TOWARD A COHESIVE CLINICAL INTERPRETATION OF MENTAL DISORDERS IN SARS-COV-2 PANDEMIC: AN EXPERT OPINION

Keywords: SARS-CoV-2, long COVID-19, nosogenic stress-related disorders, neurotoxic asthenia (Bonhoeffer), cognitive disorders, depression, clinical conceptualization

Abstract

Аbstract. As the COVID-19 pandemic progresses, the observed increase in mental health issues requires more and more clinical attention. Mental disorders have become a major cause for disturbances in social adjustment, primarily due to disorders that fall into three clusters: prolonged fatigue (asthenia) with cognitive impairment; anxiety disorders with sleep disorders; and depression. The last two are also found in individuals who have not contracted SARS-CoV-2; they are seen as a result of their exposure to the stress of the pandemic. Therefore, to successfully manage the consequences of the pandemic, it is necessary to develop a cohesive clinical interpretation of mental disorders related to COVID-19 infection. Our proposed model would encompass all the above manifestations as follows: а) for the general population – by the triad of ‘nosogenic reactions’ with excessive (hyper-), normal (normo-) or ignoring (hyponosognostic) psychological responses to stress related to the semantics and individual significance of the SARS-CoV-2 diagnosis (nosos); b) for long COVID – by the biopsychosocial model as a typical combination of neurotoxic asthenia with cognitive impairment (Bonhoeffer’s neurobiological factor) that exacerbates ‘nosogenic’ anxiety and sleep disorders (psychological factor) and thus provokes a depressive response (as a social maladaptive factor)

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Published
2021-06-10
How to Cite
1.
Filts O, Fitkalo O, Lyzak O, Berezyuk O, Myshakivska O, Samsonova L, Pritz A. TOWARD A COHESIVE CLINICAL INTERPRETATION OF MENTAL DISORDERS IN SARS-COV-2 PANDEMIC: AN EXPERT OPINION. Proc Shevchenko Sci Soc Med Sci [Internet]. 2021Jun.10 [cited 2022Jul.2];64(1). Available from: https://mspsss.org.ua/index.php/journal/article/view/482