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The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study

Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate...

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Autores principales: Deledda, Giuseppe, Riccardi, Niccolò, Gori, Stefania, Poli, Sara, Giansante, Matteo, Geccherle, Eleonora, Mazzi, Cristina, Silva, Ronaldo, Desantis, Nicoletta, Giovannetti, Ambra Mara, Solari, Alessandra, Confalonieri, Paolo, Grazzi, Licia, Sarcletti, Elena, Biffa, Gabriella, Biagio, Antonio Di, Sestito, Carlo, Keim, Roland, Gangi Hermis, Alida M. R. Di, Mazzoldi, Mariantonietta, Failo, Alessandro, Scaglione, Anna, Faldetta, Naida, Dorangricchia, Patrizia, Moschetto, Maria, Soto Parra, Hector Josè, Faietti, Jennifer, Profio, Anna Di, Rusconi, Stefano, Giacomelli, Andrea, Marchioretto, Fabio, Alongi, Filippo, Marchetta, Antonio, Molon, Giulio, Bisoffi, Zeno, Angheben, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794735/
https://www.ncbi.nlm.nih.gov/pubmed/33466374
http://dx.doi.org/10.3390/ijerph18010340
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author Deledda, Giuseppe
Riccardi, Niccolò
Gori, Stefania
Poli, Sara
Giansante, Matteo
Geccherle, Eleonora
Mazzi, Cristina
Silva, Ronaldo
Desantis, Nicoletta
Giovannetti, Ambra Mara
Solari, Alessandra
Confalonieri, Paolo
Grazzi, Licia
Sarcletti, Elena
Biffa, Gabriella
Biagio, Antonio Di
Sestito, Carlo
Keim, Roland
Gangi Hermis, Alida M. R. Di
Mazzoldi, Mariantonietta
Failo, Alessandro
Scaglione, Anna
Faldetta, Naida
Dorangricchia, Patrizia
Moschetto, Maria
Soto Parra, Hector Josè
Faietti, Jennifer
Profio, Anna Di
Rusconi, Stefano
Giacomelli, Andrea
Marchioretto, Fabio
Alongi, Filippo
Marchetta, Antonio
Molon, Giulio
Bisoffi, Zeno
Angheben, Andrea
author_facet Deledda, Giuseppe
Riccardi, Niccolò
Gori, Stefania
Poli, Sara
Giansante, Matteo
Geccherle, Eleonora
Mazzi, Cristina
Silva, Ronaldo
Desantis, Nicoletta
Giovannetti, Ambra Mara
Solari, Alessandra
Confalonieri, Paolo
Grazzi, Licia
Sarcletti, Elena
Biffa, Gabriella
Biagio, Antonio Di
Sestito, Carlo
Keim, Roland
Gangi Hermis, Alida M. R. Di
Mazzoldi, Mariantonietta
Failo, Alessandro
Scaglione, Anna
Faldetta, Naida
Dorangricchia, Patrizia
Moschetto, Maria
Soto Parra, Hector Josè
Faietti, Jennifer
Profio, Anna Di
Rusconi, Stefano
Giacomelli, Andrea
Marchioretto, Fabio
Alongi, Filippo
Marchetta, Antonio
Molon, Giulio
Bisoffi, Zeno
Angheben, Andrea
author_sort Deledda, Giuseppe
collection PubMed
description Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate the psychosocial factors contributing to the cancellation of medical appointments during the pandemic by patients with pre-existing health conditions. Data were collected in eleven Italian hospitals during the last week of lockdown, and one month later. In order to assess the emotional impact of the SARS-CoV-2 outbreak and the subject’s degree of psychological flexibility, we developed an ad hoc questionnaire (ImpACT), referring to the Acceptance and Commitment Therapy (ACT) model. The Impact of Event Scale-Revised (IES-R), the Depression, Anxiety and Stress Scale (DASS) and the Cognitive Fusion Questionnaire (CFQ) were also used. Pervasive dysfunctional use of experiential avoidance behaviours (used with the function to avoid thought, emotions, sensations), feelings of loneliness and high post-traumatic stress scores were found to correlate with the fear of COVID-19, increasing the likelihood of cancelling medical appointments. Responding promptly to the information and psychological needs of patients who cancel medical appointments can have positive effects in terms of psychological and physical health.
