Acute stress symptoms in general population during the first wave of COVID lockdown in Italy: Results from the COMET trial.

ASD COVID-19 PTSD acute stress acute stress symptoms lockdown post-traumatic stress symptoms

Journal

Brain and behavior
ISSN: 2162-3279
Titre abrégé: Brain Behav
Pays: United States
ID NLM: 101570837

Informations de publication

Date de publication:
21 Nov 2023
Historique:
revised: 27 09 2023
received: 28 07 2023
accepted: 25 10 2023
medline: 22 11 2023
pubmed: 22 11 2023
entrez: 22 11 2023
Statut: aheadofprint

Résumé

The coronavirus disease of 2019 (COVID-19) pandemic is an unprecedented traumatic event that has severely impacted social, economic, and health well-being worldwide. The COvid Mental hEalth Trial was specifically designed to evaluate the impact of the COVID-19 pandemic and its containment measures on the mental health of the Italian general population in terms of COVID-19-related acute stress disorder (ASD) symptoms. The present cross-sectional study is based on an online survey carried out in the period March-May 2020. Italian general adult population was invited to compile an anonymous survey, which included the severity of acute stress symptoms scale/National Stressful Events Survey Short Scale to investigate the occurrence and severity of ASD symptoms. The final sample consisted of 20,720 participants. During the lockdown, subjects with pre-existing mental health problems reported a statistically significant higher risk of acute post-traumatic symptoms compared to the general population (B: 2.57; 95% CI:2.04-3.09; p < .0001) and health care professionals (B: .37; 95% CI: .02-0.72; p < .05). According to multivariate regression models, the levels of acute post-traumatic symptoms (p < .0001) were higher in younger and female respondents. Social isolation and sleep disorder/insomnia represented positive predictors of acute stress (B = 3.32, 95% CI = 3.08-3.57). Concerns about the risk of infection as well as social isolation caused a higher incidence of acute post-traumatic stress symptoms that may predict the subsequent development of post-traumatic stress disorder symptoms in the long term.

Sections du résumé

BACKGROUND BACKGROUND
The coronavirus disease of 2019 (COVID-19) pandemic is an unprecedented traumatic event that has severely impacted social, economic, and health well-being worldwide. The COvid Mental hEalth Trial was specifically designed to evaluate the impact of the COVID-19 pandemic and its containment measures on the mental health of the Italian general population in terms of COVID-19-related acute stress disorder (ASD) symptoms.
METHODS METHODS
The present cross-sectional study is based on an online survey carried out in the period March-May 2020. Italian general adult population was invited to compile an anonymous survey, which included the severity of acute stress symptoms scale/National Stressful Events Survey Short Scale to investigate the occurrence and severity of ASD symptoms.
RESULTS RESULTS
The final sample consisted of 20,720 participants. During the lockdown, subjects with pre-existing mental health problems reported a statistically significant higher risk of acute post-traumatic symptoms compared to the general population (B: 2.57; 95% CI:2.04-3.09; p < .0001) and health care professionals (B: .37; 95% CI: .02-0.72; p < .05). According to multivariate regression models, the levels of acute post-traumatic symptoms (p < .0001) were higher in younger and female respondents. Social isolation and sleep disorder/insomnia represented positive predictors of acute stress (B = 3.32, 95% CI = 3.08-3.57).
CONCLUSIONS CONCLUSIONS
Concerns about the risk of infection as well as social isolation caused a higher incidence of acute post-traumatic stress symptoms that may predict the subsequent development of post-traumatic stress disorder symptoms in the long term.

Identifiants

pubmed: 37990771
doi: 10.1002/brb3.3314
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e3314

Informations de copyright

© 2023 The Authors. Brain and Behavior published by Wiley Periodicals LLC.

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Auteurs

Claudia Carmassi (C)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Gaia Sampogna (G)

Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.

Matteo Di Vincenzo (M)

Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.

Salvatore Cipolla (S)

Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.

Claudia Toni (C)

Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.

Umberto Albert (U)

Department of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina-ASUGI, Trieste, Italy.

Giuseppe Carrà (G)

Department of Medicine and Surgery, University of Milan Bicocca, Milano, Italy.

Francesca Cirulli (F)

Center for Behavioral Sciences and Mental Health, National Institute of Health, Rome, Italy.

Bernardo Dell'Osso (B)

Neuroscience Research Center, Department of Biomedical and Clinical Sciences and Aldo Ravelli Center for Neurotechnology and Brain Therapeutic, University of Milan, Milano, Italy.
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.

Sara Fantasia (S)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Maria Giulia Nanni (MG)

Institute of Psychiatry, Department of Neurosciences and Rehabilitation, University of Ferrara, Ferrara, Italy.

Virginia Pedrinelli (V)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Maurizio Pompili (M)

Department of Neurosciences, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Gabriele Sani (G)

Department of Neuroscience, Section of Psychiatry, University Cattolica del Sacro Cuore, Rome, Italy.
Department of Neuroscience, Sensory organs and Thorax, Department of Psychiatry, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.

Alfonso Tortorella (A)

Department of Psychiatry, University of Perugia, Perugia, Italy.

Umberto Volpe (U)

Clinical Psychiatry Unit, Department of Clinical Neurosciences, Università Politecnica delle Marche, Ancona, Italy.

Andrea Fiorillo (A)

Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.

Classifications MeSH