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[意大利的新冠疫情:对社会生活和心理健康的影响]

[The covid-19 pandemic in Italy: the impact on social life and mental health].

作者信息

Medda Emanuela, Gigantesco Antonella, Picardi Angelo, Carluccio Enrica, D'Ippolito Cristina, Ferri Maurizio, Brescianini Sonia, Toccaceli Virgilia, Stazi Maria Antonietta

机构信息

Centro di Riferimento per le Scienze Comportamentali e la Salute Mentale, Istituto Superiore di Sanità, Roma.

出版信息

Riv Psichiatr. 2021 Jul-Aug;56(4):182-188. doi: 10.1708/3654.36345.

Abstract

INTRODUCTION

Italy, one of the first countries to be heavily hit by the spread of the new Coronavirus, has activated precautionary measures aimed at limiting its spread. This emergency situation may be cause of psychological distress in the general population. Therefore, the Italian Twins Registry has decided to carry out an epidemiological study to investigate the social and mental health impact of the covid-19 pandemic on Italian adults.

METHODS

The study has a longitudinal design and is aimed at twins of all ages residing in Italy. An online questionnaire was administered to collect information on socio-economic and health status of the participants, as well as of the households during the lockdown, and on the impact of the pandemic on participants' lives. Levels and prevalence of symptoms of anxiety, stress and depression were measured using validated instruments, such as the STAI-6, IES-R and PHQ-9. This article shows the results of the first wave of the survey (June 2020).

RESULTS

A total of 2589 twins participated in the study, with a mean age of 45 years (range 18-93 years). Covid-19's prevalence among respondents was less than 1% and about 13% of the subjects reported that, at least, one of the household's members had symptoms of covid-19. Sixty percent of the participants changed the place and way of working and a third of the sample had to completely suspend their work. About half of the sample showed symptoms of an anxiety disorder and about 10% of the subjects had symptoms of a probable post-traumatic stress or depressive disorder. Higher mean scores on the three assessment instruments were observed among women, subjects with a low level of education and those residing in the Southern of Italy. Anxiety symptoms decreased with age.

CONCLUSION

The study shows that the pandemic has had important repercussions on the socio-economic condition and mental health of the Italian population and suggests that some individuals are more vulnerable than others.

摘要

引言

意大利是首批受新型冠状病毒传播严重影响的国家之一,已启动旨在限制其传播的预防措施。这种紧急情况可能会导致普通民众出现心理困扰。因此,意大利双胞胎登记处决定开展一项流行病学研究,以调查新冠疫情对意大利成年人的社会和心理健康影响。

方法

该研究采用纵向设计,针对居住在意大利的所有年龄段的双胞胎。通过在线问卷收集参与者及其家庭在封锁期间的社会经济和健康状况信息,以及疫情对参与者生活的影响。使用经过验证的工具,如状态特质焦虑问卷简版(STAI-6)、事件影响量表修订版(IES-R)和患者健康问卷-9(PHQ-9)来测量焦虑、压力和抑郁症状的水平及患病率。本文展示了第一波调查(2020年6月)的结果。

结果

共有2589对双胞胎参与了该研究,平均年龄为45岁(范围为18至93岁)。受访者中新冠病毒感染率低于1%,约13%的受试者报告称,至少有一名家庭成员出现新冠症状。60%的参与者改变了工作地点和工作方式,三分之一的样本不得不完全暂停工作。约一半的样本表现出焦虑症症状,约10%的受试者有创伤后应激或抑郁症的可能症状。在女性、低学历受试者以及居住在意大利南部的人群中,三项评估工具的平均得分更高。焦虑症状随年龄增长而减少。

结论

该研究表明,疫情对意大利人口的社会经济状况和心理健康产生了重大影响,并表明一些人比其他人更容易受到影响。

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