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    25 March 2020, Volume 3 Issue 1
      
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    FORUMS
  • JIA Xiaoming, QIAN Mingyi, HAN Buxin, ZHAO Xudong, FAN Fumin, SANG Zhiqin, MENG Fu, WANG Jianping, JIANG Guangrong, HOU Zhijin, ZHONG Jie, AN Qin, XU Kaiwen
    Psychological Communications. 2020, (1):  4-12.  DOI: 10.12100/j.issn.2096-5494.220013
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    Since the outbreak of the corona virus disease 2019 (COVID-19) in China, various practitioners and professional organizations have actively devoted into the work of psychological assistance. This article illustrated and discussed the practice of psychological assistance of the Clinical Psychology Registration Working Committee of the Chinese Psychological Society (hereafter referred to as the Registration System) in an epidemic outbreak as a professional academic organization. The Clinical Psychology Registration Working Committee established top-level design and positioning, and built up organization framework and working model; integrated resource operation and utilized expert resources to advise the government on psychological assistance in fighting the outbreak; formulated and published professional norms for psychological assistance; and advocated the registered professionals to provide psychological assistance on the front line. The Clinical Psychology Registration Working Committee made an important exploration in the work paradigm of the standardized, orderly and effective organization of psychological assistance.
  • ZHANG Haiyin
    Psychological Communications. 2020, (1):  13-16.  DOI: 10.12100/j.issn.2096-5494.220025
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    Throughout life, we all constantly experience psychological crises and grow up in crises. This article will continuously and pleasantly present, in combination with theory and practice of psychological crisis, what a psychological crisis is, what the relationship between grief and crisis is, what kind of stress reaction will appear after encountering a sudden psychological crisis, and how we should deal with psychological crises and carry out crisis intervention.
  • CHEN Hua, JI Jianlin
    Psychological Communications. 2020, (1):  17-20.  DOI: 10.12100/j.issn.2096-5494.220010
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    In January 2020, the corona virus disease (COVID-19) outbreak was a public health emergency. In the event of an epidemic outbreak, frontline medical workers are exposed to hazards including pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence. Supportive intervention is needed when they are experiencing signs of psychological or behavioral abnormalities resulting from undue stress. The psychological and social impact on those who experienced a public health crisis is profound. People who were previously mentally ill will be even more vulnerable in emergency situations. Due to the tragic nature of the public health crisis and its adverse effects on mental health, the provision of mental health training and services to the medical staff for specific, urgent mental health issues is a part of public health response measures. It is important to note that public health emergency is not solely a tragedy, but also an enormous opportunity for medical staff to establish mental health services.
  • FAN Fumin, HUANG Zheng
    Psychological Communications. 2020, (1):  21-23.  DOI: 10.12100/j.issn.2096-5494.220017
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    This article introduces the related ethical issues of remote psychological hotline services in the corona virus disease 2019 (COVID-19) pandemic. According to the characteristics of short-term, long-distance, emergency, and anonymity of crisis psychological hotline services combined with the common ethical problems in psychological consultation and psychotherapy, the authors put forward the three issues that need attention including informed consent, professional relationship and competence in hotline services.
  • ORIGINAL ARTICLES
  • LI Wentian, YANG Guangyuan, TONG Jun, LI Yi, LIU Lianzhong, LIU Chenling
    Psychological Communications. 2020, (1):  24-27.  DOI: 10.12100/j.issn.2096-5494.220024
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    Objective:By analyzing the data of the calls to the “Xinxinyu” psychological hotline of the Wuhan Mental Health Center from February 4, 2020 to February 24, 2020, we summarize the changes of the masses’ psy-chological states during the corona virus disease 2019 (COVID-19) epidemic.
    Methods:Data were collected through the consultation information registration form, and analyzed by quantitative methods.
