Psychopathological burden and coping strategies among frontline and second-line Italian healthcare workers facing the COVID-19 emergency: Findings from the COMET collaborative network

Sani, Gabriele; Janiri, Delfina; Moccia, Lorenzo; Albert, Umberto; Carrà, Giuseppe; Carmassi, Claudia; Cirulli, Francesca; Dell’Osso, Bernardo; Menculini, Giulia; Nanni, Maria Giulia; Pompili, Maurizio; Volpe, Umberto; Fiorillo, Andrea

doi:10.1016/j.jad.2022.05.006

Cited by 15 publications

(12 citation statements)

References 35 publications

(49 reference statements)

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“…These factors may have contributed to the harmful effects of the COVID-19 pandemic, according recent studies. [16][17][18][19][20][21][22][23][24][25][26] In addition, the psychological distress experienced by both groups (work in the office and work from home) corroborates with recent studies, 5-10-11-26-27-28-29-30 and it can be explained, to some extent, due to psychological overload, sleep problems, physical distancing and fear of spreading the virus. 5-11-20-26-27-29 The prevalence of mental health problems in both the work in the office and work from home in our sample agreed to somewhat with studies performed in other countries.…”

Section: Discussionsupporting

confidence: 79%

Mental health, functioning, and quality of life in employees who worked in the office vs. from home during the first wave of COVID-19 in Brazil

Serafim¹,

Goularte²,

Dalpiaz³

et al. 2024

Trends Psychiatry Psychother

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Background: COVID-19 was declared a global pandemic early in 2020, period that governments imposed strict measures of social distancing to slow its transmission. However, most essential services remained open, and the work in the office faced a higher risk of infection compared to work in home. We compare the occurrence and potential determinants of mental health outcomes, functioning and quality of life in a sample of Brazilian individuals who worked from home and those who worked in the office during the first wave of COVID-19. Methods: Data were collected during the first wave of COVID-19, using an online survey to assess sociodemographic and clinical variables, functioning (FAST-D), quality of life (EUROhisQOL), depression (PROMIS depression), anxiety (PROMIS anxiety), and stress symptoms (IES-R scale) in a huge sample consisted of individuals who worked in office (n=1685) and worked from home (n=1338). Results: Analysis revealed that depressive and post-traumatic stress symptoms were less prevalent in individuals who worked from home as well as they have higher functioning and quality of life than those worked in the office. Individuals who worked in the office were younger, more likely to be female, had lower household income level, low education levels and were more unmarried than the other group. Conclusion: Our findings support the notion of the negative impact of the COVID-19 pandemic on mental health in both work in the office and work from home; however, the group who worked from home seems to be more resilient with less psychiatric symptoms and better functioning.

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Section: Discussionsupporting

confidence: 79%

Mental health, functioning, and quality of life in employees who worked in the office vs. from home during the first wave of COVID-19 in Brazil

Serafim¹,

Goularte²,

Dalpiaz³

et al. 2024

Trends Psychiatry Psychother

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“…As the authors reported, these findings were likely influenced by the severe impact of the pandemic and the rapid containment measures that were implemented [10]. Furthermore, some important clues supporting the hypothesis that symptoms of the anxiety-depressive spectrum may be associated with avoidant coping strategies came from studies carried out on specific populations for their relationship with the pandemic, including medical students and healthcare professionals [6,[11][12][13]. Unfortunately, in this sample, the excessive increase in workload may have confounded proper pandemic-related psychological distress in the development of psychopathology.…”

Section: Introductionmentioning

confidence: 93%

Anxiety and Depression during the Second Wave of the COVID-19 Pandemic: The Role of Coping Strategies

Miola

Caiolo

Pontoni³

et al. 2023

IJERPH

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Background: Evidence suggests increased anxious-depressive symptoms in the general population during the COVID-19 pandemic, also in its second wave. High symptom variability across individuals suggests that risk and protective factors, including coping strategies, can play a mediating role. Methods: General Anxiety Disorder-7, Patient Health Questionnaire-9, and Brief-COPE questionnaires were administered to people attending a COVID-19 point-of-care. Univariate and multivariate methods were used to test the association of symptoms with risk and protective factors. Results: A total of 3509 participants (27.5% with moderate-severe anxiety; 12% with depressive symptoms) were recruited. Sociodemographic and lifestyle factors, including age, sex, sleep, physical activity, psychiatric treatments, parenthood, employment, and religiosity were associated with affective symptoms. Avoidant (self-distraction, venting, behavioral disengagement) and approach (emotional support, self-blame but not positive reframing and acceptance) coping strategies predicted greater anxiety. Avoidant strategies, including venting, denial, behavioral disengagement, substance use, and self-blame, and the humor strategy were associated with more severe depressive symptoms, while the planning predicted the opposite. Conclusions: Coping strategies, in addition to socio-demographic and life-habit factors, could have contributed to modulating anxious and depressive symptoms during the second-wave of the COVID-19 pandemic, thus advocating for interventions aimed at promoting positive coping strategies to reduce the psychosocial toll of the pandemic.

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“…The association between psychosis and a range of psychosocial factors, including stressful life events, has been extensively explored, suggesting that psychosocial stressors are an important risk factor for both the onset and the exacerbation of symptoms [ 54 , 55 ]. On the one hand, individuals with COVID-19 suffered various stressors during the pandemic, including stress related to the quarantine, issues related to the treatment environment, and limited information about COVID-19 [ 56 , 57 ]. On the other hand, social stress can affect brain function, and in particular the molecular targets involved in psychosis, including dopaminergic signaling [ 58 ].…”

Section: Covid-19 and New-onset Psychosis: Possible Confoundersmentioning

confidence: 99%

COVID-19 and New-Onset Psychosis: A Comprehensive Review

Moccia

Kotzalidis

Bartolucci

et al. 2023

JPM

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Psychosis is a multifactorial condition that typically involves delusions, hallucinations, and disorganized thought, speech or behavior. The observation of an association between infectious epidemics and acute psychosis dates back to the last century. Recently, concerns have been expressed regarding COVID-19 and the risk for the development of new-onset psychosis. This article reviewed the current evidence of a possible link between SARS-CoV-2 and risk of psychosis as an acute or post-infectious manifestation of COVID-19. We here discuss potential neurobiological and environmental factors as well as a number of challenges in ascribing a causal pathogenic relationship between SARS-CoV-2 infection and new-onset psychosis.

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Psychopathological burden and coping strategies among frontline and second-line Italian healthcare workers facing the COVID-19 emergency: Findings from the COMET collaborative network

Cited by 15 publications

References 35 publications

Mental health, functioning, and quality of life in employees who worked in the office vs. from home during the first wave of COVID-19 in Brazil

Mental health, functioning, and quality of life in employees who worked in the office vs. from home during the first wave of COVID-19 in Brazil

Anxiety and Depression during the Second Wave of the COVID-19 Pandemic: The Role of Coping Strategies

COVID-19 and New-Onset Psychosis: A Comprehensive Review

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