Martinotti Giovanni, Alessi Maria Chiara, Di Natale Chiara, Sociali Antonella, Ceci Franca, Lucidi Lorenza, Picutti Elena, Di Carlo Francesco, Corbo Mariangela, Vellante Federica, Fiori Federica, Tourjansky Gaia, Catalano Gabriella, Carenti Maria Luisa, Incerti Chiara Concetta, Bartoletti Luigi, Barlati Stefano, Romeo Vincenzo Maria, Verrastro Valeria, De Giorgio Fabio, Valchera Alessandro, Sepede Gianna, Casella Pietro, Pettorruso Mauro, di Giannantonio Massimo
Department of Neuroscience, Imaging, Clinical Sciences, University G.d'Annunzio of Chieti-Pescara, Chieti, Italy.
Department of Clinical and Pharmaceutical Sciences, University of Hertfordshire, Herts, United Kingdom.
Front Psychiatry. 2020 Sep 3;11:572245. doi: 10.3389/fpsyt.2020.572245. eCollection 2020.
Following the development of the COVID-19 pandemic, a rigid public health strategy of reduced social contact and shelter-in-place has been adopted by the Italian Government to reduce the spread of the virus. In this paper, we aim at evaluating the impact that the COVID-19 pandemic, and the relative containment measures, have had on a real-life sample of patients suffering from substance use disorders (SUDs) and/or behavioral addictions.
An anonymous questionnaire was filled out by 153 addicted patients, both outpatients and residential inpatients, recruited across Italy and highly representative of the current Italian population suffering from addictions. Psychopathological burden (anxiety and depressive symptomatology, somatization, irritability, and post-traumatic symptoms), quality of life, and craving changes in daily habits were assessed.
In our sample, we found moderate rates of depression (22.9%), anxiety (30.1%), irritability (31.6%), and post-traumatic stress (5.4%) symptoms. Psychopathological burden was globally higher among residential patients. Reported levels of craving were generally low.
This study is the first attempt to collect Italian data regarding the effects of the rigid quarantine period, during the COVID-19 pandemic, on patients suffering from a SUD and/or behavioral addictions. The presence of a moderate psychopathological burden correlated to poor quality of life and low craving scores represented the main outcomes. Long-term studies, with follow-up after the end of the restrictive measures, should be considered to implement our findings.
在新冠疫情爆发后，意大利政府采取了严格的公共卫生策略，即减少社交接触并居家隔离，以减少病毒传播。在本文中，我们旨在评估新冠疫情及其相关防控措施对患有物质使用障碍（SUDs）和/或行为成瘾的真实患者样本产生的影响。
153名成瘾患者（包括门诊患者和住院患者）填写了一份匿名问卷，这些患者是在意大利各地招募的，能高度代表目前意大利患有成瘾问题的人群。评估了心理病理负担（焦虑和抑郁症状、躯体化、易怒和创伤后症状）、生活质量以及日常习惯中的渴望变化。
在我们的样本中，我们发现抑郁症状（22.9%）、焦虑症状（30.1%）、易怒症状（31.6%）和创伤后应激症状（5.4%）的发生率中等。住院患者的心理病理负担总体上更高。报告的渴望水平普遍较低。
本研究首次尝试收集意大利关于新冠疫情期间严格隔离期对患有物质使用障碍和/或行为成瘾患者影响的数据。存在与生活质量差和渴望得分低相关的中度心理病理负担是主要结果。应考虑进行长期研究，并在限制措施结束后进行随访，以落实我们的研究结果。
