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Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy

Lockdowns imposed by governments worldwide as a way to limit the spread of severe atypical respiratory syndrome-coronavirus-2 (SARS-CoV2) have had heavy psychological and economic consequences. Arthritis patients are a vulnerable population at an increased risk of peritraumatic stress. This could be...

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Autores principales: Picchianti Diamanti, Andrea, Cattaruzza, Maria Sofia, Di Rosa, Roberta, Del Porto, Flavia, Salemi, Simonetta, Sorgi, Maria Laura, Martin Martin, Luis Severino, Rai, Alessandra, Iacono, Dalila, Sesti, Giorgio, Alessandri, Guido, Laganà, Bruno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698862/
https://www.ncbi.nlm.nih.gov/pubmed/33218124
http://dx.doi.org/10.3390/microorganisms8111818
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author Picchianti Diamanti, Andrea
Cattaruzza, Maria Sofia
Di Rosa, Roberta
Del Porto, Flavia
Salemi, Simonetta
Sorgi, Maria Laura
Martin Martin, Luis Severino
Rai, Alessandra
Iacono, Dalila
Sesti, Giorgio
Alessandri, Guido
Laganà, Bruno
author_facet Picchianti Diamanti, Andrea
Cattaruzza, Maria Sofia
Di Rosa, Roberta
Del Porto, Flavia
Salemi, Simonetta
Sorgi, Maria Laura
Martin Martin, Luis Severino
Rai, Alessandra
Iacono, Dalila
Sesti, Giorgio
Alessandri, Guido
Laganà, Bruno
author_sort Picchianti Diamanti, Andrea
collection PubMed
description Lockdowns imposed by governments worldwide as a way to limit the spread of severe atypical respiratory syndrome-coronavirus-2 (SARS-CoV2) have had heavy psychological and economic consequences. Arthritis patients are a vulnerable population at an increased risk of peritraumatic stress. This could be due to several reasons, including the fear of shortage of medicine and difficulty receiving periodical medical checks. In the present case-control study, psychological distress in patients with autoimmune arthritis during the coronavirus disease 2019 (COVID-19) pandemic were investigated. An electronic survey was conducted to gather information on the perceived change in the emotional state, general health (GH), fatigue, joint pain, and disease activity during the lockdown, in 100 patients with autoimmune arthritis and 100 controls. Mental health status was measured using the Depression, Anxiety and Stress Scale (DASS-21). The COVID-19 Peritraumatic Distress Index (CPDI) was used to assess the frequency of peritraumatic stress disorders related to COVID-19. Patients reported a significant worsening of perceived GH (36% vs. 7%; p < 0.001), a significantly higher mean CPDI score (p < 0.001) than controls. Using multivariate analysis, arthritis patients had significantly higher CPDI scores (+3.67 points; p = 0.019), independent of depression, anxiety, and stress symptoms, comorbidities, and sociodemographic and lifestyle characteristics. Logistic regression analysis showed that the risk of reporting worsened GH was 9-fold higher in patients than controls (p < 0.001). Patients with autoimmune arthritis are at higher risk of psychological distress related to COVID-19 pandemic; thus targeted intervention should be designed to strengthen coping capacity in this vulnerable population.
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spelling pubmed-76988622020-11-29 Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy Picchianti Diamanti, Andrea Cattaruzza, Maria Sofia Di Rosa, Roberta Del Porto, Flavia Salemi, Simonetta Sorgi, Maria Laura Martin Martin, Luis Severino Rai, Alessandra Iacono, Dalila Sesti, Giorgio Alessandri, Guido Laganà, Bruno Microorganisms Article Lockdowns imposed by governments worldwide as a way to limit the spread of severe atypical respiratory syndrome-coronavirus-2 (SARS-CoV2) have had heavy psychological and economic consequences. Arthritis patients are a vulnerable population at an increased risk of peritraumatic stress. This could be due to several reasons, including the fear of shortage of medicine and difficulty receiving periodical medical checks. In the present case-control study, psychological distress in patients with autoimmune arthritis during the coronavirus disease 2019 (COVID-19) pandemic were investigated. An electronic survey was conducted to gather information on the perceived change in the emotional state, general health (GH), fatigue, joint pain, and disease activity during the lockdown, in 100 patients with autoimmune arthritis and 100 controls. Mental health status was measured using the Depression, Anxiety and Stress Scale (DASS-21). The COVID-19 Peritraumatic Distress Index (CPDI) was used to assess the frequency of peritraumatic stress disorders related to COVID-19. Patients reported a significant worsening of perceived GH (36% vs. 7%; p < 0.001), a significantly higher mean CPDI score (p < 0.001) than controls. Using multivariate analysis, arthritis patients had significantly higher CPDI scores (+3.67 points; p = 0.019), independent of depression, anxiety, and stress symptoms, comorbidities, and sociodemographic and lifestyle characteristics. Logistic regression analysis showed that the risk of reporting worsened GH was 9-fold higher in patients than controls (p < 0.001). Patients with autoimmune arthritis are at higher risk of psychological distress related to COVID-19 pandemic; thus targeted intervention should be designed to strengthen coping capacity in this vulnerable population. MDPI 2020-11-18 /pmc/articles/PMC7698862/ /pubmed/33218124 http://dx.doi.org/10.3390/microorganisms8111818 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Picchianti Diamanti, Andrea
Cattaruzza, Maria Sofia
Di Rosa, Roberta
Del Porto, Flavia
Salemi, Simonetta
Sorgi, Maria Laura
Martin Martin, Luis Severino
Rai, Alessandra
Iacono, Dalila
Sesti, Giorgio
Alessandri, Guido
Laganà, Bruno
Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title_full Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title_fullStr Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title_full_unstemmed Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title_short Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy
title_sort psychological distress in patients with autoimmune arthritis during the covid-19 induced lockdown in italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698862/
https://www.ncbi.nlm.nih.gov/pubmed/33218124
http://dx.doi.org/10.3390/microorganisms8111818
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