    Results:There was an inclusion of data of 2653 people for data analysis, that anxiety and depression accounted for 33.5% and 10.9% respectively; 54.3% worried about being infected; 24.3% had a consultation of psychological crisis engendered by the COVID-19 pneumonia; and 32.5% enquired the means of purchasing psychotropic drugs. As time changes, the number of people with anxiety and depression decreased and there was a similar trend in fear of becoming infected. The number of psychological crisis engendered from enquiries of pneumonia prevention had gradually decreased, while the number of people asking about the way to buy psychotropic drugs had gradually increased, and the demand for solving actual problems during the epidemic had increased. The state of psychological crisis did not change significantly over time.
    Conclusion:During the epidemic, the psychological state and the focus of attention of the public were particularly distinguishing, and they changed with time and therefore deserved attention. The focus of psychological intervention measures should also be adjusted accordingly.
  • LI Xu, MU Xinhua, FAN Xin, ZHANG Lei, YUAN Lina, CAI Jun, XIE Bin
    Psychological Communications. 2020, (1):  28-34.  DOI: 10.12100/j.issn.2096-5494.220019
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    Objective:To understand the mental state of the public during the corona virus disease 2019 (COVID-19) epidemic and the characteristics of the periodic change as the epidemic develops.
    Methods:The data of the psychological counseling issues from the online psychological counselling platform established for the public need of seeking psychological assistance during the epidemic were coded, and they were categorized based on the contents of the mental health counseling problems and the nature of the mental health issues. In combination with the point of time of the epidemic prevention progress, the data were analyzed.
    Results:In terms of the categorization based on the mental health counseling contents, anxiety (45.9%) accounts for the highest proportion of mental health problems in the online consultation of the public; in terms of the nature of psychological counseling, emotional problems (44.2%) accounts for the majority. For the psychological counseling problems, 29.2% of them directly result from the epidemic and 70.81% existed in the past already because this unique period of time has increased the help-seeking motivation of this kind of help seekers. With the progress of epidemic prevention and control, the proportion of the content and nature of psychological counseling problems has changed. However, the proportion of sleep problems in mental health problems increases (11.0 % to 17.5%) after returning to work in the second stage (Feb. 10 to Feb. 17), while the proportion of sleep problems decreases slightly (16.3%) in the third stage that the new recovery rate of China exceeded the number of confirmed cases (Feb. 18 to March 2 ); in the nature of psychological counseling, the proportions of “work, study and life pressure” in the three stages are 12.0%, 7.8% and 5.3% respectively, showing a gradual decrease.
    Conclusion:In public health emergencies, we should focus on the emotional problems of the public, especially anxiety, and pay attention to the change of public mentality in combination with the progress of epidemic prevention and control. The timely, open and transparent disclosure of the progress of epidemic prevention and control is conducive to helping the public recover their mentality.
  • ZHENG Yue, ZHANG Haiyin
    Psychological Communications. 2020, (1):  35-40.  DOI: 10.12100/j.issn.2096-5494.220004
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    Objective:To analyze the mental states and help-seeking preference of family members of suicide attempters in the early treatment.
    Methods:A total of 148 groups (1 patient and 1 family member in each group) of suspected suicide attempters, who received medical consultation in the emergency departments of 3 general hospitals in Shanghai, and their families were investigated by using the self-compiled general information questionnaire, the suicide module of the Mini-International Neuropsychiatric Interview (M.I.N.I.), and the Chinese short version of the Depression Anxiety and Stress Scale.
    Results:There were 84 cases (56.8%) of suicide attempters (SA) and 64 cases (43.2%) of non-suicide attempters (NA) according to the suicidal behavior evaluation of the M.I.N.I., and significant anxiety and stress existed in the family members of SA and NA. The family members of SA were more prominent in feeling the sense of shame and depression (p<0.05), and they were more inclined to choose the ways of solitude and psychiatric/psychological outpatient services to deal with the current and future psychological problems separately (p<0.01).
    Conclusion:The medical staffs should give more understanding and help to the family members, such as informing the appointment information of psychological clinic to them, and strengthen the popularization of mental health science to reduce the sense of shame.
