Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network.
Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network.
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DOI：
10.1192/j.eurpsy.2020.89
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发表时间：
2020-09-28
期刊：
影响因子：
--
通讯作者：
Volpe U
中科院分区：
文献类型：
--
作者：
Fiorillo A;Sampogna G;Giallonardo V;Del Vecchio V;Luciano M;Albert U;Carmassi C;Carrà G;Cirulli F;Dell'Osso B;Nanni MG;Pompili M;Sani G;Tortorella A;Volpe U
2019冠状病毒病（COVID-19）大流行是一场前所未有的创伤性事件，影响了全球的医疗保健、经济和社会福利系统。为了降低感染率，几乎所有地方都实施了封锁。受影响最严重的国家之一意大利于2020年3月8日进入“封城”。COVID精神健康试验（COMET）网络包括10所意大利大学和国家卫生研究院。整个研究分为三个阶段。第一阶段包括2020年3月至5月在意大利人口中进行的在线调查。招募通过电子邮件邀请函、社交媒体、大学邮件列表、国家医学协会和利益相关者协会（例如，用户/护理人员协会）。为了评估封锁对抑郁、焦虑和应激症状的影响，进行了多变量线性回归模型，对倾向评分进行加权。最终样本包括20，720名参与者。其中，12.4%的受访者（N = 2，555）报告了严重或极严重的抑郁症状，17.6%（N = 3，627）的焦虑症状和41.6%（N = 8，619）的受访者报告说，DASS-21的情况至少有中度压力。多因素回归分析显示，抑郁、焦虑和应激症状在4月9-15日至4月30 ~ 5月4日显著加重（p < 0.0001）。此外，女性受访者和先前存在心理健康问题的人患严重抑郁和焦虑症状的风险更高（p < 0.0001）。尽管物理隔离及封锁是遏制COVID-19大流行蔓延的必要公共卫生措施，但其对公众的心理健康及福祉构成严重威胁。作为应对COVID-19的一个组成部分，应满足心理健康需求。
The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented traumatic event influencing the healthcare, economic, and social welfare systems worldwide. In order to slow the infection rates, lockdown has been implemented almost everywhere. Italy, one of the countries most severely affected, entered the “lockdown” on March 8, 2020. The COvid Mental hEalth Trial (COMET) network includes 10 Italian university sites and the National Institute of Health. The whole study has three different phases. The first phase includes an online survey conducted between March and May 2020 in the Italian population. Recruitment took place through email invitation letters, social media, mailing lists of universities, national medical associations, and associations of stakeholders (e.g., associations of users/carers). In order to evaluate the impact of lockdown on depressive, anxiety and stress symptoms, multivariate linear regression models were performed, weighted for the propensity score. The final sample consisted of 20,720 participants. Among them, 12.4% of respondents (N = 2,555) reported severe or extremely severe levels of depressive symptoms, 17.6% (N = 3,627) of anxiety symptoms and 41.6% (N = 8,619) reported to feel at least moderately stressed by the situation at the DASS-21. According to the multivariate regression models, the depressive, anxiety and stress symptoms significantly worsened from the week April 9–15 to the week April 30 to May 4 (p < 0.0001). Moreover, female respondents and people with pre-existing mental health problems were at higher risk of developing severe depression and anxiety symptoms (p < 0.0001). Although physical isolation and lockdown represent essential public health measures for containing the spread of the COVID-19 pandemic, they are a serious threat for mental health and well-being of the general population. As an integral part of COVID-19 response, mental health needs should be addressed.
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影响因子：
3.6
作者：
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通讯作者：
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DOI：
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