Post-traumatic stress, anxiety, and depressive symptoms in caregivers of children tested for COVID-19 in the acute phase of the Italian outbreak.

Anxiety Anxiety Disorders / etiology COVID-19 / diagnosis COVID-19 Testing Cross-Sectional Studies Depression Humans Italy Parents / psychology Quarantine / psychology Sex Factors Socioeconomic Factors Stress Disorders, Post-Traumatic / etiology
Anxiety COVID-19 Depression PTSS Parents SARS-COV-2

Journal

Journal of psychiatric research
ISSN: 1879-1379
Titre abrégé: J Psychiatr Res
Pays: England
ID NLM: 0376331

Informations de publication

Date de publication:
03 2021
Historique:
received: 10 07 2020
revised: 14 12 2020
accepted: 18 01 2021
pubmed: 29 1 2021
medline: 9 3 2021
entrez: 28 1 2021
Statut: ppublish

Résumé

The recent COVID-19 pandemic pointed out new burdens for researchers on mental health and that evidence-based (EB) studies on vulnerable populations are timely needed. The present paper aims at analysing the impact of suspicious of SARS-COV-2 infection in a cohort of parents presented at 3 major hospitals (spread between north and center of Italy) during the Italian COVID-19 pandemic phase 1. Participants of the present cross-sectional, multicenter study were parental couples of children suspected to have COVID-19 who underwent testing with nasopharyngeal swabbing. All subjects were assessed by means of the: Impact of Event Scale-Revised (IES-R), Generalized Anxiety Disorder 7-Item (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) in order to evaluate Post-traumatic stress (PTSS), anxiety, and depressive symptoms, respectively. Results evidenced that parents whose children tested positive for COVID-19 were more prone to developing PTSS, anxiety and depressive symptoms. The same results emerged for parents who had quarantined as opposed to those who had not. Moreover, patients who suffered economic damage showed a higher prevalence of anxiety and depressive symptoms, whereas PTSS was more common among unemployed subjects and among mothers. This study identified a mental health strain represented by parenting a child who tested positive for SARS-CoV-2 infection. Further EB research is needed to develop evidence-driven strategies to reduce adverse psychological impacts and related psychiatric symptoms in caregivers of COVID-19 infected children during the next phases of the pandemic.

Sections du résumé

BACKGROUND
The recent COVID-19 pandemic pointed out new burdens for researchers on mental health and that evidence-based (EB) studies on vulnerable populations are timely needed. The present paper aims at analysing the impact of suspicious of SARS-COV-2 infection in a cohort of parents presented at 3 major hospitals (spread between north and center of Italy) during the Italian COVID-19 pandemic phase 1.
METHODS
Participants of the present cross-sectional, multicenter study were parental couples of children suspected to have COVID-19 who underwent testing with nasopharyngeal swabbing. All subjects were assessed by means of the: Impact of Event Scale-Revised (IES-R), Generalized Anxiety Disorder 7-Item (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) in order to evaluate Post-traumatic stress (PTSS), anxiety, and depressive symptoms, respectively.
OUTCOMES
Results evidenced that parents whose children tested positive for COVID-19 were more prone to developing PTSS, anxiety and depressive symptoms. The same results emerged for parents who had quarantined as opposed to those who had not. Moreover, patients who suffered economic damage showed a higher prevalence of anxiety and depressive symptoms, whereas PTSS was more common among unemployed subjects and among mothers.
INTERPRETATION
This study identified a mental health strain represented by parenting a child who tested positive for SARS-CoV-2 infection. Further EB research is needed to develop evidence-driven strategies to reduce adverse psychological impacts and related psychiatric symptoms in caregivers of COVID-19 infected children during the next phases of the pandemic.

Identifiants

DOI: 10.1016/j.jpsychires.2021.01.024 PMID: 33508545 PMC: PMC7825987
pubmed: 33508545
pii: S0022-3956(21)00035-2
doi: 10.1016/j.jpsychires.2021.01.024
pmc: PMC7825987
pii:
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

256-263

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

A Orsini (A)

Neuropediatric Section, Pediatric Clinic, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy. Electronic address: aorsini.md@gmail.com.

M Corsi (M)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy; Occupational Health Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy. Electronic address: dott.martinacorsi@gmail.com.

V Pedrinelli (V)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: virginiapedinelli@gmail.com.

A Santangelo (A)

Neuropediatric Section, Pediatric Clinic, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy. Electronic address: androsantangelo@gmail.com.

C Bertelloni (C)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: carlo.ab@hotmail.it.

V Dell'Oste (V)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: valerio.delloste@gmail.com.

D Cordelli (D)

IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italia. Electronic address: ducciomaria.cordelli@aosp.bo.it.

A Perrone (A)

IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italia. Electronic address: annalisa.perrone@studio.unibo.it.

L Parini (L)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Pediatric Emergency Unit, Bologna, Italy. Electronic address: lorenza.parini@studio.unibo.it.

M Lanari (M)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Pediatric Emergency Unit, Bologna, Italy. Electronic address: marcello.lanari@unibo.it.

G Massimetti (G)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: gabriele.massimetti@med.unipi.it.

A Bonuccelli (A)

Neuropediatric Section, Pediatric Clinic, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy. Electronic address: dott.bonuccelli@alice.it.

T Foiadelli (T)

Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Italy. Electronic address: Thomas.foiadelli@gmail.com.

C Trabatti (C)

Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Italy. Electronic address: Chiara.trabatti@gmail.com.

S Savasta (S)

Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Italy. Electronic address: S.savasta@smatteo.pv.it.

G Marseglia (G)

Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Italy. Electronic address: Gianluigi.marseglia@unipv.it.

P Striano (P)

Pediatric Neurology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy. Electronic address: strianop@gmail.com.

D G Peroni (DG)

Neuropediatric Section, Pediatric Clinic, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy. Electronic address: diego.peroni@unipi.it.

L Dell'Osso (L)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: liliana.dellosso@med.unipi.it.

C Carmassi (C)

Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa, 56100, Italy. Electronic address: Claudia.carmassi@unipi.it.

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Classifications MeSH

questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Anxiété › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Troubles mentaux › Troubles anxieux › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Dépistage de la COVID-19 › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Régions géographiques › Europe › Italie › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Personnes › Parents › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Quarantaine › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Facteurs épidémiologiques › Facteurs sexuels › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Caractéristiques de la population › Facteurs socioéconomiques › Post-traumatic stress, anxiety, and depressive...
questionsmedicales.fr › Troubles mentaux › Troubles liés aux traumatismes et au stress › Troubles de stress traumatique › Troubles de stress post-traumatique › Post-traumatic stress, anxiety, and depressive...