Rossi Rodolfo, Socci Valentina, Pacitti Francesca, Mensi Sonia, Di Marco Antinisca, Siracusano Alberto, Di Lorenzo Giorgio
Chair of Psychiatry, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Front Psychol. 2020 Dec 8;11:608986. doi: 10.3389/fpsyg.2020.608986. eCollection 2020.
During the COVID-19 pandemic, healthcare workers in Italy have been exposed to an unprecedented pressure and traumatic events. However, no direct comparison with the general population is available so far. The aim of this study is to detail mental health outcomes in healthcare workers compared to the general population.
24050 respondents completed an on-line questionnaire during the contagion peak, 21342 general population, 1295 second-line healthcare workers, and 1411 front-line healthcare workers. Depressive, anxious, post-traumatic symptoms and insomnia were assessed. Specific COVID-19 related potential risk factors were also considered in healthcare workers.
Depressive symptoms were more frequent in the general population (28.12%) and front-line healthcare workers (28.35%) compared to the second-line healthcare workers (19.98%) groups. Anxiety symptoms showed a prevalence of 21.25% in the general population, 18.05% for second-line healthcare workers, and 20.55% for front-line healthcare workers. Insomnia showed a prevalence of 7.82, 6.58, and 9.92% for the general population, second-line healthcare workers, and front-line healthcare workers, respectively. Compared to the general population, front-line healthcare workers had higher odds of endorsing total trauma-related symptoms. Both second-line healthcare workers and front-line healthcare workers had higher odds of endorsing core post-traumatic symptoms compared to the general population, while second-line healthcare workers had lower odds of endorsing negative affect and dissociative symptoms. Higher total traumatic symptom score was associated with being a front-line healthcare worker, having a colleague infected, hospitalized, or deceased, being a nurse, female gender, and younger age.
This study suggests a significant psychological impact of the COVID-19 pandemic on the Italian general population and healthcare workers. Front-line healthcare workers represent a specific at-risk population for post-traumatic symptoms. These findings underline the importance of monitoring and intervention strategies.
在新冠疫情期间，意大利的医护人员面临着前所未有的压力和创伤性事件。然而，目前尚无与普通人群的直接比较。本研究的目的是详细阐述医护人员与普通人群相比的心理健康结果。
24050名受访者在疫情高峰期间完成了一份在线问卷，其中21342名普通人群、1295名二线医护人员和1411名一线医护人员。评估了抑郁、焦虑、创伤后症状和失眠情况。还考虑了医护人员中与新冠病毒相关的特定潜在风险因素。
与二线医护人员组（19.98%）相比，普通人群（28.12%）和一线医护人员（28.35%）中抑郁症状更为常见。焦虑症状在普通人群中的患病率为21.25%，二线医护人员为18.05%，一线医护人员为20.55%。失眠在普通人群、二线医护人员和一线医护人员中的患病率分别为7.82%、6.58%和9.92%。与普通人群相比，一线医护人员认可与创伤相关的总体症状的几率更高。与普通人群相比，二线医护人员和一线医护人员认可核心创伤后症状的几率更高，而二线医护人员认可消极情绪和解离症状的几率较低。较高的总体创伤症状评分与成为一线医护人员、有同事感染、住院或死亡、是护士、女性以及年龄较小有关。
本研究表明新冠疫情对意大利普通人群和医护人员有重大心理影响。一线医护人员是创伤后症状的特定高危人群。这些发现强调了监测和干预策略的重要性。
