Mental health during and after the <scp>COVID</scp>‐19 emergency in Italy

Sani, Gabriele; Janiri, Delfina; Nicola, Marco Di; Janiri, Luigi; Ferretti, Serena; Chieffo, Daniela Pia Rosaria

doi:10.1111/pcn.13004

Cited by 202 publications

(191 citation statements)

References 5 publications

Supporting

Mentioning

173

Contrasting

Unclassified

Order By: Relevance

“…The social utility of mental health professionals in the management of the COVID-19 outbreak is confirmed. 6 Therefore, we should provide mental health support not only to children with ASD but also their families.…”

Section: Third Part: Eight Small Tips For Helping Asd Children Stay Amentioning

confidence: 99%

Making a brochure about coronavirus disease (COVID‐19) for children with autism spectrum disorder and their family members

Kawabe

Hosokawa

Nakachi

et al. 2020

Psychiatry Clin Neurosci

View full text Add to dashboard Cite

Section: Third Part: Eight Small Tips For Helping Asd Children Stay Amentioning

confidence: 99%

Making a brochure about coronavirus disease (COVID‐19) for children with autism spectrum disorder and their family members

Kawabe

Hosokawa

Nakachi

et al. 2020

Psychiatry Clin Neurosci

View full text Add to dashboard Cite

“…However, mixed evidence is available about the role of interindividual characteristics and demographics in determining the psychological response of a population facing large-scale stressful events. Hence, it is crucial to detect possible predictors of the psychological impact during the COVID-19 outbreak, in order to implement prompt intervention strategies (Sani et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population

Moccia

Janiri

Pepe

et al. 2020

Brain, Behavior, and Immunity

Self Cite

514

505

View full text Add to dashboard Cite

The outbreak of COVID-19 is severely affecting mental health worldwide, although individual response may vary. This study aims to investigate the psychological distress perceived by the Italian general population during the early phase of the COVID-19 pandemic, and to analyze affective temperament and adult attachment styles as potential mediators. Through an online survey, we collected sociodemographic and lockdown-related information and evaluated distress, temperament, and attachment using the Kessler 10 Psychological Distress Scale (K10), the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire short version (TEMPS-A) andthe Attachment Style Questionnaire (ASQ).In our sample (n=500), 62% of the individuals reported no likelihood of psychological distress, whereas 19.4% and 18.6% displayed mild and moderate-to-severe likelihood. Cyclothymic (OR:1.24; p<0.001), depressive (OR: 1.52; p<0.001) and anxious (OR: 1.58; p=0.002) temperaments, and the ASQ "Need for approval" (OR: 1.08; p=0.01) were risk factors for moderate-to-severe psychological distress compared to no distress, while the ASQ "Confidence" (OR: 0.89; p=0.002) and "Discomfort with closeness" were protective (OR: 0.92; p=0.001). Cyclothymic (OR: 1.17; p=0.008) and depressive (OR: 1.32; p=0.003) temperaments resulted as risk factors in subjects with moderate-to-severe psychological distress compared to mild distress, while the ASQ "Confidence" (OR: 0.92; p=0.039) and "Discomfort with closeness" (OR: 0.94; p=0.023) were protective.Our data indicated that a relevant rate of individuals may have experienced psychological distress following the COVID-19 outbreak. Specific affective temperament and attachment features predict the extent of mental health burden. To the best of our knowledge, these are the first data available on the psychological impact of the early phase of the COVID-19 pandemic on a sizeable sample of the Italian population. Moreover, our study is the first to investigate temperament and attachment characteristics in the psychological response to the ongoing pandemic. Our results provide further insight into developing targeted intervention strategies.

show abstract

“…To date, very little is known about the way in which mental health systems worldwide are facing the current global health emergency, with the majority of contributions coming from China, the country to rst experience an outbreak of the new virus (9,12). In Italy, only local reports relating to Italian psychiatric services have been published to date (13,14). The transition from a hospital-centred care to a community mental health centre care system was rst implemented in Italy through a reform dated 1978 (15).…”

Section: Introductionmentioning

confidence: 99%

Psychiatry during the Covid-19 Pandemic: a survey on Mental Health Departments in Italy

Carpiniello

Tusconi

Zanalda³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background To date, very little knowledge is available with regard to the way in which mental health systems worldwide are facing the current global health emergency. The present paper reports the data emerging from a survey conducted to study the impact of the current emergency on the functioning of the Italian Departments of Mental Health (MHD).Methods Heads of MHDs received a 40-item multiple choice questionnaire relating to Community Mental Health Centres (CMHC) and related facilities, and a 30-item questionnaire focused on General Hospital Psychiatric Wards (GHPW). Statistical analysis was carried out by means of Chi Square test with Yates correction or the Fisher Exact test, as needed.Results: 71 questionnaires returned from the 134 MHDs (52.9%) and 107 of the 318 (32.6%) GHPWs. Less than 20%of CMHCs have been closed; approximately 25% have restricted access hours. The usual mode of operation in CMHCs changed substantially. Urgent psychiatric consultations are continuing as usual, in the same way as interventions for compulsory treatments, and prison consultations. All other activities have been reduced to some extent. Remote contacts with users have been set up in approx. 75% of cases. Cases of COVID positivity were reported amongst both staff members (approx. 50 % of CHMCs), and facility users (52% of CHMCs). 20% of CMHCs reported cases of increased aggressiveness or violence, among community patients, although only 8.6% regarding severe cases. Major issues in the supply of personal protective equipment (PPE) for staff members were reported. A reduced number of GHPWs (-12%), beds (approx.-30%) and of admissions was registered (87% of GHPWs). 8% of GHPWs reported an increase in compulsory admissions, and an increased rate of violence toward self or others among inpatients. Patient swabs were carried out in 50% of GHPWs. 60% of GHPWs have reported the admission of symptomatic, COVID+ psychiatric patients to General COVID-19 Units; severely ill and non-collaborative COVID+ patients are generally admitted to specific “COVID-19” GHPWs, or to purpose-adapted isolated areas of the wards. Conclusions The COVID-19 pandemic has heralded a radical change in the mental health system of Italy, and a consequent series of challenging issues.

show abstract

Mental health during and after the COVID‐19 emergency in Italy

Cited by 202 publications

References 5 publications

Making a brochure about coronavirus disease (COVID‐19) for children with autism spectrum disorder and their family members

Making a brochure about coronavirus disease (COVID‐19) for children with autism spectrum disorder and their family members

Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population

Psychiatry during the Covid-19 Pandemic: a survey on Mental Health Departments in Italy

Contact Info

Product

Resources

About