A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors

Cristina Mazza1, Eleonora Ricci2, Silvia Biondi2, Marco Colasanti2, Stefano Ferracuti2, Christian Napoli3, Paolo Roma2
1Department of Neuroscience, Imaging and Clinical Sciences, University "G.d'Annunzio", 61100 Chieti-Pescara, Italy
2Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy
3Department of Medical Surgical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy

Tóm tắt

The uncontrolled spread of the coronavirus disease 2019 (COVID-19) has called for unprecedented measures, to the extent that the Italian government has imposed a quarantine on the entire country. Quarantine has a huge impact and can cause considerable psychological strain. The present study aims to establish the prevalence of psychiatric symptoms and identify risk and protective factors for psychological distress in the general population. An online survey was administered from 18–22 March 2020 to 2766 participants. Multivariate ordinal logistic regression models were constructed to examine the associations between sociodemographic variables; personality traits; depression, anxiety, and stress. Female gender, negative affect, and detachment were associated with higher levels of depression, anxiety, and stress. Having an acquaintance infected was associated with increased levels of both depression and stress, whereas a history of stressful situations and medical problems was associated with higher levels of depression and anxiety. Finally, those with a family member infected and young person who had to work outside their domicile presented higher levels of anxiety and stress, respectively. This epidemiological picture is an important benchmark for identifying persons at greater risk of suffering from psychological distress and the results are useful for tailoring psychological interventions targeting the post-traumatic nature of the distress.

Từ khóa


Tài liệu tham khảo

Brooks, 2020, The psychological impact of quarantine and how to reduce it: Rapid review of the evidence, Lancet, 395, 912, 10.1016/S0140-6736(20)30460-8

Hawryluck, 2004, SARS control and psychological effects of quarantine, Toronto, Canada, Emerg. Infect. Dis., 10, 1206, 10.3201/eid1007.030703

DiGiovanni, 2004, Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak, Biosecur. Bioterror., 2, 265, 10.1089/bsp.2004.2.265

Jeong, 2016, Mental health status of people isolated due to Middle East respiratory syndrome, Epidemiol. Health, 38, e2016048, 10.4178/epih.e2016048

Holmes, E.A., O’Connor, R.C., Perry, V.H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., and Everall, I. (2020). Multidisciplinary research priorities for the COVID-19 pandemic. A call for action for mental health science. Lancet Psychiatry.

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S., and Ho, R.C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health, 17.

Qiu, 2020, A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implication and policy recommendations, Gen. Psychiatr., 33, e100213, 10.1136/gpsych-2020-100213

Ho, 2020, Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic, Ann. Acad. Med. Singap., 49, 1

Ioannou, 2004, Vigilance for threat: Effect of anxiety and defensiveness, Pers. Individ Differ., 36, 1879, 10.1016/j.paid.2003.08.018

Oathes, D.J., Squillante, C.M., Ray, W.J., and Nitschke, J.B. (2010). The impact of worry on attention to threat. PLoS ONE, 5.

Krueger, R.F., Derringer, J., Markon, K.E., Watson, D., and Skodol, A.E. (2013). The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult, American Psychiatric Association.

Anderson, 2018, Utility of the Personality Inventory for DSM-5—Brief Form (PID-5-BF) in the measurement of maladaptive personality and psychopathology, Assessment, 25, 596, 10.1177/1073191116676889

Combaluzier, 2018, Validation of a French translation of Krueger’s personality inventory for DSM-5 in its brief form (PID-5 BF), Encephale, 44, 9, 10.1016/j.encep.2016.07.006

Hyatt, C.S., Maples-Keller, J.L., Crowe, M.L., Sleep, C.E., Carter, S.T., Michopoulos, V., Stevens, J.S., Jovanovic, T., Bradley, B., and Miller, J.D. (2020). Psychometric properties of the Personality Inventory for DSM-5—Brief Form in a community sample with high rates of trauma exposure. J. Pers. Assess, 1–10.

Bottesi, 2015, The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples, Compr. Psychiatry, 60, 170, 10.1016/j.comppsych.2015.04.005

Ho, C.S.H., Tan, E., Ho, R., and Chiu, M.Y.L. (2019). Relationship of anxiety and depression with respiratory symptoms: Comparison between depressed and non-depressed smokers in Singapore. Int. J. Environ. Res. Public Health, 16.

Quek, T.C., Ho, C.S.H., Choo, C.C., Nguyen, L.H., Tran, B.X., and Ho, R.C. (2018). Misophonia in Singaporean psychiatric patients: A cross-sectional study. Int. J. Environ. Res. Public Health, 15.

McAlonan, 2007, Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers, Can. J. Psychiatry, 52, 241, 10.1177/070674370705200406

Lovibond, S.H., and Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales, Psychology Foundation. [2nd ed.].

Wittchen, 2010, The size and burden of mental disorders and other disorders of the brain in Europe, Eur. Neuropsychopharmacol., 21, 655, 10.1016/j.euroneuro.2011.07.018

Jacobi, 2014, Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: The Mental Health Module of the German Health Interview and Examination Survey for Adults (DEGS1-MH), Int. J. Methods Psychiatr. Res., 23, 304, 10.1002/mpr.1439

Sareen, 2013, Risk factors for post-injury mental health problems, Depress Anxiety, 30, 321, 10.1002/da.22077

Wiseman, 2015, Incidence of depression, anxiety and stress following traumatic injury: A longitudinal study, Scand. J. Trauma Resusc. Emerg. Med., 23, 29, 10.1186/s13049-015-0109-z

Hatch, 2018, Anxiety, depression and post-traumatic stress disorder after critical illness: A UK-wide prospective cohort study, Crit. Care, 22, 310, 10.1186/s13054-018-2223-6

Taylor, M.R., Agho, K.E., Stevens, G.J., and Raphael, B. (2008). Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health, 8.

Cheng, 2014, Psychological health diathesis assessment system: A nationwide survey of resilient trait scale for Chinese adults, Stud. Psychol. Behav., 12, 735