A biopsychosocial perspective of mental health risk in Italy during phase two of the COVID-19 lockdown

Martina Rossi, M. Jarego, A. Ferreira-Valente, Jordan Miró, E. Sánchez-Rodríguez, Antonella Ciaramella
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Abstract

Abstract: Introduction: Research into the first phase of the COVID-19 lockdown in Italy showed an association with an increased susceptibility to adverse mental health (MH) in the general population. We investigated in the same population the correlations between the various demographic, socioeconomic, biological/clinical history and psychological dimensions and MH in the second,“opening-up”, phase of the lockdown. Methods: An anonymous online survey collected data from 26 May to 4 July 2020 on demographic, socioeconomic, perceived risk, general health and quality of life appraisals, worry, interference in life, life satisfaction, perceived happiness and MH by using Mental Health Inventory-5 (MHI-5). Results: Of the 300 participants, only 195 responded to MH questions. Older age was positively associated with better MH (r=.15), as was education (r=.19). A negative correlation with MH, with medium-high effect size, was found with quality of life (r=.40) and health (r=.34) appraisals, and the factors “worry about sustenance” (r=.23) and “interference with life” (r=.32). A positive correlation, with strong effect size, was found between MH and life satisfaction (r=.53) and perception of happiness (r=.64). Discussion: During phase two of the lockdown, rather the real impact of COVID-19 restrictions on employment or economic resources, it was worry about finances that was associated with worse MH. Mental distress was associated with the loss of some positive psychological factors. From a homeostatic and biopsychosocial perspective of MH, life satisfaction and perceivedhappiness represent important mental resources for counteracting the effects of lockdown on MH.
从生物心理社会角度看 COVID-19 封锁第二阶段期间意大利的心理健康风险
摘要:导言:对意大利 COVID-19 禁闭计划第一阶段的研究表明,普通人群中出现不良心理健康(MH)的可能性增加。我们在同一人群中调查了封锁第二阶段("开放 "阶段)中各种人口、社会经济、生物/临床病史和心理因素与不良心理健康之间的相关性。研究方法在 2020 年 5 月 26 日至 7 月 4 日期间进行匿名在线调查,通过心理健康量表-5(MHI-5)收集有关人口、社会经济、风险感知、一般健康和生活质量评价、担忧、生活干扰、生活满意度、幸福感和心理健康的数据。结果:在 300 名参与者中,只有 195 人回答了心理健康问题。年龄越大,心理健康越好(r=.15),学历越高,心理健康越好(r=.19)。生活质量(r=.40)和健康(r=.34)评价以及 "对生计的担忧"(r=.23)和 "对生活的干扰"(r=.32)因素与心理健康呈负相关,且影响程度中等偏上。在心理健康与生活满意度(r=.53)和幸福感(r=.64)之间发现了强烈的正相关效应。讨论:在封锁的第二阶段,COVID-19 对就业或经济资源的限制所造成的实际影响,反而是对财务状况的担忧与更严重的心理健康有关。精神痛苦与一些积极心理因素的丧失有关。从心理健康的平衡和生物心理社会角度来看,生活满意度和幸福感是抵消封锁对心理健康影响的重要心理资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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