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意大利封锁期间与新冠病毒相关的焦虑及胃肠道症状

Anxiety and Gastrointestinal Symptoms Related to COVID-19 during Italian Lockdown.

作者信息

Abenavoli Ludovico, Cinaglia Pietro, Lombardo Giuditta, Boffoli Eduardo, Scida Miriam, Procopio Anna Caterina, Larussa Tiziana, Boccuto Luigi, Zanza Christian, Longhitano Yaroslava, Fagoonee Sharmila, Luzza Francesco

机构信息

Department of Health Sciences, University "Magna Graecia", 88100 Catanzaro, Italy.

Department of Surgical and Medical Sciences, University "Magna Graecia", 88100 Catanzaro, Italy.

出版信息

J Clin Med. 2021 Mar 16;10(6):1221. doi: 10.3390/jcm10061221.


DOI:10.3390/jcm10061221
PMID:33809403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8001711/
Abstract

UNLABELLED: The first case of infection by SARS-CoV-2 (i.e., COVID-19) was officially recorded by the Italian National Health Service on 21 February 2020. Respiratory tract manifestations are the most common symptoms, such as gastrointestinal symptoms (GISs) like nausea or sickness, diarrhea, and anorexia, and psychological effects may be reported in affected individuals. However, similar symptoms may be observed in healthy people as a consequence of an anxiety state. METHODS: We analyzed GISs and anxiety state during the COVID-19 lockdown period; from 9 March 2020 to 4 May 2020. A web-based survey consisting of 131 items was administered to 354 students affiliated with the School of Medicine of the University "Magna Graecia" of Catanzaro; Italy. A set of statistical analyses was performed to analyze the relationships among the answers to assess a correlation between the topics of interest. RESULTS: The statistical analysis showed that 54.0% of interviewed reported at least one GISs, 36.16% of which reported a positive history for familial GISs (FGISs). The 354 subjects included in our cohort may be stratified as follows: 25.99% GISs and FGISs, 27.97% GISs and no-FGISs, 10.17% no-GISs and FGISs, 35.87% no-GISs and no-FGISs. Results indicated an anxiety state for 48.9% of respondents, of which 64.74% also presented GISs. In addition, considered dietary habits, we detect the increased consumption of hypercaloric food, sweetened drinks, and alcoholic beverages. CONCLUSIONS: The increase of GISs during the lockdown period in a population of medical students, may be correlated to both dietary habits and anxiety state due to a concern for one's health.

摘要

未标注:2020年2月21日,意大利国家卫生服务机构正式记录了首例严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新冠病毒)感染病例(即新冠肺炎)。呼吸道表现是最常见的症状,如恶心或呕吐、腹泻和厌食等胃肠道症状(GISs),受影响个体可能会出现心理影响。然而,健康人由于焦虑状态也可能出现类似症状。 方法:我们分析了2020年3月9日至2020年5月4日新冠疫情封锁期间的胃肠道症状和焦虑状态。对意大利卡坦扎罗“大希腊”大学医学院附属的354名学生进行了一项包含131个项目的网络调查。进行了一系列统计分析,以分析答案之间的关系,评估感兴趣主题之间的相关性。 结果:统计分析显示,54.0%的受访者报告至少有一种胃肠道症状,其中36.16%报告有家族性胃肠道症状(FGISs)阳性史。我们队列中的354名受试者可分为以下几类:25.99%有胃肠道症状和家族性胃肠道症状,自7.97%有胃肠道症状但无家族性胃肠道症状,10.17%无胃肠道症状但有家族性胃肠道症状,35.87%无胃肠道症状且无家族性胃肠道症状。结果表明,48.9% 的受访者存在焦虑状态,其中6 / 74% 也有胃肠道症状。此外,考虑到饮食习惯,我们发现高热量食物、含糖饮料和酒精饮料的消费量增加。 结论:医学生群体在封锁期间胃肠道症状的增加,可能与饮食习惯和因担心自身健康而产生的焦虑状态有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/d3e1c64a2168/jcm-10-01221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/86e13623200a/jcm-10-01221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/96b5c145305e/jcm-10-01221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/45289fe7b56b/jcm-10-01221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/d3e1c64a2168/jcm-10-01221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/86e13623200a/jcm-10-01221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/96b5c145305e/jcm-10-01221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/45289fe7b56b/jcm-10-01221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8001711/d3e1c64a2168/jcm-10-01221-g004.jpg

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Anxiety and Gastrointestinal Symptoms Related to COVID-19 during Italian Lockdown.

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[1]
Association Between Gastrointestinal Symptoms and Anxiety Levels in Patients with Functional Dyspepsia.

Cureus. 2025-5-25

[2]
Psychological wellbeing of Italian students and clinical assessment tools at university counseling services during the COVID-19 pandemic: a systematic review.

Front Psychol. 2024-8-13

[3]
The Relationship Between Psychological Conditions and Gastrointestinal Symptoms of Medical Students During the COVID-19 Pandemic.

Neuropsychiatr Dis Treat. 2024-5-8

[4]
SARS-CoV-2 protein structure and sequence mutations: Evolutionary analysis and effects on virus variants.

PLoS One. 2023

[5]
COVID-19 and mental health: A systematic review of international medical student surveys.

Front Psychol. 2022-11-25

[6]
The study of psychological traits among Chinese college students during the COVID-19 campus lockdown.

Front Psychol. 2022-11-21

[7]
Prevalence and influencing factors of anxiety in medical students during the COVID-19 pandemic.

Heliyon. 2022-9

[8]
Dysfunctional coronavirus anxiety in nonpsychotic psychiatric outpatients during the COVID-19 pandemic: A network analysis.

Depress Anxiety. 2022-7

[9]
Antacids revisited: review on contemporary facts and relevance for self-management.

J Int Med Res. 2022-3

[10]
Trends in the Comprehension and Management of Gastrointestinal Tract Disorders.

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本文引用的文献

[1]
Predictive factors of quality of life among medical students: results from a multicentric study.

BMC Psychol. 2021-2-25

[2]
Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China.

Global Health. 2021-1-25

[3]
Patterns of Change in Dietary Habits and Physical Activity during Lockdown in Spain Due to the COVID-19 Pandemic.

Nutrients. 2021-1-21

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Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review.

Int J Environ Res Public Health. 2021-1-12

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The Brain-Gut-Microbiotal Axis: A framework for understanding functional GI illness and their therapeutic interventions.

Eur J Intern Med. 2021-2

[6]
#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.

Front Psychiatry. 2020-12-15

[7]
Beneficial Effects of Exercise on Depression and Anxiety During the Covid-19 Pandemic: A Narrative Review.

Front Psychiatry. 2020-11-4

[8]
A cross-sectional study of gastrointestinal symptoms, depressive symptoms and trait anxiety in young adults.

BMC Psychiatry. 2020-11-11

[9]
Immunoinflammatory, Thrombohaemostatic, and Cardiovascular Mechanisms in COVID-19.

Thromb Haemost. 2020-12

[10]
The Medical Student Response to the Mental Health Consequences of COVID-19.

Acad Psychiatry. 2020-12

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