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一项针对意大利民众在 COVID-19 大流行期间心理困扰的全国性调查:即时心理反应及相关因素。

A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors.

机构信息

Department of Neuroscience, Imaging and Clinical Sciences, University "G.d'Annunzio", 61100 Chieti-Pescara, Italy.

Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2020 May 2;17(9):3165. doi: 10.3390/ijerph17093165.


DOI:10.3390/ijerph17093165
PMID:32370116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7246819/
Abstract

The uncontrolled spread of the coronavirus disease 2019 (COVID-19) has called for unprecedented measures, to the extent that the Italian government has imposed a quarantine on the entire country. Quarantine has a huge impact and can cause considerable psychological strain. The present study aims to establish the prevalence of psychiatric symptoms and identify risk and protective factors for psychological distress in the general population. An online survey was administered from 18-22 March 2020 to 2766 participants. Multivariate ordinal logistic regression models were constructed to examine the associations between sociodemographic variables; personality traits; depression, anxiety, and stress. Female gender, negative affect, and detachment were associated with higher levels of depression, anxiety, and stress. Having an acquaintance infected was associated with increased levels of both depression and stress, whereas a history of stressful situations and medical problems was associated with higher levels of depression and anxiety. Finally, those with a family member infected and young person who had to work outside their domicile presented higher levels of anxiety and stress, respectively. This epidemiological picture is an important benchmark for identifying persons at greater risk of suffering from psychological distress and the results are useful for tailoring psychological interventions targeting the post-traumatic nature of the distress.

摘要

2019 年冠状病毒病(COVID-19)的失控传播需要采取前所未有的措施,以至于意大利政府已对全国实施隔离。隔离有巨大的影响,并会造成相当大的心理压力。本研究旨在确定精神症状的流行情况,并确定一般人群中心理困扰的风险和保护因素。从 2020 年 3 月 18 日至 22 日,对 2766 名参与者进行了在线调查。构建了多变量有序逻辑回归模型,以检查社会人口统计学变量;人格特质;抑郁,焦虑和压力之间的关联。女性,负性情绪和冷漠与抑郁,焦虑和压力水平较高有关。熟人感染与抑郁和压力水平升高有关,而压力情况和医疗问题的历史与抑郁和焦虑水平升高有关。最后,有家庭成员感染和年轻人不得不离开住所工作的人分别表现出较高水平的焦虑和压力。这种流行病学情况是确定遭受心理困扰风险较高的人的重要基准,并且结果对于针对困扰的创伤后性质量身定制心理干预措施很有用。

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本文引用的文献

[1]
Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science.

Lancet Psychiatry. 2020-6

[2]
A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations.

Gen Psychiatr. 2020-3-6

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Mental Health Strategies to Combat the Psychological Impact of Coronavirus Disease 2019 (COVID-19) Beyond Paranoia and Panic.

Ann Acad Med Singap. 2020-3-16

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Int J Environ Res Public Health. 2020-3-6

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Int J Environ Res Public Health. 2019-1-8

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Crit Care. 2018-11-23

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Int J Environ Res Public Health. 2018-7-4

[10]
Mental health status of people isolated due to Middle East Respiratory Syndrome.

Epidemiol Health. 2016-11-5

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