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首页> 外文期刊>Professional psychology: research and practice >Psychological Interventions on the Front Lines: A Roadmap for the Development of a Behavioral Treatment Program to Mitigate the Mental Health Burden Faced by COVID-19 Survivors
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Psychological Interventions on the Front Lines: A Roadmap for the Development of a Behavioral Treatment Program to Mitigate the Mental Health Burden Faced by COVID-19 Survivors

机译：前线的心理干预：制定行为治疗计划的路线图，以减轻 COVID-19 幸存者面临的心理健康负担

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Public Significance Statement Coronavirus disease 2019 (COVID-19) survivors are at high risk of psychiatric illness and often experience anxiety, isolation, demoralization, and guilt in the context of a sudden change in physical functioning and social/occupational roles, medical complications, and environmental stressors. We developed an inpatient and outpatient behavioral treatment program after which approximately two thirds of COVID-19 survivors did not require further psychiatric care. By noting some of the challenges we faced and by implementing cognitive-behavioral and mindfulness interventions, clinicians may be able to address the emotional needs of individuals recovering from COVID-19. Our approach may also inform how psychologists respond to future pandemics and public health emergencies. Survivors of prolonged hospitalization due to coronavirus disease 2019 (COVID-19) are at risk for psychiatric symptoms that can interfere with rehabilitation and functional outcomes. We developed an inpatient and outpatient behavioral treatment program for COVID-19 patients. We describe the constellation of emotional symptoms we observed, the evolution of symptom presentation from the inpatient to the outpatient setting, and outline the challenges we faced and lessons we learned as we implemented cognitive-behavioral interventions to enhance functioning and decrease symptom burden. We highlight modifications to therapeutic techniques that we made for this population and discuss cultural considerations in our diverse patient population. Initial outcome data indicate that approximately two thirds of patients (66 in the inpatient setting, 65 in the outpatient setting) are discharged from our program without further psychiatric care. As the COVID-19 pandemic continues to intensify and reports of "long-haul" symptoms accumulate among survivors, behavioral interventions to address psychiatric sequelae are paramount. Our approach and experience from the first wave of the pandemic has the potential to inform the development of behavioral treatment programs to mitigate psychiatric symptoms in this vulnerable population, as well as the response of mental health providers to future pandemics and public health emergencies.
机译：公共意义声明冠状病毒疾病2019 (COVID-19)幸存者的风险都很高精神疾病,经常体验焦虑,隔离,道德败坏,内疚的物理环境突然变化功能和社会/职业角色,医疗并发症,和环境紧张的因素。门诊行为治疗项目大约三分之二的COVID-19幸存者不需要进一步的精神护理。和通过实施认知行为正念干预,临床医生可以解决个人的情感需求从COVID-19中恢复。通知心理学家如何应对未来传染病和突发公共卫生事件。长期住院的幸存者冠状病毒疾病2019 (COVID-19)风险可能会干扰的精神病症状康复和功能结果。开发了一个住院病人和门诊病人的行为对COVID-19病人治疗项目。描述情感症状的星座我们观察到,症状的发展表示从住院病人到门诊设置,我们面临的挑战和轮廓课我们学习实现的认知行为干预来提高功能,降低症状负担。突出修改治疗技术我们为这个人口和讨论文化因素在我们不同的病人人口。大约三分之二的患者(66%住院,门诊的65%)没有进一步解除我们的计划精神科护理。继续加强和报告的“长途”症状积累在幸存者中,行为干预措施来解决精神后遗症派拉蒙。第一波大流行的潜力通知行为疗法的发展程序减轻精神病症状脆弱人群,以及响应的未来的大流行和心理健康提供者突发公共卫生事件。

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