在COVID-19大流行期间精神健康诊断的发生率:一项跨国网络研究研究
Yi Chai1,2, Kenneth K C Man1,3,4, Hao Luo2,5,6
1Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong.
Epidemiology and psychiatric sciences
|March 3, 2024
概括
由于COVID-19的限制,最初在几个国家减少了心理健康诊断. 然而,在2020年中期,诊断开始恢复到大流行前的水平,这凸显了对适应性医疗保健服务的需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 与COVID-19大流行相关的限制可能会阻碍心理健康诊断.
- 了解这些限制对心理健康诊断率的影响至关重要.
研究的目的:
- 检查COVID-19大流行期间心理健康诊断的数量和发病率的变化.
- 为了比较COVID相关限制实施前后的心理健康诊断趋势.
主要方法:
- 利用电子健康记录和来自法国,德国,意大利,韩国,英国和美国的索赔数据的中断时间序列分析.
- 在COVID相关限制之前和之后,对各种心理健康诊断 (抑郁症,焦虑症,物质使用障碍,双相情感,人格障碍,精神病) 的每月事件病例和发病率进行比较.
主要成果:
- 在限制之后,在美国和大多数欧洲国家观察到精神健康诊断的初始下降.
- 在英国,常见的精神疾病有显著的减少.
- 大多数国家在2020年中期至2021年期间恢复或超过了大流行前诊断水平.
结论:
- 医疗保健系统必须为服务适应做好准备,以应对由大流行引起的诊断和治疗延迟.
- 需要采取积极的措施来减轻因延迟护理而产生的长期心理健康负担.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
55
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
55
Stress and Mental Health
157
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
157
Prevalence and Incidence
502
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
502
Psychological and Sociocultural Causes of Schizophrenia
86
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
86
Bipolar Disorder
67
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
67
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30


