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УДК: 616.8 DOI:10.33920/med-01-2009-01

Psychological and psychiatric aspects of unusual living conditions caused by the COVID-19 pandemic

Khritinin D. F. Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia, http://orcid.org/0000-0001-9107-2357
Shamrey V. K. Federal State Budgetary Military Educational Institution of Higher Education Military Medical Academy named after S. M. Kirov, Saint-Petersburg, Russia, http://orcid.org/0000-0002-1165-6465
Fisun A. Ya. Military Innovation Technopolis “Era”, Anapa, Russia
Kurasov E. S. Federal State Budgetary Military Educational Institution of Higher Education Military Medical Academy named after S. M. Kirov, Saint-Petersburg, Russia, http://orcid.org/0000-0003-3616-6574

The article examines the psychological and mental aspects of the unusual living conditions caused by the new COVID-19 pandemic. The features of mental disorders triggered in humans by the adverse epidemiological environment are reviewed. Five development periods, with their specific features depending on various factors (infection development patterns, infection awareness-raising, organizational measures taken etc.), are identified. The study of psychological and pathopsychological features of the response to the adverse epidemiological environment suggested that their structure and clinical features had some specific features, in addition to general ones (i.e. those typical of every period of the epidemic development). The study of psychological and mental aspects of the unusual living conditions (forced selfisolation) revealed three groups by age and professional activities. The psychological response forms and the features of psychopathological manifestations in the adverse epidemiological environment caused by COVID-19 were found to be heterogeneous and polymorphic and depended both on the epidemic process course and the impact of various biomedical, socio-psychological, informational and professional pathogenic factors. Of particular importance was the fact that the degree of influence of these factors on the human mental health was determined in many respects by the gradually increasing asthenization effect of each («vicious circle»), which created the «favourable asthenic soil», contributing to the development of more severe and persistent mental and psychosomatic disorders.

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Problem Relevance The COVID-19 pandemic has become a challenge for the world at all levels, from individual to population one. The introduced restrictive measures of self-isolation, observation and quarantine, which were usually known to healthcare professionals only before the pandemic, have become the forced forms of lifestyle for most people in different countries — their specific «becoming accustomed» to new, unusual, conditions of existence and communication. Some of these conditions (sensory and information deprivation, perceptual isolation, etc.) attracted the attention of clinicians in the last century [1]. However, living in unusual conditions has been studied mainly in military medicine (within the framework of space, Arctic and marine medicine), since the second half of the 20th century [2, 3, 4]. A number of works demonstrated, in particular, that numerous disease-causing factors underlie the development of mental pathology in unusual living and communication conditions: a specific and usually long-term stressful situation («unusual» life, information deprivation, etc.), the asthenizing factors of professional activity (monotonous work, disturbance of the usual sleep-wakefulness rhythm, hypodynamia, etc.) and individual features of the group (team) members, their psychological compatibility with each other [4, 5]. These factors, taken together, often led to the development of painful manifestations: from preclinical (periodic emotional fluctuations, transient super-valuable and obsessive thoughts, etc.) to expanded, clinical mental disorders, usually at the borderline (neurotic) level [5, 6]. In some particularly severe cases, the states of confusion and other psychotic manifestations were observed.

The mental state of people during infectious epidemics has been actively studied since the second half of the 19th century. In particular, the review of the flu epidemic in 1889 demonstrated a wide range of mental disorders among sick and recovered individuals: from dyssomnia to neurotic disorders, persistent depressive states and even suicides. During the influenza pandemic in 1919, K. Menninger also noted psychotic disorders, which occurred, according to him, in more than half of the 1,000 patients he examined [7]. Research conducted by British scientists during local outbreaks of coronavirus infections in recent decades (SARS and MERS) demonstrated that they were accompanied, besides sleep disorders (54 %) and depressive disorders (42 %), with the states of confusion (36 %) and persistent (after discharge from hospital) asthenic symptoms [8].

Для Цитирования:
Khritinin D. F., Shamrey V. K., Fisun A. Ya., Kurasov E. S., Psychological and psychiatric aspects of unusual living conditions caused by the COVID-19 pandemic. Вестник неврологии, психиатрии и нейрохирургии. 2020;9.
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