TOWARD A COHESIVE CLINICAL INTERPRETATION OF MENTAL DISORDERS IN SARS-COV-2 PANDEMIC: AN EXPERT OPINION
| Autor: | Oleh S. Fitkalo, Oksana Lyzak, Alfred Pritz, Oleksandr Filts, Olha Myshakivska, Lyudmyla Samsonova, Oleh Berezyuk |
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| Rok vydání: | 2021 |
| Předmět: |
Biopsychosocial model
education.field_of_study medicine.medical_specialty business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Interpretation (philosophy) Population Mental health 030227 psychiatry 03 medical and health sciences 0302 clinical medicine Pandemic Molecular Medicine Medicine Anxiety 030212 general & internal medicine medicine.symptom education business Psychiatry Depression (differential diagnoses) |
| Zdroj: | Proceedings of the Shevchenko Scientific Society. Medical Sciences. 64 |
| ISSN: | 2708-8642 2708-8634 |
| DOI: | 10.25040/ntsh2021.01.15 |
| Popis: | As the COVID-19 pandemic progresses, the observed increase in mental health issues requires more and more clinical attention. Mental disorders have become a major cause for disturbances in social adjustment, primarily due to disorders that fall into three clusters: Prolonged fatigue (asthenia) with cognitive impairment;anxiety disorders with sleep disorders;and depression. The last two are also found in individuals who have not contracted SARSCoV- 2;they are seen as a result of their exposure to the stress of the pandemic. Therefore, to successfully manage the consequences of the pandemic, it is necessary to develop a cohesive clinical interpretation of mental disorders related to COVID-19 infection. Our proposed model would encompass all the above manifestations as follows: A) for the general population - by the triad of 'nosogenic reactions' with excessive (hyper-), normal (normo-) or ignoring (hyponosognostic) psychological responses to stress related to the semantics and individual signifi cance of the SARS-CoV-2 diagnosis (nosos);b) for long COVID - by the biopsychosocial model as a typical combination of neurotoxic asthenia with cognitive impairment (Bonhoeff er's neurobiological factor) that exacerbates 'nosogenic' anxiety and sleep disorders (psychological factor) and thus provokes a depressive response (as a social maladaptive factor). © Oleksandr Filts, Oleh Fitkalo, Oksana Lyzak, Oleh Berezyuk, Olha Myshakivska, Lyudmyla Samsonova, Alfred Pritz, 2021. |
| Databáze: | OpenAIRE |
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