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Acute stress symptoms in general population during the first wave of COVID lockdown in Italy: Results from the COMET trial

Carmassi, Claudia; Sampogna, Gaia; Di Vincenzo, Matteo; Cipolla, Salvatore; Toni, Claudia; Albert, Umberto; Carrà, Giuseppe; ... Fiorillo, Andrea; + view all (2023) Acute stress symptoms in general population during the first wave of COVID lockdown in Italy: Results from the COMET trial. Brain and Behavior , 13 (12) , Article e3314. 10.1002/brb3.3314. Green open access

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Abstract

Background: The coronavirus disease of 2019 (COVID-19) pandemic is an unprecedented traumatic event that has severely impacted social, economic, and health well-being worldwide. The COvid Mental hEalth Trial was specifically designed to evaluate the impact of the COVID-19 pandemic and its containment measures on the mental health of the Italian general population in terms of COVID-19-related acute stress disorder (ASD) symptoms. // Methods: The present cross-sectional study is based on an online survey carried out in the period March–May 2020. Italian general adult population was invited to compile an anonymous survey, which included the severity of acute stress symptoms scale/National Stressful Events Survey Short Scale to investigate the occurrence and severity of ASD symptoms. // Results: The final sample consisted of 20,720 participants. During the lockdown, subjects with pre-existing mental health problems reported a statistically significant higher risk of acute post-traumatic symptoms compared to the general population (B: 2.57; 95% CI:2.04–3.09; p < .0001) and health care professionals (B: .37; 95% CI: .02–0.72; p < .05). According to multivariate regression models, the levels of acute post-traumatic symptoms (p < .0001) were higher in younger and female respondents. Social isolation and sleep disorder/insomnia represented positive predictors of acute stress (B = 3.32, 95% CI = 3.08–3.57). // Conclusions: Concerns about the risk of infection as well as social isolation caused a higher incidence of acute post-traumatic stress symptoms that may predict the subsequent development of post-traumatic stress disorder symptoms in the long term.

Type: Article
Title: Acute stress symptoms in general population during the first wave of COVID lockdown in Italy: Results from the COMET trial
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/brb3.3314
Publisher version: http://dx.doi.org/10.1002/brb3.3314
Language: English
Additional information: Copyright © 2023 The Authors. Brain and Behavior published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, https://creativecommons.org/licenses/by/4.0/, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Acute stress, acute stress symptoms, ASD, COVID-19, lockdown, post-traumatic stress symptoms, PTSD
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10187166
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