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#Everything Will Be Fine. Duration of Home Confinement and "All-or-Nothing" Cognitive Thinking Style as Predictors of Traumatic Distress in Young University Students on a Digital Platform During the COVID-19 Italian Lockdown.

作者信息

Giusti Laura, Salza Anna, Mammarella Silvia, Bianco Denise, Ussorio Donatella, Casacchia Massimo, Roncone Rita

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Hospital S. Salvatore, University Unit Rehabilitation Treatment, Early Interventions in Mental Health, Abruzzo, Italy.

出版信息

Front Psychiatry. 2020 Dec 15;11:574812. doi: 10.3389/fpsyt.2020.574812. eCollection 2020.


DOI:10.3389/fpsyt.2020.574812
PMID:33384623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7770221/
Abstract

On March 10, 2020, Italy announced its lockdown caused by the novel coronavirus (COVID-19) pandemic, and home confinement exposed individuals to a stressful situation of unknown duration. Our study aimed to analyze the emotional and cognitive experiences and the psychopathological symptoms of young Italian University students seeking help from our University student Counseling and Consultation Service during the COVID-19 lockdown. Also, our study aimed to identify the predictors of traumatic psychological distress, investigating variables that could influence the students' well-being, related to their socio-demographic and clinical condition, to the "exposition" to the social distancing, and related to their cognitive thinking style. One-hundred and three University students were included in our study. The traumatic impact was assessed by the Impact of Event Scale-Revised (IES-R). A digital platform was used in our study, focused on narrative dimensions analyses. Our results showed that 21.4% of our help-seeking students experienced lockdown as a traumatic experience. The main stressful factors reported by students were: adjustment to the new academic activities (23.3 %), lack of autonomy (19.4%), and conflicts with family members (6.8%). The three main areas impaired were: changes in the sleeping pattern (68%), difficulty in concentration (67%), and loss of energy (58.6%). Furthermore, 36% of our student sample reported being suffering from anxiety symptoms, whereas 26% showed depressive symptomatology. Students having previous psychological and psychiatric contacts with mental health services (23%) showed a more severe traumatic and depressive symptomatology. The problematic thinking style "all or nothing" was predominantly associated with psychological distress, anxiety, depression, and posttraumatic symptoms. "Everything Will Be Fine" could be identified by the "optimistic style" (27.2%), inversely correlated with the psychopathological measures and concentration problems. The results of the logistic regression analysis indicated that the length of home confinement (second month) seemed to increase by over 3 times the likelihood of experience posttraumatic symptomatology, and a thinking style "all or nothing" was the final strongest predictor increasing the risk by over 5 times. The implementation of psychological interventions to improve the mental health of vulnerable young subgroups to contain the structuring of psychopathological profiles represent a fundamental challenge.

摘要

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[2]
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[3]
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[4]
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本文引用的文献

[1]
Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university.

Psychiatry Res. 2020-5-19

[2]
Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19.

Int J Ment Health Addict. 2022

[3]
Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy.

J Sleep Res. 2020-5-15

[4]
A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors.

Int J Environ Res Public Health. 2020-5-2

[5]
The Effect of COVID-19 on Youth Mental Health.

Psychiatr Q. 2020-9

[6]
The psychological impact of the COVID-19 epidemic on college students in China.

Psychiatry Res. 2020-3-20

[7]
Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China.

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

[8]
The psychological impact of quarantine and how to reduce it: rapid review of the evidence.

Lancet. 2020-2-26

[9]
A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19)-Related Psychological and Mental Problems: Structured Letter Therapy.

Psychiatry Investig. 2020-2

[10]
Cognitive behavioral therapy (CBT) anxiety management and reasoning bias modification in young adults with anxiety disorders: A real-world study of a therapist-assisted computerized (TACCBT) program Vs. "person-to-person" group CBT.

Internet Interv. 2020-1-11

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