Psychological distress in the academic population and its association with socio-demographic and lifestyle characteristics during COVID-19 pandemic lockdown: Results from a large multicenter Italian study.
Psychological distress in the academic population and its association with socio-demographic and lifestyle characteristics during COVID-19 pandemic lockdown: Results from a large multicenter Italian study.
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DOI：
10.1371/journal.pone.0248370
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Baglietto L
中科院分区：
文献类型：
--
作者：
Fornili M;Petri D;Berrocal C;Fiorentino G;Ricceri F;Macciotta A;Bruno A;Farinella D;Baccini M;Severi G;Baglietto L
许多国家为遏制新冠肺炎疫情而实施的措施导致了生活方式的改变，对身心健康造成了不可预测的后果。我们的目的是在2020年4月至5月期间对意大利学术人群进行封锁，以确定与心理困扰相关的变量。我们在五所意大利大学内进行了一项多中心横断面在线调查(IO Conto 2020)。在通过机构沟通应邀参加的约24万人中，有18120人填写了问卷。采用医院焦虑抑郁自评量表(HADS)进行心理测评。收集的协变量包括人口统计和生活方式特征、对政府的信任、医生和科学家。在地方水平上，用多元回归模型评估与流感样症状或新冠肺炎试验阳性以及与心理困扰的相关性；然后对结果进行荟萃分析。20%的样本报告了严重的焦虑或抑郁水平，与学生或收入较低有关，与他们的健康状况和对感染病毒的担忧无关。严重焦虑或抑郁的概率也取决于体力活动：与从不锻炼的人相比，在封锁期间停止锻炼的OR最高(1.53；95%CI，1.28至1.84)，而继续锻炼的OR最低(0.78；95%CI，0.64至0.95)。如果在封锁期间参与者像以前一样继续锻炼，高达21%的严重焦虑或抑郁病例可能会被避免。社会经济的不安全感加剧了与新冠肺炎大流行相关的精神问题，也加剧了遏制它的措施。保持或引入适当的体力活动水平可能会减轻这种有害影响。推广安全的体力活动做法仍应是公共卫生的优先事项，以减少大流行期间的健康风险。
Measures implemented in many countries to contain the COVID-19 pandemic resulted in a change in lifestyle with unpredictable consequences on physical and mental health. We aimed at identifying the variables associated with psychological distress during the lockdown between April and May 2020 in the Italian academic population. We conducted a multicenter cross-sectional online survey (IO CONTO 2020) within five Italian universities. Among about 240,000 individuals invited to participate through institutional communications, 18 120 filled the questionnaire. Psychological distress was measured by the self-administered Hospital Anxiety and Depression Scale (HADS). The covariates collected included demographic and lifestyle characteristics, trust in government, doctors and scientists. Associations of covariates with influenza-like symptoms or positive COVID-19 test and with psychological distress were assessed by multiple regression models at the local level; a meta-analysis of the results was then performed. Severe levels of anxiety or depression were reported by 20% of the sample and were associated with being a student or having a lower income, irrespective of their health condition and worries about contracting the virus. The probability of being severely anxious or depressed also depended on physical activity: compared to those never exercising, the highest OR being for those who stopped during lockdown (1.53; 95% CI, 1.28 to 1.84) and the lowest for those who continued (0.78; 95% CI, 0.64 to 0.95). Up to 21% of severe cases of anxiety or depression might have been avoided if during lockdown participants had continued to exercise as before. Socioeconomic insecurity contributes to increase mental problems related to the COVID-19 pandemic and to the measures to contain it. Maintaining or introducing an adequate level of physical activity is likely to mitigate such detrimental effects. Promoting safe practice of physical activity should remain a public health priority to reduce health risks during the pandemic.
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影响因子：
11.8
作者：
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通讯作者：
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