Early Psychiatric Impact of COVID-19 Pandemic on the General Population and Healthcare Workers in Italy: A Preliminary Study.

Early Psychiatric Impact of COVID-19 Pandemic on the General Population and Healthcare Workers in Italy: A Preliminary Study.
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DOI:
10.3389/fpsyt.2020.561345
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发表时间:
2020
影响因子:
4.7
通讯作者:
Gambini O
Gambini O
中科院分区:
医学3区
文献类型:
--
作者:
Demartini B;Nisticò V;D'Agostino A;Priori A;Gambini O

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简介:自 2020 年 2 月以来,COVID-19 疫情蔓延至包括意大利在内的全球多个国家。在这项研究中,我们的目的是评估这一流行病对意大利受影响最严重的地区伦巴第大区普通人群的精神病理影响,并比较普通公众和医护人员之间精神症状的患病率。方法:432 名参与者完成了一项在线调查,包括:抑郁、焦虑和压力量表−21 个项目 (DASS-21)、事件影响量表修订版 (IES-R) 和匹兹堡睡眠质量指数 (PQSI)。医护人员还被要求填写 Maslach 倦怠清单 (MBI)。结果:在 DASS-21 中,33.3% 的响应者表现出病理性压力水平,25.5% 表现出焦虑,35.9% 表现出抑郁。在 IES-R 中,13.9% 的人似乎有患上创伤后应激障碍 (PTSD) 的风险。在 PSQI 中,57.6% 的人存在睡眠障碍。女性和年龄较小预示着更高的痛苦分数。医护人员的精神症状比普通公众更高。此外,与 COVID-19 患者接触的工作预计在 IES-R 子量表入侵中得分更高。结论:我们的结果显示,在伦巴第大区 COVID-19 大流行爆发的第一个月内,大约三分之一的样本出现了压力、焦虑和抑郁症状;超过一半的受访者出现睡眠障碍,13% 的受访者似乎有患 PTSD 的风险。意大利当局应制定具体策略,确保为伦巴第大区居民提供心理支持,特别关注接触过 COVID-19 患者的妇女、年轻人和医护人员。
Introduction: Since February 2020, the outbreak of COVID-19 spread to several countries worldwide, including Italy. In this study, we aimed to assess the psychopathological impact of the pandemic across the general population of Lombardy, the most affected Italian region, and to compare the prevalence of psychiatric symptoms between the general public and healthcare workers. Methods: Four hundred and thirty-two participants completed an online survey including: the Depression, Anxiety and Stress Scale−21 items (DASS-21), the Impact of Event Scale—Revised (IES-R) and the Pittsburgh Sleep Quality Index (PQSI). Healthcare workers were also asked to complete the Maslach Burnout Inventory (MBI). Results: At the DASS-21, 33.3% of the responders presented pathological levels of stress, 25.5% of anxiety, and 35.9% of depression. At the IES-R, 13.9% appeared at risk of developing Post-Traumatic Stress Disorder (PTSD). At the PSQI, 57.6% presented sleep disturbances. Female gender and younger age predicted higher scores of distress. Healthcare workers presented higher levels of psychiatric symptoms than the general public. Moreover, working in contact with COVID-19 patients predicted higher scores at the IES-R subscale Intrusion. Conclusion: Our results showed that about a third of our sample presented symptoms of stress, anxiety, and depression during the first month of the COVID-19 pandemic outbreak in Lombardy; more than half of the responders presented sleep disturbances, and 13% appeared at risk of PTSD. Italian authorities should develop specific strategies to guarantee psychological support to the population of Lombardy, with particular attention to women, young people, and healthcare workers exposed to COVID-19 patients.
心理社会变量和工作条件在预测SARS危机期间护士应对策略的相关性:在线问卷调查。
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