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Transdiagnostic considerations of mental health for the post-COVID era:Lessons from the first surge of the pandemic

World Journal of Clinical Cases 2023年第4期11卷 809-820页

作者： Sari Goldstein Ferber Gal Shoval Rodolfo Rossi Viviana Trezza Giorgio Di Lorenzo Gil Zalsman Aron Weller J John Mann Aron Weller Department of PsychologyBar Ilan UniversityRamat Gan 5290002Israel Department of Neuroscience Princeton UniversityPrinceton NJ 08544United States Geha Mental Health Center Petah TiqvaIsrael and Sackler Faculty of MedicineTel Aviv UniversityTel Aviv 77096Israel Department of Systems Medicine University of Rome Tor VergataRome 00133Italy Department of Science Rome Tre UniversityRome 00154Italy Department of Psychiatry Rome University Tor VergataRome 00179Italy IRCCS-Fondazione Santa Lucia Rome 00179Italy Division of Molecular Imaging and Neuropathology Department of PsychiatryColumbia UniversityNY10032United States

BACKGROUND The Coronavirus disease 19(COVID-19)-related psychiatric burden partly results from prolonged social stress *** have examined the psychiatric impact of COVID-19 on Diagnostic and Statistical Manual of Mental disorders,Fifth Edition(DSM 5)and International Classification of Diseases 11th Revision(ICD-11)categories,implicating multiple diagnoses,complicating clinical *** To verify whether COVID-19-related psychopathology spans multiple DSM-5 and ICD-11 diagnoses,but not in a random ***,empirical analysis of the multiple associated symptoms will better describe COVID-19-related *** We conducted a bi-national study during the first surge of the pandemic:an Italian sample(n=21217,studied March-April 2020);and three representative longitudinal samples from Israel(n=1276,1189,and 1432 respectively,studied May-July 2020).Data in Italy were collected by a national internet-based survey with an initially approached sample of about one million persons and in Israel by the Israeli Central Bureau of Statistics using probability-based national representative *** analysis focused on the frequency and patterns of reported multiple mental health *** Combinations with all symptoms were more prevalent than combinations with fewer symptoms,with no majorities-minorities differences in both countries,demonstrating the generalizability of the transdiagnostic pattern of mental health issues in both nations.A history of previous mental disorder(Italian study)and an increase in symptom prevalence over time(Israel study)were associated with an increased number of ***:Based on finding correlated symptom diversity spanning conventional diagnostic categories,we suggest that the pattern of mental health issues associated with the COVID-19 pandemic is *** The findings have implications for improving prevention and treatment of COVID-19 related psychopathology and

关键词： Post-COVID-19 Diagnosis Stress Mental disorders Transdiagnosis reactive psychiatric disorders

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