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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
BACKGROUND: 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 severel...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556907/ https://www.ncbi.nlm.nih.gov/pubmed/32981568 http://dx.doi.org/10.1192/j.eurpsy.2020.89 |
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author | Fiorillo, Andrea Sampogna, Gaia Giallonardo, Vincenzo Del Vecchio, Valeria Luciano, Mario Albert, Umberto Carmassi, Claudia Carrà, Giuseppe Cirulli, Francesca Dell’Osso, Bernardo Nanni, Maria Giulia Pompili, Maurizio Sani, Gabriele Tortorella, Alfonso Volpe, Umberto |
author_facet | Fiorillo, Andrea Sampogna, Gaia Giallonardo, Vincenzo Del Vecchio, Valeria Luciano, Mario Albert, Umberto Carmassi, Claudia Carrà, Giuseppe Cirulli, Francesca Dell’Osso, Bernardo Nanni, Maria Giulia Pompili, Maurizio Sani, Gabriele Tortorella, Alfonso Volpe, Umberto |
author_sort | Fiorillo, Andrea |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. |
format | Online Article Text |
id | pubmed-7556907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-75569072020-10-16 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 Fiorillo, Andrea Sampogna, Gaia Giallonardo, Vincenzo Del Vecchio, Valeria Luciano, Mario Albert, Umberto Carmassi, Claudia Carrà, Giuseppe Cirulli, Francesca Dell’Osso, Bernardo Nanni, Maria Giulia Pompili, Maurizio Sani, Gabriele Tortorella, Alfonso Volpe, Umberto Eur Psychiatry Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. Cambridge University Press 2020-09-28 /pmc/articles/PMC7556907/ /pubmed/32981568 http://dx.doi.org/10.1192/j.eurpsy.2020.89 Text en © The Author(s) 2020 http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Fiorillo, Andrea Sampogna, Gaia Giallonardo, Vincenzo Del Vecchio, Valeria Luciano, Mario Albert, Umberto Carmassi, Claudia Carrà, Giuseppe Cirulli, Francesca Dell’Osso, Bernardo Nanni, Maria Giulia Pompili, Maurizio Sani, Gabriele Tortorella, Alfonso Volpe, Umberto 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 |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556907/ https://www.ncbi.nlm.nih.gov/pubmed/32981568 http://dx.doi.org/10.1192/j.eurpsy.2020.89 |
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