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Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners
BACKGROUND: Since the World Health Organization declared the new 2019 coronavirus disease (Covid-19) outbreak first a Public Health Emergency of International Concern and then a pandemic, Italy held more than 195.350 cases and 26.380 deaths. Working in the frontline with suspected Covid-19 infection...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mattioli 1885
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569634/ https://www.ncbi.nlm.nih.gov/pubmed/32420931 http://dx.doi.org/10.23750/abm.v91i2.9619 |
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author | Amerio, Andrea Bianchi, Davide Santi, Francesca Costantini, Luigi Odone, Anna Signorelli, Carlo Costanza, Alessandra Serafini, Gianluca Amore, Mario Aguglia, Andrea |
author_facet | Amerio, Andrea Bianchi, Davide Santi, Francesca Costantini, Luigi Odone, Anna Signorelli, Carlo Costanza, Alessandra Serafini, Gianluca Amore, Mario Aguglia, Andrea |
author_sort | Amerio, Andrea |
collection | PubMed |
description | BACKGROUND: Since the World Health Organization declared the new 2019 coronavirus disease (Covid-19) outbreak first a Public Health Emergency of International Concern and then a pandemic, Italy held more than 195.350 cases and 26.380 deaths. Working in the frontline with suspected Covid-19 infection patients, general practitioners (GPs) are daily under both physical and psychological pressure. METHODS: A web-based cross-sectional survey was carried out on italian GPs working in Genoa (Italy), to assess the impact of Covid-19 pandemic on mental health. The survey was anonymous and a free Google Forms(®) software was used. RESULTS: One hundred thirty-one GPs completed the survey. Compared to GPs with absent or mild depressive symptoms (PHQ-9 < 10), GPs reporting moderate to severe depressive symptoms (N=30, 22.9%; PHQ-9 ≥ 10) reported more helplessness (96.7% vs. 79.2%, p=.025), spent more than three hours searching for COVID-19 information (43.3% vs. 19.8%, p=.024), perceived less adequate personal protective equipment (PPE) (6.7% vs. 23.8%, p=.049) and visited more COVID-19 infected patients (16.63 ± 27.30 vs. 9.52 ± 11.75, p=.041). Moreover, PHQ-9 ≥ 10 GPs reported a significant higher severity for both anxiety and insomnia (13.43 ± 4.96 vs. 4.88 ± 3.53 and 11.60 ± 5.53 vs. 4.84 ± 3.81, respectively; p<.001), and a worse quality of life in both mental (34.60 ± 7.45 vs. 46.01 ± 7.83, p<.001) and physical (43.50 ± 9.37 vs. 52.94 ± 4.78, p<.001) component summary. CONCLUSIONS: Our results give early insight into the urgent need to provide continuity of care for patients at the community-level, adequate PPE to GPs and a clear guidance from public health institutions. A precarious healthcare system both at a national and regional level might have triggered negative mental health outcomes in Italian GPs. (www.actabiomedica.it) |
format | Online Article Text |
id | pubmed-7569634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mattioli 1885 |
record_format | MEDLINE/PubMed |
spelling | pubmed-75696342020-10-21 Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners Amerio, Andrea Bianchi, Davide Santi, Francesca Costantini, Luigi Odone, Anna Signorelli, Carlo Costanza, Alessandra Serafini, Gianluca Amore, Mario Aguglia, Andrea Acta Biomed Original Investigations/Commentaries BACKGROUND: Since the World Health Organization declared the new 2019 coronavirus disease (Covid-19) outbreak first a Public Health Emergency of International Concern and then a pandemic, Italy held more than 195.350 cases and 26.380 deaths. Working in the frontline with suspected Covid-19 infection patients, general practitioners (GPs) are daily under both physical and psychological pressure. METHODS: A web-based cross-sectional survey was carried out on italian GPs working in Genoa (Italy), to assess the impact of Covid-19 pandemic on mental health. The survey was anonymous and a free Google Forms(®) software was used. RESULTS: One hundred thirty-one GPs completed the survey. Compared to GPs with absent or mild depressive symptoms (PHQ-9 < 10), GPs reporting moderate to severe depressive symptoms (N=30, 22.9%; PHQ-9 ≥ 10) reported more helplessness (96.7% vs. 79.2%, p=.025), spent more than three hours searching for COVID-19 information (43.3% vs. 19.8%, p=.024), perceived less adequate personal protective equipment (PPE) (6.7% vs. 23.8%, p=.049) and visited more COVID-19 infected patients (16.63 ± 27.30 vs. 9.52 ± 11.75, p=.041). Moreover, PHQ-9 ≥ 10 GPs reported a significant higher severity for both anxiety and insomnia (13.43 ± 4.96 vs. 4.88 ± 3.53 and 11.60 ± 5.53 vs. 4.84 ± 3.81, respectively; p<.001), and a worse quality of life in both mental (34.60 ± 7.45 vs. 46.01 ± 7.83, p<.001) and physical (43.50 ± 9.37 vs. 52.94 ± 4.78, p<.001) component summary. CONCLUSIONS: Our results give early insight into the urgent need to provide continuity of care for patients at the community-level, adequate PPE to GPs and a clear guidance from public health institutions. A precarious healthcare system both at a national and regional level might have triggered negative mental health outcomes in Italian GPs. (www.actabiomedica.it) Mattioli 1885 2020 2020-05-11 /pmc/articles/PMC7569634/ /pubmed/32420931 http://dx.doi.org/10.23750/abm.v91i2.9619 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License |
spellingShingle | Original Investigations/Commentaries Amerio, Andrea Bianchi, Davide Santi, Francesca Costantini, Luigi Odone, Anna Signorelli, Carlo Costanza, Alessandra Serafini, Gianluca Amore, Mario Aguglia, Andrea Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title | Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title_full | Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title_fullStr | Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title_full_unstemmed | Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title_short | Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners |
title_sort | covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of italian general practitioners |
topic | Original Investigations/Commentaries |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569634/ https://www.ncbi.nlm.nih.gov/pubmed/32420931 http://dx.doi.org/10.23750/abm.v91i2.9619 |
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