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意大利成年人在 COVID-19 大流行期间的心理健康。

Mental health of Italian adults during COVID-19 pandemic.

机构信息

Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Italy.

Department of Applied Psychology, Zurich University of Applied Sciences, Switzerland.

出版信息

Br J Health Psychol. 2021 May;26(2):644-656. doi: 10.1111/bjhp.12502. Epub 2021 Jan 7.

Abstract

OBJECTIVES

On 31 January 2020, a new type of coronavirus was first confirmed in Italy and spread rapidly across the country leading to a national lockdown. The aim of this pilot study was to explore the impact of the public health emergency due to COVID-19 on individual's mental health among 299 Italian adults after a month of home isolation due to COVID-19.

DESIGN

Cross-sectional study design. Adults of the general population were invited to a voluntary online health survey.

METHODS

Hierarchical multiple regressions were used to examine diverse psycho-social and stressful contextual factors associated with symptoms of psychopathology.

RESULTS

Results indicated that females reported higher symptoms of depression, anxiety and circadian rhythm dysregulation, than males. Age and the capacity to adapt to a new environment and to cope with illness were negatively associated with all symptoms of psychopathology. Conversely, engaging in verbally aggressive behaviours and having experienced stressful events related to COVID-19 were positively related to psychopathological symptoms. Finally, social support was negatively associated with depressive symptoms, and substance use during the past months was related to circadian rhythm dysregulation.

CONCLUSIONS

The findings of this study raise particular concern about psychological well-being considering the negative associations between stressful events during the COVID-19 pandemic, symptoms of psychological distress, and perceived social support. These results have possible significant clinical implications.

摘要

目的

2020 年 1 月 31 日,一种新型冠状病毒在意大利首次得到确认,并迅速在意大利全国范围内传播,导致该国实施全国封锁。本研究旨在探讨 COVID-19 公共卫生紧急事件对意大利 299 名成年人在因 COVID-19 进行一个月的居家隔离后的心理健康的影响。

设计

横断面研究设计。邀请普通人群中的成年人参加一项自愿性在线健康调查。

方法

采用分层多元回归分析方法,研究与精神病理学症状相关的各种心理社会和压力性环境因素。

结果

结果表明,女性报告的抑郁、焦虑和昼夜节律紊乱症状高于男性。年龄和适应新环境和应对疾病的能力与所有精神病理学症状呈负相关。相反,表现出言语攻击行为以及经历与 COVID-19 相关的压力事件与精神病理学症状呈正相关。最后,社会支持与抑郁症状呈负相关,过去几个月的物质使用与昼夜节律紊乱有关。

结论

考虑到 COVID-19 大流行期间的压力事件与心理困扰症状和感知到的社会支持之间的负相关关系,本研究的结果特别令人关注心理健康问题。这些结果可能具有重要的临床意义。

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