Deledda Giuseppe, Riccardi Niccolò, Gori Stefania, Poli Sara, Giansante Matteo, Geccherle Eleonora, Mazzi Cristina, Silva Ronaldo, Desantis Nicoletta, Giovannetti Ambra Mara, Solari Alessandra, Confalonieri Paolo, Grazzi Licia, Sarcletti Elena, Biffa Gabriella, Biagio Antonio Di, Sestito Carlo, Keim Roland, Gangi Hermis Alida M R Di, Mazzoldi Mariantonietta, Failo Alessandro, Scaglione Anna, Faldetta Naida, Dorangricchia Patrizia, Moschetto Maria, Soto Parra Hector Josè, Faietti Jennifer, Profio Anna Di, Rusconi Stefano, Giacomelli Andrea, Marchioretto Fabio, Alongi Filippo, Marchetta Antonio, Molon Giulio, Bisoffi Zeno, Angheben Andrea
Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy.
Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy.
Int J Environ Res Public Health. 2021 Jan 5;18(1):340. doi: 10.3390/ijerph18010340.
Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate the psychosocial factors contributing to the cancellation of medical appointments during the pandemic by patients with pre-existing health conditions. Data were collected in eleven Italian hospitals during the last week of lockdown, and one month later. In order to assess the emotional impact of the SARS-CoV-2 outbreak and the subject's degree of psychological flexibility, we developed an ad hoc questionnaire (ImpACT), referring to the Acceptance and Commitment Therapy (ACT) model. The Impact of Event Scale-Revised (IES-R), the Depression, Anxiety and Stress Scale (DASS) and the Cognitive Fusion Questionnaire (CFQ) were also used. Pervasive dysfunctional use of experiential avoidance behaviours (used with the function to avoid thought, emotions, sensations), feelings of loneliness and high post-traumatic stress scores were found to correlate with the fear of COVID-19, increasing the likelihood of cancelling medical appointments. Responding promptly to the information and psychological needs of patients who cancel medical appointments can have positive effects in terms of psychological and physical health.
由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）疫情引发的心理困扰尤其影响患有既往疾病的患者及其疾病进展。未能按时就诊的患者的护理会受到负面影响。本研究的目的是调查导致患有既往健康问题的患者在疫情期间取消医疗预约的社会心理因素。在封锁的最后一周以及一个月后，在意大利的11家医院收集了数据。为了评估SARS-CoV-2疫情的情感影响以及受试者的心理灵活性程度，我们参照接受与承诺疗法（ACT）模型编制了一份专门问卷（ImpACT）。还使用了事件影响量表修订版（IES-R）、抑郁、焦虑和压力量表（DASS）以及认知融合问卷（CFQ）。发现广泛功能失调地使用经验性回避行为（用于避免想法、情绪、感觉的功能）、孤独感和高创伤后应激分数与对2019冠状病毒病的恐惧相关，增加了取消医疗预约的可能性。及时回应取消医疗预约患者的信息和心理需求在心理和身体健康方面会产生积极影响。
