他中介和调节因素,并应包括更大样本的纵向研究。研究结果强调了在COVID-19期间和之后为大学生提供心理健康支持的必要性。重要的是要开发和研究基于经验的策略,通过有效的和文化上适当的应对策略来减少他们的压力和心理困扰。
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引用次数: 2
The Multifactorial Background of Helping Professionals’ Vital Exhaustion and Subjective Well-Being During the First Wave of COVID-19 in Hungary: A Cross-Sectional Study 匈牙利第一波COVID-19期间帮助专业人员生命衰竭和主观幸福感的多因素背景:一项横断面研究
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh.17.2022.2.11
Attila Pilinszki, Asztalos Bernadett, I. Danis, Máté Joób, Timea Tésenyi, Gábor Török
Introduction: Vital exhaustion and the well-being of helping professionals are important issues regarding the sustainability of services, especially in a critical situation such as the COVID-19 pandemic. Aims: The purpose of this study was to investigate helping professionals’ vital exhaustion and well-being, concerning different groups of background variables during the COVID-19 pandemic. Methods: In the spring of 2020, Hungarian helping professionals (N = 931) were contacted with an online questionnaire. Results: Our results show that indicators of physical well-being are strongly associated with vital exhaustion and subjective well-being (sleeping quality (χ2 (2) = 251.062, p < .001); frequency of meals (χ2 (2) = 99.454, p < .001)). Health and social care workers were more exhausted than members of other helping professions (χ2(4) =37.782, p < .001). There were statistically significant negative correlations between the Vital exhaustion and Well-being Score and satisfaction with work conditions (rs(929) = -.418, p < .001), satisfaction with family life (rs(806) = -.342, p < .001) and its change (rs(807) = -.287, p < .001), family-work balance (rs(675) = -.444, p < .001) and its change (rs(786) = -.515, p < .001). In the prediction of the Vital Exhaustion and the Well-being Score, the addition of physical well-being indicators to the regression model led to the strongest increase in R2 of .344, p < .001. Conclusion: A clear and consensual framework for life and work provides security amid unpredictable external changes.
导言:帮助专业人员的体力消耗和福祉是服务可持续性的重要问题,特别是在COVID-19大流行等危急情况下。目的:本研究的目的是调查在COVID-19大流行期间不同背景变量组的帮助专业人员的生命疲惫和幸福感。方法:于2020年春季对931名匈牙利助人专业人员进行在线问卷调查。结果:我们的研究结果表明,身体健康指标与生命衰竭和主观幸福感密切相关(睡眠质量(χ2 (2) = 251.062, p < .001);用餐频率(χ2 (2) = 99.454, p < 0.001)。卫生与社会护理工作者的疲劳程度高于其他帮助者(χ2(4) =37.782, p < .001)。生命衰竭与幸福感得分与工作条件满意度呈显著负相关(rs(929) = -)。418, p < .001),家庭生活满意度(rs(806) = -。342, p < .001),其变化(rs(807) = -。287, p < .001),家庭工作平衡(rs(675) = -。444, p < .001),其变化(rs(786) = -。515, p < .001)。在生命衰竭和幸福评分的预测中,回归模型中加入身体健康指标的R2增长最强,为0.344,p < 0.001。结论:在不可预测的外部变化中,一个清晰和共识的生活和工作框架提供了安全。
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引用次数: 0
Main Debates on the Management of Mental Illness: 1990-2020. A Narrative Review 精神疾病管理的主要争论:1990-2020。叙述性回顾
IF 0.7 Q4 Social Sciences Pub Date : 2022-01-01 DOI: 10.5708/ejmh/17.2022.1.9
P. Grech, R. Grech
Introduction: Since the introduction of newer psychiatric treatment methods during the 20th century, debates about the effectiveness and appropriateness of such treatment have featured. Advocates among those who promote the sociological, biological, psychological and spiritual understandings of mental illness and its treatment have created tangible tensions with those supporting each position commonly indulging in fierce attacks on the others. Aims: The aim of this paper is to explore some of the principal treatment viewpoints that characterized the late 20th century (1990 onwards) and early 21st century (up till 2020). Ultimately, these debates guided contemporary practice towards a biopsychosocial-spiritual view of mental illness in a move towards holistic person-centered care, which nowadays is the advocated model in many health systems. Methods: The authors undertook a literature search in order to locate published debates on psychiatric treatment during the late 20th century (1990 onwards) and the early 21st century (up till 2020). Results: Debates emerging from 36 articles were identified and synthesized in a narrative review. Conclusions: Exploring the various debates that have characterized mental health care serves as a crucial reflective exercise on what needs to be considered when claiming that contemporary care is based on a holistic and person-centered approach. In this view, critical evaluation is needed so as to avoid repeating the coercive and inhumane mistakes of the past.
导言:自从20世纪新的精神病学治疗方法被引入以来,关于这种治疗的有效性和适当性的争论一直很突出。在那些提倡对精神疾病及其治疗进行社会学、生物学、心理学和精神理解的人当中,支持者之间产生了切实的紧张关系,支持双方立场的人通常都沉溺于对对方的猛烈攻击。目的:本文的目的是探讨20世纪末(1990年起)和21世纪初(直到2020年)的一些主要治疗观点。最终,这些辩论引导当代实践朝着以人为中心的整体护理的方向发展,以生物心理社会精神观点来看待精神疾病,这是当今许多卫生系统所提倡的模式。方法:作者进行了文献检索,以确定20世纪末(1990年起)和21世纪初(到2020年)关于精神病学治疗的公开辩论。结果:在一篇叙述性综述中,对36篇文章中的争论进行了识别和综合。结论:探索具有精神卫生保健特点的各种辩论,作为一个重要的反思练习,当声称当代护理是基于整体和以人为本的方法时,需要考虑什么。这种观点认为,需要进行批判性评价,以避免重复过去的强制性和不人道的错误。
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引用次数: 0
期刊
European Journal of Mental Health
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