Professional quality of life and psychopathological symptoms among first-line healthcare workers facing COVID-19 pandemic: an exploratory study in an Italian southern hospital.

Background: The COVID-19 pandemic has significantly affected the mental health of healthcare workers, who have taken on the major problems triggered by the emergency. The mental consequences concern high levels of insomnia, anxiety, depression and burnout, which inevitably affect their professional quality of life too. Objective: The aim of this study was to analyze the relationship between psychopathological symptoms (tested with the Depression Anxiety Stress Scale, DASS-21) and professional quality of life (measured with the Professional Quality of Life Scale, ProQol) in a hospital of southern Italy. Methods: 204 healthcare workers were recruited by non-probabilistic sampling and divided by age, gender, work roles (physicians, nurses and intermediate care technicians) and clinical departments (Cardio-medicine, Infectious Diseases, Emergency Medicine, First Aid, Obstetrics and Pneumology). Results: The results showed higher levels of Secondary Traumatic Stress, Depression, Anxiety and Stress in women than in men. Physicians and nurses experienced lower levels of Compassion Satisfaction but higher Burnout than intermediate care technicians; likewise, nurses were more anxious than physicians. The Emergency Medicine had higher scores in Compassion Satisfaction than Infectious Disease, Pneumology, Obstetrics and Cardio-Medicine. Conclusion: In light of what has been said so far, it appears essential to intervene on the first mild signs of Burnout and Secondary Traumatic Stress, because they precede the onset of Depression, Stress and Anxiety in healthcare workers.

"Don't Touch Your Face!" The Contribution of Habit Reversal in the COVID-19 Pandemic.

The Habit Reversal Training (HRT) is a behavioral procedure for treating the so-called nervous habits, such as nail biting, hair pulling and thumb sucking. In addition to being an established clinical procedure, HRT is also a strategy for behavioral change that can serve the entire community. For this reason, this review aims to explore the studies proposing the use of HRT for the reduction of hand-to-face habits in the context of COVID-19 pandemic. Touching one's nose, mouth and eyes, indeed, is one of the means of virus transmission that many awareness campaigns seek to highlight. After an overview of how HRT works and of the current epidemiological situation, studies supporting Habit Reversal Training for the reduction of risky hand-to-face habits are presented. The possible strategies are then exposed and critically discussed to identify their limitations and propose a new version according to the Relational Frame Theory.

Students' Mathematics Anxiety at Distance and In-Person Learning Conditions during COVID-19 Pandemic: Are There Any Differences? An Exploratory Study

The COVID-19 pandemic has caused unprecedented changes in the educational system, requiring students to continually switch between distance and in-person learning conditions. Recent studies have revealed that students experienced severe levels of anxiety in the COVID-19 period. Considering the close relationship that has always linked anxiety to mathematics, the present study explores the differences in the anxiety levels of students towards mathematics during distance or in-person school learning. During the second wave of COVID-19, 405 students, recruited from twelve middle schools of Catania province (Italy), completed an online version of the MeMa questionnaire, answering each item twice and imagining themselves to be, respectively, in distance and in-person learning conditions. The items explored generalized school anxiety, learning and evaluation mathematics anxiety, mental states, and the metacognitive awareness associated with mathematical tasks. The results showed a minor state of anxiety experienced during distance learning. However, the students who preferred to learn mathematics in person revealed less mathematics anxiety and better mental states and metacognitive awareness;the same results were found in those who reported higher math marks and who preferred scientific subjects. It seems that math anxiety is not one of the various flaws that are imputed to distance learning. Our findings encourage a reflection on possible interventions to reduce students' anxiety by working on motivation and dysfunctional beliefs.

Sexual Addiction, Hypersexual Behavior and Relative Psychological Dynamics during the Period of Social Distancing and Stay-at-Home Policies Due to COVID-19.

During the COVID-19 pandemic, increased stress factors affected people's motivations to engage in potentially addictive behaviors. Sexuality, understood as one of the psychological aspects to be investigated to explore the level of psychological well-being of a person, has suffered considerable repercussions due to the pandemic. A growing body of evidence suggests an unprecedented increase in Internet use and online pornography consumption during the pandemic. Since March 2020, during the lockdown period, Pornhub has seen a worldwide increase in pornography use of 11.6% compared to the previous average days. This research was conducted with the aim of exploring the possible increasing use of pornographic material during the lockdown period, in order to assess whether dysfunctional behaviors, such as compulsive behaviors, and thoughts of sex-related obsessives can lead to hypersexual behavior or a more severe Sexual Addiction. The individuals who participated in our research were 18 years of age or older (mean 23.1, s.d. 5.8), and 48% male and 52% females and were recruited online to complete a self-report questionnaire in the period between April 2020 and April 2021. The questionnaires were delivered via main social networks. The tool used for our survey was the SAST (Sexual Addiction Screening Test), a questionnaire including socio-demographic data and data relating to sexual practices, such as sexual orientation and time spent on the Internet for sexual activities. The results revealed significant differences concerning the various factors investigated such as loss of control, addictive symptoms and hide score.

Psychopathological Dynamics during COVID-19 Social Distancing and Stay-at-home Policies: Telepsychological Support as a Bridge to the Enhancement of Psychological Well-being

On 9 March 2020, following the expansion of the SARS-CoV-2 epidemic, the Italian Government established an emergency protocol imposing restrictions: from the obligation to stay at home to the total closure of work activities. This decree made it essential to introduce various "New" Modes of psychological support, carried out through the use of smartphones, computers or other electronic devices equipped with an internet connection. The aim of this study was to observe, through the reception of telephone calls, the main psychological disorders reported by the population during the lockdown period in Italy. Another aim was to test this mode of intervention and evaluate its feasibility, acceptability, and its potential effectiveness in advance. From the data that emerged, it will subsequently be possible to establish a psychological intervention line aimed at determining the most frequent psychological problems reported during this period. From the start of the Italian lockdown, the psychological telephone support, promoted by the COEHAR center, has been activated. In order to manage the psychological requests arriving from all over Italy, this psychological intervention was available every day for one month from 8.00 am to 8.00 pm. A total of 255 psychological requests were examined. Although northern Italy had experienced a greater spread of the virus than in other areas, more calls were made from people living in southern Italy. The majority of psychological disorders were represented by Trauma and Stress-Related Disorders and anxietymood disorders that people reported as associated to the distress experienced during the lockdown period. For this reason, we recommend setting up a specific telephone intervention line to take charge of these specific psychological symptoms.