  • REVIEWS & OVERVIEWS
  • LIN Qingqing, QIU Jianyin
    Psychological Communications. 2020, (1):  41-47.  DOI: 10.12100/j.issn.2096-5494.220012
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    Secondary traumatization refers to traumatic stress reactions shown by rescuers without directly experiencing a traumatic event. The symptoms of secondary traumatization are reexperiencing, avoidance, hyperarousal, and negative changes in cognition and mood. This article first defines secondary traumatization and its related concepts, then reviews the incidence, mechanism, measurement tools, prevention and intervention of secondary traumatization of rescuers, and finally proposes possible future research directions.
  • CUI Shu, ZHANG Kai, ZHOU Xiaoqin
    Psychological Communications. 2020, (1):  48-52.  DOI: 10.12100/j.issn.2096-5494.220014
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    In the wake of the corona virus disease 2019 (COVID-19) outbreak, the public has shown anxiety, panic, depression, and other psychological problems; therefore, the implementation of psychological interventions is necessary for assisting the public to weather the storm. This article reviews the psycho-logical intervention methods that can be used in the COVID-19 via the combination of literature search and clinical experience, so as to provide references for the psychological intervention work of various psychiatric professional institutions.
  • CASE REPORT
  • QIN Hai, QIU Jianyin
    Psychological Communications. 2020, (1):  53-57.  DOI: 10.12100/j.issn.2096-5494.220016
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    The corona virus disease 2019 (COVID-19) has entered a critical stage in China. Under the guidance of the State Council and Health Committees of both the state and local, various psychological assistance hotlines for the COVID-19 have been set up to provide psychological support, psychological counseling and crisis intervention services for different population groups. Through a psychological assistance hotline case report of a female that “constantly suspected herself of contracting the infection of the COVID-19 and was very anxious”, this paper analyzes the nature of psychological assistance hotline, helps to understand the characteristics and significance of psychological assistance hotline, and provides references for more effective psychological assistance.
  • COMMUNICATIONS
  • LI Chunbo, HUANG Jingjing, XIE Bin
    Psychological Communications. 2020, (1):  58-65.  DOI: 10.12100/j.issn.2096-5494.220018
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    This article introduces the advanced study plan of Dr. Chi-liang Kwei, who was the first female psychiatrist in China, that hardly began. Through her precious handwritten letter in relation to the plan of going to Scotland for further study in the early 1930s, this 90-year-old past has been revealed bit by bit, adding new archive for the development history of China’s psychiatry and mental health.
  • HAN Hui, ZHU Zhuoying, CHEN Jue
    Psychological Communications. 2020, (1):  66-69.  DOI: 10.12100/j.issn.2096-5494.220011
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    Dialectical behavior therapy is a comprehensive psychotherapy designed to strike a balance between acceptance and change, and its seven hypotheses provide a dialectical attitude towards life. This paper will start from the seven hypotheses, adopting a dialectical attitude to the problems encountered during the epidemic, to provide means of emotion regulation.
  • Jerome S Blackman, CHEN Jue
    Psychological Communications. 2020, (1):  70-74.  DOI: 10.12100/j.issn.2096-5494.220026
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    The coronavirus pandemic, which began in Wuhan in December 2019, has persisted to the present day, leading to several psychological effects in China. The real danger is the prolonged stress that has stimulated the large-group phenomena. Overwhelming effects generated by the danger of the pandemic have led to regression in the stimulus barrier (or “filter”). The COVID-19 has also triggered unconscious defensive reactions, including obsessional cleaning, counterphobic behaviors, humor, and denial. The nationally imposed home quarantine of millions of families has caused in-home conflicts and neurotic repetitions of unresolved childhood issues. Prior psychiatric illnesses have been exacerbated. Health workers, including psychiatrists, psychologists, and psychoanalysts, have experienced emotional depletion. Finally, in families where there have been infection or death, delayed mourning and post-traumatic phenomenon have been observed. In each of these situations, different interventions based on psycho-analytic principles have been useful.