社会隔离和新冠后神经心理损伤

E. Encheva-Stoykova, L. Tancheva, R. Kalfin
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引用次数: 2

摘要

即使在健康的动物和人类中,社会隔离(SI)也会对大脑的可塑性产生有害影响。我们在以往的研究中报道了攻击行为与自伤之间的一些新的联系,以及自伤对实验啮齿动物的损害作用的新的机制。SARS-CoV-2通过对脑内皮细胞中ACE2受体的亲和力表现出神经亲和性。新型冠状病毒引起的该病的嗜神经性符合广泛的神经、精神和心理症状。据报道,近43%的SARS幸存者在随访4年后出现了长期的精神疾病,主要诊断为创伤后应激障碍、抑郁症、恐慌症和强迫症。一旦冠状病毒大流行结束,将非常需要对神经和心理并发症的长期风险进行全面评估。根据目前的数据和报告的SARS-CoV经验,我们假设SARS-CoV-2引起的疾病的神经行为后遗症将需要急诊医学和心理支持的密切相互作用。社会支持对新冠肺炎后神经心理损伤的恢复至关重要,因为人不仅是生物客体,也是需要他人支持的社会主体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SOCIAL ISOLATION AND POST-COVID NEUROPSYCHOLOGICAL DAMAGE
Social isolation (SI) exerts a harmful effect on brain plasticity even in healthy animals and humans. We reported some new connections between aggressive behavior and SI, and new mechanisms of SI damaging effect on experimental rodents in previous studies. SARS-CoV-2 exhibits neurotropism through its affinity for the ACE2 receptor in endothelial cells found in the brain. The neurotropism in the disease caused by the new coronavirus accords with a wide spectrum of neurological, psychiatric and psychological symptoms. It had been reported that up to almost 43 % of SARS survivors developed long-lasting psychiatric morbidity that persisted at 4 years follow up with main diagnoses in diminishing order of representation: posttraumatic stress disorders, depression, panic disorder, and obsessive-compulsive disorder. Full assessment of the long-term risk of neurological and psychological complications will be greatly needed once the coronavirus pandemic is over. Based on current data and the reported experience with SARS-CoV we hypothesize that the neurobehavioral sequelae of the disease caused by SARS-CoV-2 will necessitate close interaction between emergency medicine and psychological support. The role of social support for the restoration of post-Covid neuropsychological damage is essential because the human being is not only a biological object but also a social subject who needs support from other humans.
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