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УДК: 616.9 DOI:10.33920/med-01-2010-01

Doctor’s mental responses to SARS-CoV-2 pandemic (Report 1)

Kinkulkina М.А. I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow
Gardanova Zh.R. N. I. Pirogov Russian National Research Medical University, Russian Ministry of Health, Moscow
Novikov V.V. Faculty of Postgraduate Studies, Ryazan State Medical University named after Academician I.P. Pavlov, Russian Ministry of Health, Ryazan
Khritinin D. F I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow

The article discusses various mental reactions observed in physicians and associated with the SARS-CoV-2 pandemic, based on a brief scientific review of the references and using experimental psychological research methods. The SARS-CoV-2 pandemic was found to cause numerous mental reactions (from anosognosia to severe anxiety and depressive disorders) in medical practitioners and to be accompanied with general anxiety increase. This pilot study demonstrated the need for further investigation into the problem under review.

Литература:

1. National Center for Immunization and Respiratory Diseases (NCIRD), 2020 [Electronic resource]. — Available at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html (accessed: June 24, 2020).

2. Brooks S.K., Webster R.K., Smith L. E., Woodland L., Wessely S., Greenberg N., Rubin J.G. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395 (10227): 912–920. https://doi.org/10.1016/S0140–6736 (20) 30460–8

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15. ABOUT THE AUTHORS

16. Kinkulkina Marina Arkadievna: PhD in Medicine, Member of the Academy of Sciences, Head of Department for Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow

17. Gardanova Zhanna Robertovna: PhD in Medicine, Professor, of Department for Psychotherapy, N. I. Pirogov Russian National Research Medical University, Russian Ministry of Health, Moscow

18. Novikov Vladimir Vladimorovich: PhD in Medicine, Associate Professor, Department of Psychiatry and Psychotherapy, Faculty of Postgraduate Studies, Ryazan State Medical University named after Academician I.P. Pavlov, Russian Ministry of Health, Ryazan

19. novlad2006@ya.ru 390010 г. Apt. 61, 24 Bronnaya St., Ryazan, tel. 89109024594

20. Khritinin, Dmitry Fedorovic: PhD in Medicine, Member of the Academy of Sciences, Professor, Department for Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow

There is no doubt that the ongoing SARSCoV-2 pandemic is affecting people’s mental health. Studies on this issue clearly indicate that this influence causes various mental reactions [1, 2]. A brief scientific review of references showed that they include:

1. fear of infection and death;

2. fear of infecting relatives (especially the elderly and children), other people because potentially he/she can be an asymptomatic disease carrier;

3. fear of social isolation/quarantine because of the illness;

4. feeling helpless due to the inability to protect the loved ones (especially minors, the disabled or the elderly) and the fear of losing them;

5. emotional deprivation due to separation from family and friends because of isolation/ quarantine;

6. reduction in social connections;

7. feelings of boredom, loneliness, helplessness and the possible onset of depression due to isolation/quarantine;

8. the inability to work in isolation leads to the fear of being unable to sustain himself/herself and his/her family and of possible job loss (especially in small businesses);

9. perception of non-COVID-19 symptoms as the onset of SARS-CoV-2 and, consequently, the fear of dying;

10. the possibility of the onset and/or aggravation of mental disorders (primarily obsessive-compulsive);

11. fear of seeking medical advice where one may get infected etc.

Physicians and other healthcare professionals working under the conditions of the SARS-CoV-2 pandemic are exposed to even greater risk [3–9], because, besides:

• they track up-to-date information on COVID-19, which amplifies the above effects;

• they are at work, in particular, in extreme conditions and under increased stress, accompanied with physical and mental exhaustion, insomnia, and in some cases, a significantly heightened risk of infection and the need to comply with strict biosecurity measures (absolute compliance with prescribed procedures that exclude spontaneity and autonomy, physical isolation, the load from protective equipment);

Для Цитирования:
Kinkulkina М.А., Gardanova Zh.R., Novikov V.V., Khritinin D. F, Doctor’s mental responses to SARS-CoV-2 pandemic (Report 1). Вестник неврологии, психиатрии и нейрохирургии. 2020;10.
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