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spelling pubmed-77947352021-01-10 The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study Deledda, Giuseppe Riccardi, Niccolò Gori, Stefania Poli, Sara Giansante, Matteo Geccherle, Eleonora Mazzi, Cristina Silva, Ronaldo Desantis, Nicoletta Giovannetti, Ambra Mara Solari, Alessandra Confalonieri, Paolo Grazzi, Licia Sarcletti, Elena Biffa, Gabriella Biagio, Antonio Di Sestito, Carlo Keim, Roland Gangi Hermis, Alida M. R. Di Mazzoldi, Mariantonietta Failo, Alessandro Scaglione, Anna Faldetta, Naida Dorangricchia, Patrizia Moschetto, Maria Soto Parra, Hector Josè Faietti, Jennifer Profio, Anna Di Rusconi, Stefano Giacomelli, Andrea Marchioretto, Fabio Alongi, Filippo Marchetta, Antonio Molon, Giulio Bisoffi, Zeno Angheben, Andrea Int J Environ Res Public Health Article Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate the psychosocial factors contributing to the cancellation of medical appointments during the pandemic by patients with pre-existing health conditions. Data were collected in eleven Italian hospitals during the last week of lockdown, and one month later. In order to assess the emotional impact of the SARS-CoV-2 outbreak and the subject’s degree of psychological flexibility, we developed an ad hoc questionnaire (ImpACT), referring to the Acceptance and Commitment Therapy (ACT) model. The Impact of Event Scale-Revised (IES-R), the Depression, Anxiety and Stress Scale (DASS) and the Cognitive Fusion Questionnaire (CFQ) were also used. Pervasive dysfunctional use of experiential avoidance behaviours (used with the function to avoid thought, emotions, sensations), feelings of loneliness and high post-traumatic stress scores were found to correlate with the fear of COVID-19, increasing the likelihood of cancelling medical appointments. Responding promptly to the information and psychological needs of patients who cancel medical appointments can have positive effects in terms of psychological and physical health. MDPI 2021-01-05 2021-01 /pmc/articles/PMC7794735/ /pubmed/33466374 http://dx.doi.org/10.3390/ijerph18010340 Text en © 2021 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
Deledda, Giuseppe
Riccardi, Niccolò
Gori, Stefania
Poli, Sara
Giansante, Matteo
Geccherle, Eleonora
Mazzi, Cristina
Silva, Ronaldo
Desantis, Nicoletta
Giovannetti, Ambra Mara
Solari, Alessandra
Confalonieri, Paolo
Grazzi, Licia
Sarcletti, Elena
Biffa, Gabriella
Biagio, Antonio Di
Sestito, Carlo
Keim, Roland
Gangi Hermis, Alida M. R. Di
Mazzoldi, Mariantonietta
Failo, Alessandro
Scaglione, Anna
Faldetta, Naida
Dorangricchia, Patrizia
Moschetto, Maria
Soto Parra, Hector Josè
Faietti, Jennifer
Profio, Anna Di
Rusconi, Stefano
Giacomelli, Andrea
Marchioretto, Fabio
Alongi, Filippo
Marchetta, Antonio
Molon, Giulio
Bisoffi, Zeno
Angheben, Andrea
The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title_full The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title_fullStr The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title_full_unstemmed The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title_short The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study
title_sort impact of the sars-cov-2 outbreak on the psychological flexibility and behaviour of cancelling medical appointments of italian patients with pre-existing medical condition: the “impact-covid-19 for patients” multi-centre observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794735/
https://www.ncbi.nlm.nih.gov/pubmed/33466374
http://dx.doi.org/10.3390/ijerph18010340
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