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个体差异、经济稳定性以及对传染的恐惧作为新冠疫情紧急状态下创伤后应激障碍症状的风险因素

Individual Differences, Economic Stability, and Fear of Contagion as Risk Factors for PTSD Symptoms in the COVID-19 Emergency.

作者信息

Di Crosta Adolfo, Palumbo Rocco, Marchetti Daniela, Ceccato Irene, La Malva Pasquale, Maiella Roberta, Cipi Mario, Roma Paolo, Mammarella Nicola, Verrocchio Maria Cristina, Di Domenico Alberto

机构信息

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

Department of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.

出版信息

Front Psychol. 2020 Sep 8;11:567367. doi: 10.3389/fpsyg.2020.567367. eCollection 2020.

Abstract

On January 30th 2020, the World Health Organization (WHO) declared the COVID-19 pandemic a Public Health Emergency of International Concern (PHEIC). Italy has been one of the most affected countries in the world. To contain further spread of the virus, the Italian government has imposed an unprecedented long-period lockdown for the entire country. This dramatic scenario may have caused a strong psychological distress, with potential negative long-term mental health consequences. The aim of the present study is to report the prevalence of high psychological distress due to the COVID-19 pandemic on the general population, especially considering that this aspect is consistently associated with PTSD symptoms. Furthermore, the present study aims to identify the risk factors for high PTSD symptoms, including individual differences and subjective perception of both economic and psychological aspects. We administered an online survey to 1253 participants during the peak period of the contagion in Italy. A logistic regression on the Impact of Event Scale - Revised (IES-R) scores was used to test the risk factors that predict the possibility to develop PTSD symptoms due to the COVID-19 pandemic. Gender (female), lower perceived economic stability, higher neuroticism, and fear and consequences of contagion were predictors of high PTSD symptomatology. The results, highlighted in the present study, extend our understanding of the COVID-19 pandemic's impact on the population's mental health, by identifying individuals at high-risk of developing PTSD. This may help with the implementation of specific protocols to prevent the possibility of developing symptoms of PTSD in target populations.

摘要

2020年1月30日,世界卫生组织(WHO)宣布新型冠状病毒肺炎疫情构成“国际关注的突发公共卫生事件”(PHEIC)。意大利是全球受影响最严重的国家之一。为遏制病毒的进一步传播,意大利政府对全国实施了前所未有的长期封锁。这种严峻的情况可能导致了强烈的心理困扰,并可能产生长期的负面心理健康后果。本研究的目的是报告新型冠状病毒肺炎疫情导致普通人群出现高度心理困扰(尤其是考虑到这方面与创伤后应激障碍症状始终相关)的患病率。此外,本研究旨在确定创伤后应激障碍症状高发的风险因素,包括个体差异以及对经济和心理方面的主观认知。在意大利疫情高峰期,我们对1253名参与者进行了在线调查。使用事件影响量表修订版(IES-R)得分进行逻辑回归分析,以测试预测因新型冠状病毒肺炎疫情而出现创伤后应激障碍症状可能性的风险因素。性别(女性)、较低的经济稳定性感知、较高的神经质、对感染的恐惧及其后果是创伤后应激障碍症状高发的预测因素。本研究突出的结果通过识别有发展为创伤后应激障碍高风险的个体,扩展了我们对新型冠状病毒肺炎疫情对人群心理健康影响的理解。这可能有助于实施特定方案,以预防目标人群出现创伤后应激障碍症状。

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