ABSTRACT
Medium-sized cities are an important component of the settlement system and are often described as a joining link between urban and rural areas. However, in recent decades they have been impacted by growing competition from large cities which have tremendous appeal for the post-Fordist economy and for various segments of the population. This paper analyses the demographic trajectories of 99 medium-sized cities in Italy with provincial capital status, from the beginning of the twenty-first century to the outbreak of the COVID-19 pandemic. Over a twenty-year period marked by many difficulties for the Italian economy in an international context, what has the demographic performance of these cities been? The research addresses two areas. On the one hand, it analyses the demographic vitality of the provincial capitals compared to the metropolitan centres;on the other, it follows the redistribution of populations in the provincial capitals' urban areas, which coincide with the employment areas (Sistemi locali del lavoro). Significant behavioural discontinuities emerge between the decade of 2000-2010 and the following decade, which was characterised by a gradual recovery after the shock of the Great Recession. The picture was changed further by the COVID-19 pandemic. Furthermore, persistent differences between the medium-sized cities of Northern and Southern Italy stand out, but so do new internal divisions within the country, reframing this historical dualism. © Institute of Geography and Spatial Organization Polish Academy of Sciences • Warsaw • 2022.
ABSTRACT
COVID-19 pandemic had a great impact on mental health, both in the general population and psychiatric patients. Little is known about the difference between these two populations in perceiving the pandemic as a traumatic event. The aim of the study was to compare psychiatric patients and healthy controls (HC) in terms of change over time of post-traumatic (PTSD) symptoms. Demographic and clinical variables were collected. Impact of Event Scale Revised (IES-R) scores were registered at T1 as lockdown period (March-April 2020) and T2 as restarting (May-June 2020). Descriptive analyses and linear regression models were performed. A total of 166 outpatients and 57 HC were recruited. Time (F = 15.76; p < 0.001) and diagnosis (F = 4.94; p < 0.001) had a significant effect on the change of IES-R scores, which resulted T1 > T2 (p < 0.001), except for subjects affected by Obsessive-Compulsive Disorder (OCD). Overall, IES-R scores were < in patients than in HC (p = 0.02), particularly in the schizophrenia (SKZ) subgroup (p < 0.001). IES-R scores of subjects with personality disorders (PDs) resulted to be > HC, although not statistically significant. The lockdown period was perceived as more traumatic than the reopening phase by both groups, with the exception of OCD patients, probably because of the clinical worsening associated with the urge of control against risks of contamination. Overall, HC reported more PTSD symptoms than psychiatric patients did, particularly SKZ ones. PD patients, in contrast, may be more vulnerable to PTSD symptoms probably as a result of poor coping skills. Together with OCD patients, subjects with PDs may need closer monitoring during the different phases of the pandemic. Trial Registration: ClinicalTrials.gov Identifier: NCT04694482.