Rates of depression and anxiety in Italian patients with cystic fibrosis and parent caregivers: Implementation of the Mental Health Guidelines

Graziano, Sonia; Spanò, Barbara; Righelli, Dario; Lucidi, V.; Quittner, Alexandra L.; Tabarini, Paola

doi:10.1016/j.rmed.2020.106147

Cited by 25 publications

(39 citation statements)

References 32 publications

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“…Ratings of stress were also highly elevated during this crisis. Importantly, these rates of psychological symptomatology were much higher during the COVID lockdown, than those obtained during routine CF care prior to COVID [12,[27][28]. Twice the number of pwCF scored in the elevated range at baseline assessment in this study than prior published data [12].…”

Section: Discussioncontrasting

confidence: 45%

“…The recall period is two weeks, using a 4-point frequency scale. Severity of depressive symptoms was categorized as "no symptom s" (0-4), "mild symptoms"(5-9), "moderate symptoms " (10)(11)(12)(13)(14) and "severe symptoms " ([? ]15) range [22].…”

Section: Methodsmentioning

confidence: 99%

“…It has extensive reliability and validity (Cronbach's alpha 0.92). The total score was categorized into "no symptom s" (0-4), "mild " (5-9), "moderate " (10)(11)(12)(13)(14) and "severe " ([? ]15) range.…”

Section: D) Gad-7 (Generalized Anxiety Disorder)mentioning

confidence: 99%

“…As the pandemic spread throughout Italy and Europe, new mental health concerns were raised by people with cystic fibrosis (pwCF) and parent caregivers, who are already at increased risk for depression and anxiety [12,13,14]. Psychological symptoms in pwCF have been associated with worse adherence, more frequent hospitalizations, and earlier mortality [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Graziano¹,

Boldrini²,

Righelli³

et al. 2021

Preprint

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Introduction: COVID-19 emerged in China leading to worldwide morbidity and mortality, including depression and anxiety. As the pandemic spread throughout Italy and Europe, mental health concerns emerged for people with cystic fibrosis (pwCF), who are at increased risk. This led to development of a Telehealth Psychological Support Intervention to help adolescents/young adults with CF and caregivers cope with the stress and emotional challenges of the lockdown which began in Italy in March 2020. Methods: This intervention utilized cognitive behavioral skills (e.g., relaxation training, cognitive reframing). Participants included 16 adolescents/adults and 14 parents, who completed 4 individual video sessions with a psychologist. Stress ratings, PHQ-8 and GAD-7 were completed electronically. Feasibility and Satisfaction were rated. Results: Ratings of stress significantly decreased from pre to post-testing for both pwCF (paired t=-4.06 (14), p<.01) and parents (paired t=-5.2, p< 001). Most participants reported clinically elevated depression and anxiety at the pre-test, with statistically significant reductions in depression for pwCF (pre: M=8.0 to post M=4.7; paired t (14)=2.8, p <.05) but not anxiety (pre: M=6.9 to post: M=5.6, t (14)=1.2, p=NS). Reductions in depression were found for parents (pre: M=6.4 to post: M 5.1, (14) t=-2.5, p<.05) but not anxiety (pre: M=8.1 to post: M=7.9, t (14)=-0.2, p=ns). Positive ratings of Feasibility and Satisfaction were documented. Conclusion: This brief telehealth intervention yielded significant reductions in stress and depression for participants. Anxiety was not reduced, possibly because COVID was ongoing. This intervention was effective for improving mental health and was highly feasible and satisfactory.

