Covid-19 Outbreak In Italy: Are We Ready for the Psychosocial and the Economic Crisis? Baseline Findings From the PsyCovid Study
Covid-19 Outbreak In Italy: Are We Ready for the Psychosocial and the Economic Crisis? Baseline Findings From the PsyCovid Study
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DOI：
10.3389/fpsyt.2020.00556
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发表时间：
2020-06-10
影响因子：
4.7
通讯作者：
Crespi, Chiara
中科院分区：
文献类型：
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作者：
Cerami, Chiara;Santi, Gaia C.;Crespi, Chiara
新型冠状病毒肺炎（COVID-19）疫情正在全球蔓延。国家卫生保健系统正以令人难以置信的力量面临着这种传染，但对心理社会和经济影响的担忧正在迅速增长。PsyCovid研究评估了心理社会变量对个体差异的影响，从新冠肺炎疫情对意大利人口健康和经济问题的影响来看。来自不同地区的意大利志愿者完成了一项在线匿名调查。主要成果是新型冠状病毒疫情对健康和经济的影响。双因素MANOVA评估主要结局的差异，将地理区域（北方、中部和南部地区）和专业地位（是否为医护人员）作为因素。然后，我们通过两种不同的中介模型测试了心理社会变量（即感知的痛苦和社会孤立，同情和应对方式）与主要结果的关系。1163名应答者完成了调查（835名女性;平均年龄：42 ± 13.5岁;年龄范围：18-81岁）2020年3月14日至21日。医疗工作者和生活在意大利北方的人们报告说，疫情对健康的影响明显更严重，但对经济的影响没有。在整个样本中，痛苦和孤独是影响新冠肺炎疫情对健康影响的关键变量，而同理心和应对方式则影响对经济的影响。2019冠状病毒病大流行在心理、社会和经济后果方面是一个全球性的紧急情况。我们的数据表明，在意大利人群中，个体对新冠肺炎疫情严重程度对健康影响的实际差异受到心理社会脆弱性的极大影响（即，孤独和寂寞）。与此同时，以问题为导向的应对策略和增强的移情能力提高了人们对新冠肺炎紧急情况对经济影响严重性的认识。目前迫切需要达成共识的指导方针和医疗保健政策，以支持旨在管理心理社会困扰和提高人口对迫在眉睫的危机的复原力的干预措施。
The Covid-19 pandemic is burning all over the world. National healthcare systems are facing the contagion with incredible strength, but concern regarding the psychosocial and economic effects is growing quickly. The PsyCovid Study assessed the influence of psychosocial variables on individual differences from the perceived impact of the Covid-19 outbreak on the issues of health and economy in the Italian population. Italian volunteers from different regions completed an online anonymous survey. The main outcomes were the perceived impact of the Covid-19 outbreak on health and the economy. A two-way MANOVA evaluated differences in the main outcomes, with geographical area (northern, central, and southern regions) and professional status (healthcare workers or not) as factors. We then tested the relationship linking psychosocial variables (i.e. perceived distress and social isolation, empathy, and coping style) to the main outcomes through two different mediation models. 1163 responders completed the survey (835 females; mean age: 42 +/- 13.5 y.o.; age range: 18-81 y.o.) between March 14 and 21, 2020. Healthcare workers and people living in northern Italy reported a significantly worse outbreak impact on health, but not on the economy. In the whole sample, distress and loneliness were key variables influencing the perceived impact of the Covid-19 outbreak on health, while empathy and coping style affected the perceived impact on the economy. The Covid-19 pandemic is a worldwide emergency in terms of psychological, social, and economic consequences. Our data suggests that in the Italian population, actual differences in individual perception of the Covid-19 outbreak severity for health are dramatically modulated by psychosocial frailty (i.e., distress and loneliness). At the same time, problem-oriented coping strategies and enhanced empathic abilities increase people's awareness of the severity of the impact of the Covid-19 emergency on economics. There is an immediate need for consensus guidelines and healthcare policies to support interventions aimed to manage psychosocial distress and increase population resilience towards the imminent crisis.