The Impact of Quarantine and Physical Distancing Following COVID-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial
The Impact of Quarantine and Physical Distancing Following COVID-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial
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DOI：
10.3389/fpsyt.2020.00533
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发表时间：
2020-06-05
影响因子：
4.7
通讯作者：
Fiorillo, Andrea
中科院分区：
文献类型：
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作者：
Giallonardo, Vincenzo;Sampogna, Gaia;Fiorillo, Andrea
COVID-19大流行及其相关的遏制措施（主要是物理距离和隔离）正在对全球普通人群的心理健康产生不利影响。特别是，沮丧，孤独和对未来的担忧是常见的反应，并代表了几种精神障碍，包括焦虑，情感和创伤后应激障碍的众所周知的风险因素。绝大多数现有的研究都是在中国进行的，中国是大流行的发源地。意大利受到大流行的严重打击，社会文化背景与东方国家完全不同。因此，有必要进行严格的方法学研究，旨在评估COVID-19和隔离措施对意大利人口心理健康的影响。事实上，我们的研究结果将有助于我们制定适当的干预措施，以管理大流行的心理社会后果。“COVID-IT-精神健康试验”是一项非盈利、非资助、全国性、多中心、横断面、以人群为基础的试验，其目的如下：a）评估COVID-19大流行及其遏制措施对意大利人群精神健康的影响; B）确定针对不同类别暴露于大流行人群的支持性长期干预措施的主要目标领域。将使用经验证的评估工具通过网络平台收集数据。参赛者将被分为四组：a）第一组-COVID-19隔离组。这一群体包括被隔离但未被隔离的一般人群，即，没有直接接触传染病或接触COVID-19+个人的人; B）第2组-COVID-19+人群，包括直接/间接接触病毒的隔离人群; c）第3组-COVID-19医护人员群体，包括一线和二线医护人员; d）第4组-COVID-19精神健康，包括精神健康服务的使用者和所有已被诊断患有精神障碍的人。世界各地的精神卫生服务机构尚未做好准备，应对这一流行病的短期和长期后果。有必要清楚地了解这种新的压力源将对心理健康和福祉产生的影响，以便为广大民众和其他风险群体制定和传播适当的干预措施。
The COVID-19 pandemic and its related containment measures-mainly physical distancing and isolation-are having detrimental consequences on the mental health of the general population worldwide. In particular, frustration, loneliness, and worries about the future are common reactions and represent well-known risk factors for several mental disorders, including anxiety, affective, and post-traumatic stress disorders. The vast majority of available studies have been conducted in China, where the pandemic started. Italy has been severely hit by the pandemic, and the socio-cultural context is completely different from Eastern countries. Therefore, there is the need for methodologically rigorous studies aiming to evaluate the impact of COVID-19 and quarantine measures on the mental health of the Italian population. In fact, our results will help us to develop appropriate interventions for managing the psychosocial consequences of pandemic. The "COVID-IT-mental health trial" is a no-profit, not-funded, national, multicentric, cross-sectional population-based trial which has the following aims: a) to evaluate the impact of COVID-19 pandemic and its containment measures on mental health of the Italian population; b) to identify the main areas to be targeted by supportive long-term interventions for the different categories of people exposed to the pandemic. Data will be collected through a web-platform using validated assessment tools. Participants will be subdivided into four groups: a) Group 1-COVID-19 quarantine group. This group includes the general population which are quarantined but not isolated, i.e., those not directly exposed to contagion nor in contact with COVID-19+ individuals; b) Group 2-COVID-19+ group, which includes isolated people directly/indirectly exposed to the virus; c) Group 3-COVID-19 healthcare staff group, which includes first- and second-line healthcare professionals; d) Group 4-COVID-19 mental health, which includes users of mental health services and all those who had already been diagnosed with a mental disorder. Mental health services worldwide are not prepared yet to manage the short- and long-term consequences of the pandemic. It is necessary to have a clear picture of the impact that this new stressor will have on mental health and well-being in order to develop and disseminate appropriate interventions for the general population and for the other at-risk groups.