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Section: Discussioncontrasting

confidence: 45%

Section: Methodsmentioning

confidence: 99%

Section: D) Gad-7 (Generalized Anxiety Disorder)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Graziano¹,

Boldrini²,

Righelli³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…As the pandemic spread throughout Italy and Europe, new mental health concerns were raised by people with cystic fibrosis (pwCF) and parent caregivers, who are already at increased risk for depression and anxiety 12–14 . Before the pandemic, numerous studies have indicated that psychological symptoms in pwCF are associated with worse adherence, more frequent hospitalizations, and earlier mortality 15,16 .…”

Section: Introductionmentioning

confidence: 99%

Psychological interventions during COVID pandemic: Telehealth for individuals with cystic fibrosis and caregivers

Graziano

Boldrini

Righelli

et al. 2021

Pediatric Pulmonology

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Introduction Coronavirus disease 2019 (COVID‐19) emerged in China, leading to worldwide morbidity and mortality, including depression and anxiety. As the pandemic spread throughout Italy, mental health concerns increased for people with cystic fibrosis (pwCF), who are at greater risk. The aim was to pilot a Telehealth Psychological Support Intervention for pwCF and caregivers to reduce stress, depression, and anxiety during the lockdown in Italy in March 2020. Methods This intervention utilized cognitive behavioral skills (e.g., cognitive reframing). Participants included 16 pwCF and 14 parents, who completed four individual telehealth sessions with a psychologist. Stress ratings, Patient Health Questionnaire and General Anxiety Disorder, PHQ‐8 and GAD‐7, were completed, in addition to Feasibility and Satisfaction ratings. Results Ratings of stress significantly decreased from pre‐ to post‐testing for pwCF (paired t(14) = −4.06, p < .01) and parents (paired t = −5.2, p < .001). A large percentage of both groups scored in the clinical range for depression and anxiety at baseline (pwCF: depression/anxiety = 71%; parents: depression = 57%; anxiety = 79%); a large proportion (20%–40%) reported moderate to severe symptomatology. Significant reductions in depression for pwCF were found (pre: M = 8.0 to post: M = 4.7; paired t(14) = 2.8, p < .05) but not anxiety (pre: M = 6.9 to post: M = 5.6, t(14) = 1.2, p = NS—non‐significant). Parental depression decreased for parents (pre: M = 6.4 to post: M = 5.1, t(14) = −2.5, p < .05), but not anxiety (pre: M = 8.1 to post: M = 7.9, t(14) = −0.2, p = NS). Feasibility and Satisfaction were positive. Conclusion This telehealth intervention yielded reductions in stress and depression for participants. Anxiety did not significantly decrease, possibly because COVID was ongoing. This feasible, satisfactory intervention was effective for improving mental health.

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COVID‐19: Impact, experiences, and support needs of children and young adults with cystic fibrosis and parents

Collaço

Legg

Day

et al. 2021

Pediatric Pulmonology

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Background: Little is known about the impact of COVID-19 and the United Kingdom's (UK) national shielding advice on people with cystic fibrosis (CF) and their families. This study explored the experiences and support needs of children and young adults (CYAs) with CF, and parents who have a child with CF, during the COVID-19 pandemic. Methods: CYAs with CF and parents of CYAs with CF completed a UK wide online survey with open and closed questions exploring experiences, information and support needs and decision-making processes. Qualitative thematic content analysis and descriptive quantitative analyses were undertaken. Results: CYAs aged 10-30 years (n = 99) and parents of CYAs aged 0-34 years (n = 145) responded. Parents (72.7%) and CYAs (50.0%) worried about the virus, and both were vigilant for virus symptoms (82.7% and 79.7%). Over three-quarters of CYAs were worried about their own health if they caught the virus. CYAs worried about feeling more isolated during the virus (64.9%). Qualitative findings reported the following themes: (1) Disruption-caused by isolation, (2) impact on psychological wellbeing, (3) safety of shielding, and (4) healthcare and treatment provisionchanges to care, access and support. Conclusions: The impact of COVID-19 and UK shielding advice to have no contact with anyone outside the household caused disruption to the lives and routines of individuals in relation to work, education, social lives, relationships, CF management routines and support. Parents and CYAs highlighted the need for clear, up-to-date and tailored advice on individualized risks and shielding.

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Rates of depression and anxiety in Italian patients with cystic fibrosis and parent caregivers: Implementation of the Mental Health Guidelines

Cited by 25 publications

References 32 publications

Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Psychological interventions during COVID pandemic: Telehealth for individuals with cystic fibrosis and caregivers

COVID‐19: Impact, experiences, and support needs of children and young adults with cystic fibrosis and parents

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