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后封锁大流行阶段的心理健康:心理困扰是缓解还是加剧?意大利普通人群的横断面研究。

Mental health in the post-lockdown pandemic phase: Relief or exacerbation of psychological distress? A cross-sectional study in the general population in Italy.

作者信息

Orfei Maria Donata, Bossi Francesco, D'Arcangelo Sonia, Maggi Francesca, Lattanzi Nicola, Malizia Andrea Patricelli, Ricciardi Emiliano

机构信息

Molecular Mind Laboratory (MoMiLab), IMT School for Advanced Studies Lucca, Lucca, Italy.

Intesa Sanpaolo Innovation Center SpA Neuroscience Lab, Torino, Italy.

出版信息

Acta Psychol (Amst). 2022 May;225:103555. doi: 10.1016/j.actpsy.2022.103555. Epub 2022 Mar 8.

Abstract

This study is one of the first aiming at investigating the mental health in the post-lockdown period in an Italian adult population and detecting demographic and psychological predictors for a worse outcome. 1401 participants answered a web-based survey including the Emotional Reaction Questionnaire (ERQ), the Positive Affect and Negative Affect Scale (PANAS), the Impact of Event Scale-Revised (IES-R), the General Health Questionnaire (GHQ), the Depression, Anxiety and Stress Scale (DASS-21), and the Dutch Work Addiction Scale (DUWAS). Simple slope analyses highlighted that women, lower age, and suppression were related to higher scores for the PANAS negative affect scale, the DASS-21, the IES-R, the GHQ, and the DUWAS. In our sample, 1.2% of participants showed depressive symptoms, 0.5% anxiety symptoms, and 2% stress symptoms. Moreover, 5.4% of participants reported post-traumatic symptoms and 15% signs of psychological distress. Compared with data on the lockdown period, our results show lower levels of depressive, anxiety, and stress symptoms, possibly due to the slackening of preventive measures adopted since June. Despite this, post-traumatic symptoms and signs of psychological distress were still present. Our data suggest the necessity to monitor psychological adaption over time in general and at-risk subjects.

摘要

本研究是首批旨在调查意大利成年人群封锁解除后心理健康状况,并检测预后较差的人口统计学和心理预测因素的研究之一。1401名参与者回答了一项基于网络的调查,调查内容包括情绪反应问卷(ERQ)、正负性情绪量表(PANAS)、事件影响量表修订版(IES-R)、一般健康问卷(GHQ)、抑郁焦虑压力量表(DASS-21)以及荷兰工作成瘾量表(DUWAS)。简单斜率分析表明,女性、较低年龄以及情绪抑制与PANAS负性情绪量表、DASS-21、IES-R、GHQ和DUWAS的较高得分相关。在我们的样本中,1.2%的参与者表现出抑郁症状,0.5%表现出焦虑症状,2%表现出压力症状。此外,5.4%的参与者报告有创伤后症状,15%有心理困扰迹象。与封锁期间的数据相比,我们的结果显示抑郁、焦虑和压力症状水平较低,这可能是由于自6月以来采取的预防措施有所放松。尽管如此,创伤后症状和心理困扰迹象仍然存在。我们的数据表明,总体而言,有必要长期监测普通人群和高危人群的心理适应情况。

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