A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors

Cristina Mazza, Eleonora Ricci, Silvia Biondi, Marco Colasanti, Stefano Ferracuti, Christian Napoli, Paolo Roma, Cristina Mazza, Eleonora Ricci, Silvia Biondi, Marco Colasanti, Stefano Ferracuti, Christian Napoli, Paolo Roma

Abstract

The uncontrolled spread of the coronavirus disease 2019 (COVID-19) has called for unprecedented measures, to the extent that the Italian government has imposed a quarantine on the entire country. Quarantine has a huge impact and can cause considerable psychological strain. The present study aims to establish the prevalence of psychiatric symptoms and identify risk and protective factors for psychological distress in the general population. An online survey was administered from 18-22 March 2020 to 2766 participants. Multivariate ordinal logistic regression models were constructed to examine the associations between sociodemographic variables; personality traits; depression, anxiety, and stress. Female gender, negative affect, and detachment were associated with higher levels of depression, anxiety, and stress. Having an acquaintance infected was associated with increased levels of both depression and stress, whereas a history of stressful situations and medical problems was associated with higher levels of depression and anxiety. Finally, those with a family member infected and young person who had to work outside their domicile presented higher levels of anxiety and stress, respectively. This epidemiological picture is an important benchmark for identifying persons at greater risk of suffering from psychological distress and the results are useful for tailoring psychological interventions targeting the post-traumatic nature of the distress.

