Mariani Rachele, Renzi Alessia, Di Trani Michela, Trabucchi Guido, Danskin Kerri, Tambelli Renata
Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy.
Department of Mental Health, ASL RM6, Albano Laziale, Italy.
Front Psychiatry. 2020 Nov 13;11:587724. doi: 10.3389/fpsyt.2020.587724. eCollection 2020.
The coronavirus pandemic represents a severe global crisis, affecting physical, and psychological health. Lockdown rules imposed to counteract the rapid growth of COVID-19, mainly social restrictions, have represented a risk factor for developing depressive and anxious symptoms. The research aims are to explore the effect of coping strategies and perceived social support on depressive and anxious symptomatology during the COVID-19 pandemic. Ninety-six healthy people (46 males, mean age = 39.3; = 16.6) completed through on-line platform: Socio-demographic questionnaire, Coping Inventory for Stressful Situations (CISS), Multidimensional Scale of Perceived Social Support (MSPSS) and Symptom Checklist-90-Revised (SCL-90-R), 3 weeks after the imposition of lockdown restrictions. SCL-90-R Depression scores showed significant positive correlation with CISS Emotion ( = 0.85; = 0.001) and Avoidant ( = 0.34; = 0.018), a significant negative correlation with MSPSS Family support ( = -0.43; = 0.003). SCL-90-R Anxiety scores showed a significant positive correlation with CISS Emotion ( = 0.72; = 0.001) and Avoidant ( = 0.35; = 0.016). No significant correlations between both CISS Emotion and Avoidant scales with social support emerged. Two Multiple Linear Regression analysis were performed using, respectively, SCL-90-R Depression and Anxiety scores as dependent variables, and the CISS and MSPSS scales, age, and gender as predictors. The first regression model ( = 0.78; adjusted = 0.75) revealed CISS Emotion (β = 0.83; = 0.001) and MSPSS Family support (β = -0.24; = 0.004) had a predictive effect on SCL-90-R Depression scores. The second regression model ( = 0.52; adjusted = 0.472) revealed that only CISS Emotion (β = 0.71; = 0.001) predicted the SCL-90-R Anxiety scores. In conclusion, during the COVID-19 pandemic lockdowns, coping focus on emotions seemed to increase anxious and depressive symptoms, probably due to the uncontrollable nature of the stressful event and the high emotional response. Family support which reduces the sense of loneliness had an exclusive role in mitigating depressive symptoms. These results highlight the importance of promoting psychological strategies to improve emotional regulation skills, reducing isolation from family, to prevent mood symptomatology in healthy citizens during large-scale health crises.
冠状病毒大流行是一场严重的全球危机,影响着人们的身心健康。为应对新冠病毒肺炎(COVID-19)的快速传播而实施的封锁措施,主要是社交限制,已成为引发抑郁和焦虑症状的一个风险因素。本研究旨在探讨应对策略和感知到的社会支持对COVID-19大流行期间抑郁和焦虑症状的影响。96名健康人(46名男性,平均年龄=39.3岁;标准差=16.6)通过在线平台完成了社会人口学问卷、应激情境应对量表(CISS)、多维感知社会支持量表(MSPSS)和症状自评量表-90修订版(SCL-90-R),这些均是在实施封锁限制措施3周后进行的。SCL-90-R抑郁得分与CISS情绪维度(相关系数=0.85;P=0.001)和回避维度(相关系数=0.34;P=0.018)呈显著正相关,与MSPSS家庭支持维度呈显著负相关(相关系数=-0.43;P=0.003)。SCL-90-R焦虑得分与CISS情绪维度(相关系数=0.72;P=0.001)和回避维度(相关系数=0.35;P=0.016)呈显著正相关。CISS情绪维度和回避维度与社会支持之间均未出现显著相关性。分别以SCL-90-R抑郁得分和焦虑得分作为因变量,以CISS量表、MSPSS量表、年龄和性别作为预测变量,进行了两项多元线性回归分析。第一个回归模型(决定系数=0.78;调整后决定系数=0.75)显示,CISS情绪维度(β=0.83;P=0.001)和MSPSS家庭支持维度(β=-0.24;P=0.