Petri Eleonora, Nardoni Cristina, Fui Erika, Gulino Elisa, Abdelghani Lachheb, Barone Raffaele, Miragoli Paolo Angelo Fulvio, Cardamone Giuseppe, Ciberti Agnese
Department of Mental Health, San Carlo Hospital, ASST Santi Paolo e Carlo, Milan, Italy.
Department of Mental Health of Prato, Azienda USL Toscana Centro, Prato, Italy.
J Affect Disord Rep. 2023 Jan;11:100460. doi: 10.1016/j.jadr.2022.100460. Epub 2022 Dec 7.
The impact of the COVID-19 pandemic on mental health is complex and affects a broad segment of the population. Several studies indicate that depressive, anxious and post-traumatic symptoms are common in people exposed to SARS-Cov2.
458 subjects were recruited during their first consultation in outpatient psychiatric services between June 2020 and October 2021. Post-traumatic, depressive and anxious symptoms were assessed using the Impact of Event Scale-Revised (IES-R), the Beck Depression Inventory Scale-second edition (BDI-II), and the Self Rating Anxiety Scale (SAS). A specific set of questions was developed, with the aim of evaluating socio-demographic variables and work, environmental and personal characteristics related to the pandemic.
Prevalence rates of clinically significant depressive, anxious and post-traumatic symptoms were 57.6%, 63.5% and 54.8%, respectively. Female gender, worsening of relationship status and financial consequences due to the pandemic were the conditions most strongly associated with the presence of psychopathology.
The cross-sectional design of the study doesn't allow an evaluation over time of the sample. No assumption of causality can be made due to the lack of pre-pandemic assessments for the investigated variables.
The impact of the pandemic involves depressive, anxious and post-traumatic dimensions. The investigated psychopathology correlates with several variables expressing the personal and environmental changes that occurred in the population due to the COVID-19 emergency. The study is multicentric and the recruitment of participants was held in a clinical setting, providing a realistic picture of the consequences of the pandemic in clinical practice within mental health services.
新冠疫情对心理健康的影响复杂，波及广大人群。多项研究表明，接触新冠病毒的人群中抑郁、焦虑和创伤后症状很常见。
2020年6月至2021年10月期间，在门诊精神科首次就诊时招募了458名受试者。使用事件影响量表修订版（IES-R）、贝克抑郁量表第二版（BDI-II）和自评焦虑量表（SAS）评估创伤后、抑郁和焦虑症状。设计了一组特定问题，旨在评估社会人口统计学变量以及与疫情相关的工作、环境和个人特征。
具有临床意义的抑郁、焦虑和创伤后症状的患病率分别为57.6%、63.5%和54.8%。女性、人际关系状况恶化以及疫情导致的经济后果是与精神病理学存在最密切相关的因素。
该研究的横断面设计无法对样本进行长期评估。由于缺乏对所调查变量的疫情前评估，无法做出因果关系假设。
疫情的影响涉及抑郁、焦虑和创伤后等方面。所调查的精神病理学与若干变量相关，这些变量反映了因新冠疫情紧急情况在人群中发生的个人和环境变化。该研究为多中心研究，参与者招募在临床环境中进行，提供了心理健康服务临床实践中疫情后果的真实情况。
