长新冠心理行为问题的诊治建议  

Recommendations on the diagnosis and treatment of psychological behavioral problems of"long COVID"

作　　者：季建林 李园园 Ji Jianlin;Li Yuanyuan(Department of Psychological Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院心理医学科,上海200032

出　　处：《中华行为医学与脑科学杂志》2023年第9期769-773,共5页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：新冠感染后要警惕"长新冠"。长新冠的心理行为症状主要为失眠、抑郁、焦虑和认知功能失调,会在感染康复后持续存在数月或较长时间,影响患者的社会功能康复和生活质量。本文围绕长新冠心理行为症状的影响因素、如何早期识别,以及治疗干预等方面复习了近期的研究文献,提出及时识别患者的睡眠、情绪和认知问题,并及时给予综合干预,尤其是健康教育、心理与药物治疗与康复训练,绝大多数患者会得到症状改善和恢复到病前社会功能水平。Individuals should be alerted to"long COVID",which is a general term for symptoms that last for weeks or months after COVID-19 infections.Psychological and behavioral symptoms of long COVID mainly include insomnia,depression,anxiety and cognitive dysfunction.These symptoms could last for several months or longer after individuals recovered from COVID-19 infections,which could impact patients’social functioning and quality of life.This paper reviewed recent researches and discussed several aspects concerning long COVID psychological and behavioral symptoms,including influencing factors,approaches of early identification,and interventions/treatment.The author proposed that patients’problems of insomnia,mood disorders and cognitive dysfunction should be identified timely.Comprehensive interventions should be offered timely,especially those combined with health education,psychotherapy and pharmacotherapy,as well as rehabilitation training.Most of the patients would experience symptoms improvement and recovery,with their level of social functioning returning back to that before they got COVID-19 infections.

关 键 词：新型冠状病毒肺炎 长新冠 抑郁 焦虑 失眠 认知失调 

分 类 号：R563.1[医药卫生—呼吸系统] R395.1[医药卫生—内科学]