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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-7794735 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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