Keywords: COVID-19; anxiety; depression; mental health intervention; pandemic; quarantine; stress.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N., Rubin G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395:912–920. doi: 10.1016/S0140-6736(20)30460-8.
    1. Hawryluck L., Gold W.L., Robinson S., Pogorski S., Galea S., Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg. Infect. Dis. 2004;10:1206–1212. doi: 10.3201/eid1007.030703.
    1. DiGiovanni C., Conley J., Chiu D., Zaborski J. Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak. Biosecur. Bioterror. 2004;2:265–272. doi: 10.1089/bsp.2004.2.265.
    1. Jeong H., Yim H.W., Song Y.-J., Ki M., Min J.A., Cho J., Chae J.H. Mental health status of people isolated due to Middle East respiratory syndrome. Epidemiol. Health. 2016;38:e2016048. doi: 10.4178/epih.e2016048.
    1. Holmes E.A., O’Connor R.C., Perry V.H., Tracey I., Wessely S., Arseneault L., Ballard C., Christensen H., Cohen Silver R., Everall I., et al. Multidisciplinary research priorities for the COVID-19 pandemic. A call for action for mental health science. Lancet Psychiatry. 2020 doi: 10.1016/S2215-0366(20)30168-1.
    1. Wang C., Pan R., Wan X., Tan Y., Xu L., Ho C.S., Ho R.C. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health. 2020;17:1729. doi: 10.3390/ijerph17051729.
    1. Qiu J., Shen B., Zhao M., Wang Z., Xie B., Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implication and policy recommendations. Gen. Psychiatr. 2020;33:e100213. doi: 10.1136/gpsych-2020-100213.
    1. Ho C.S., Chee C.Y., Ho R.C. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann. Acad. Med. Singap. 2020;49:1–3.
    1. Ioannou M.C., Mogg K., Bradley B.P. Vigilance for threat: Effect of anxiety and defensiveness. Pers. Individ Differ. 2004;36:1879–1891. doi: 10.1016/j.paid.2003.08.018.
    1. Oathes D.J., Squillante C.M., Ray W.J., Nitschke J.B. The impact of worry on attention to threat. PLoS ONE. 2010;5:e13411. doi: 10.1371/journal.pone.0013411.
    1. Krueger R.F., Derringer J., Markon K.E., Watson D., Skodol A.E. The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult. American Psychiatric Association; Arlington, VA, USA: 2013.
    1. Anderson J.L., Sellbom M., Salekin R.T. Utility of the Personality Inventory for DSM-5—Brief Form (PID-5-BF) in the measurement of maladaptive personality and psychopathology. Assessment. 2018;25:596–607. doi: 10.1177/1073191116676889.
    1. Combaluzier S., Gouvernet B., Menant F., Rezrazi A. Validation of a French translation of Krueger’s personality inventory for DSM-5 in its brief form (PID-5 BF) Encephale. 2018;44:9–13. doi: 10.1016/j.encep.2016.07.006.
    1. Hyatt C.S., Maples-Keller J.L., Crowe M.L., Sleep C.E., Carter S.T., Michopoulos V., Stevens J.S., Jovanovic T., Bradley B., Miller J.D., et al. Psychometric properties of the Personality Inventory for DSM-5—Brief Form in a community sample with high rates of trauma exposure. J. Pers. Assess. 2020:1–10. doi: 10.1080/00223891.2020.1713138.
    1. Bottesi G., Ghisi M., Altoè G., Conforti E., Melli G., Sica C. The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples. Compr. Psychiatry. 2015;60:170–181. doi: 10.1016/j.comppsych.2015.04.005.
    1. Ho C.S.H., Tan E., Ho R., Chiu M.Y.L. Relationship of anxiety and depression with respiratory symptoms: Comparison between depressed and non-depressed smokers in Singapore. Int. J. Environ. Res. Public Health. 2019;16:163. doi: 10.3390/ijerph16010163.
    1. Quek T.C., Ho C.S.H., Choo C.C., Nguyen L.H., Tran B.X., Ho R.C. Misophonia in Singaporean psychiatric patients: A cross-sectional study. Int. J. Environ. Res. Public Health. 2018;15:1410. doi: 10.3390/ijerph15071410.
    1. McAlonan G.M., Lee A.M., Cheung V., Cheung C., Tsang K.W., Sham P.C., Chua S.E., Wong J.G. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can. J. Psychiatry. 2007;52:241–247. doi: 10.1177/070674370705200406.
    1. Lovibond S.H., Lovibond P.F. Manual for the Depression Anxiety Stress Scales. 2nd ed. Psychology Foundation; Sydney, Australia: 1995.
    1. Wittchen H.-U., Jacobi F., Rehm J., Gustavsson A., Svensson M., Jönsson B., Olesen J., Allgulander C., Alonso J., Faravelli C., et al. The size and burden of mental disorders and other disorders of the brain in Europe. Eur. Neuropsychopharmacol. 2010;21:655–679. doi: 10.1016/j.euroneuro.2011.07.018.
    1. Jacobi F., Höfler M., Siegert J., Mack S., Gerschler A., Scholl L., Busch M.A., Hapke U., Maske U., Seiffert I., et al. Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: The Mental Health Module of the German Health Interview and Examination Survey for Adults (DEGS1-MH) Int. J. Methods Psychiatr. Res. 2014;23:304–319. doi: 10.1002/mpr.1439.
    1. Sareen J., Erickson J., Medved M.I., Asmundson G.J.G., Enns M., Stein M., Leslie W., Doupe M., Logsetty S. Risk factors for post-injury mental health problems. Depress Anxiety. 2013;30:321–327. doi: 10.1002/da.22077.
    1. Wiseman T.A., Curtis K., Lam M., Foster K. Incidence of depression, anxiety and stress following traumatic injury: A longitudinal study. Scand. J. Trauma Resusc. Emerg. Med. 2015;23:29. doi: 10.1186/s13049-015-0109-z.
    1. Hatch R., Young D., Barber V., Griffiths J., Harrison D.A., Watkinson P. Anxiety, depression and post-traumatic stress disorder after critical illness: A UK-wide prospective cohort study. Crit. Care. 2018;22:310. doi: 10.1186/s13054-018-2223-6.
    1. Taylor M.R., Agho K.E., Stevens G.J., Raphael B. Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health. 2008;8:347. doi: 10.1186/1471-2458-8-347.
    1. Cheng C., Jun H., Liang B. Psychological health diathesis assessment system: A nationwide survey of resilient trait scale for Chinese adults. Stud. Psychol. Behav. 2014;12:735–742.

Source: PubMed

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