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A longitudinal observation of general psychopathology before the COVID-19 outbreak and during lockdown in Italy.
Castellini, Giovanni; Rossi, Eleonora; Cassioli, Emanuele; Sanfilippo, Giulia; Innocenti, Matteo; Gironi, Veronica; Silvestri, Caterina; Voller, Fabio; Ricca, Valdo.
  • Castellini G; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy. Electronic address: giovanni.castellini@unifi.it.
  • Rossi E; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
  • Cassioli E; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
  • Sanfilippo G; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
  • Innocenti M; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
  • Gironi V; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
  • Silvestri C; Epidemiology Unit, Regional Health Agency of Tuscany, Florence, Italy.
  • Voller F; Epidemiology Unit, Regional Health Agency of Tuscany, Florence, Italy.
  • Ricca V; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
J Psychosom Res ; 141: 110328, 2021 02.
Article in English | MEDLINE | ID: covidwho-957249
ABSTRACT

OBJECTIVE:

Italy has been largely involved by the COVID-19 pandemic. The present study aimed at evaluating the impact of the lockdown during the pandemic on mental health adopting both a longitudinal and a cross-sectional design. Accordingly, the study investigated general psychopathology a few weeks before the COVID-19 outbreak (T0) and during lockdown (T1), and the associations between lockdown-related environmental conditions, self-perceived worsening in daily living and psychopathology.

METHODS:

130 subjects (aged 18-60 years) were included in the longitudinal design, and an additional subsample of 541 subjects was recruited for the in-lockdown evaluation. Socio-demographic data and the Brief Symptom Inventory were collected both at T0 and T1. Moreover, at T1 an online survey was administered for the evaluation of lockdown-related environmental conditions and self-perceived variations in daily living induced by quarantine, along with the Impact of Event Scale-Revised.

RESULTS:

Longitudinal analysis showed that phobic anxiety and depressive symptoms increased at T1 as compared with T0, whereas interpersonal sensitivity and paranoid ideation decreased. Pre-existing general psychopathology predicted COVID-19-related post-traumatic symptomatology. Cross-sectional analyses underlined that self-perceived deteriorations in various areas of daily living were associated with general and post-traumatic psychopathology, and with several lockdown-related conditions, especially economic damage.

CONCLUSION:

The present study underlined a different trend of increased internalizing and decreased interpersonal symptoms during COVID-19 quarantine in Italy. Furthermore, the results showed that subjects with pre-existing psychopathology and those reporting economic damage during the pandemic were more likely to develop deterioration of their mental health.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Disease Outbreaks / COVID-19 / Mental Disorders Type of study: Diagnostic study / Observational study / Prevalence study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Disease Outbreaks / COVID-19 / Mental Disorders Type of study: Diagnostic study / Observational study / Prevalence study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article