臺灣防疫「心」生活

Mental Health Promotion during COVID-19 Pandemic in Taiwan

台灣的新冠疫情已趨緩，在全民與政府的共同努力下，已挺過首波的心理社會衝擊，但全民仍需同心協力共同面對疫情的長期壓力，邁向疫後心理重建。因疫情而衍生的經濟與社會衝擊是全面性的，嚴重者可能會出現疲憊、孤立、甚至嚴重憂鬱。重鬱症息者、情緒敏威者與疫情期問曾受檢疫／隔離、亦或是第一線醫護人員，以及面臨失業失婚壓力者，都是疫情後容易出現負面心理反應的高關懷族群，若同時蒙受多重重大壓力，也可能萌生自殺意念。災難的身心影響可長達多年，故民眾應重視疫後心理重建，善用心理精神衛生資源，營造更優質的身心安適環境。本文旨在描述疫情相關之心理健康議題、自殺防治策略與自我精神防護。

Under the intensive collaboration of the central government and general public, the general condition of the COVID-19 had minimal impacts on mental health of the general population during the one year of pandemic. However, the related comprehensive and negative impacts on the psychosocial and economic aspects among the vulnerable people had attracted the professional attention to prevent possible negative consequence on mental health even suicides. The common mental health issues included fatigue, isolated feelings, or severe depression, which were particularly to affect the vulnerable people such as neurotic traits, experience of being quarantined, waiting for testing, suspected victims, infected cases, first line health workers and those with financial problems, job loss, schooling, or family and interpersonal conflicts. The multiples stressors or mental problems could lead to suicide attempt or death. The negative health effects may become chronic and prolonged for years. Therefore, early detection, stress management and adequate interventions were very important for the people at risk to avoid the psychosocial impairment and to promote mental health and good quality of life. This article aimed to describe the COVID-19 related mental health problem nation-wide population telephone survey revealed little influence of the COVID-19 on the mental health of the general population during the pandemics, however, still half of the general population suffered from a variety of related stressors such as job loss, financial, interpersonal or family problems and physical or psychological health problems. Timely important adequate information and support were persistently provided by the authorized central commanding center and professional communities. A self-reported five-item Brief Symptom Rating Scale (BSRS-5) with App design was also provided to early identify the psychological distress or risks for mental disorder; the App contains psychological distress measurement, scoring and recommended available mental health resources.