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Articoli scientifici

1/2020: Modelli della Mente

COVID-19: impatto sulla salute mentale e supporto psicosociale

Inviata
23 December 2020
Pubblicato
23-12-2020

Abstract

Una pandemia non è solo un fenomeno medico, ma colpisce gli individui e la società e causa disagi a livello fisico, psicologico, sociale ed economico. Questo perché è un tipo di evento in grado di dimostrare, spesso in modo molto violento, la vulnerabilità e la fragilità dei nostri sistemi sociali e della nostra struttura psicologica, e quanto spesso possano essere inadeguate le nostre capacità di risposta tecnico-scientifica, sociocomunitaria e personale. In questo articolo abbiamo elaborato una rassegna della letteratura al fine di capire le possibili conseguenze psicologiche della pandemia in atto, cercando materiale da tre possibili fonti di informazione: situazioni con caratteristiche simili a quelle della pandemia in atto (es. con distanziamento sociale), eventi epidemici precedenti (es. SARS e MERS) e ricerche svolte direttamente in questo anno sulla pandemia da Sars-CoV-2. Dalle informazioni raccolte è emerso che le conseguenze psicologiche possono essere anche molto gravi (es. Depressione o Disturbo Post-Traumatico), verificarsi in tempi brevi e durare anche molto tempo dopo gli eventi che li hanno prodotti. Inoltre, è emerso come, nonostante le informazioni e la consapevolezza acquisite in situazioni passate o simili, non è stato fatto a sufficienza per prevenire e affrontare tali conseguenze psicologiche avverse.

Riferimenti bibliografici

  1. Armitage R. & Nellums L.B. (2020). COVID-19 and the consequences of isolating the
  2. elderly. Lancet Public Heal, 5(5):e256. DOI: 10.1016/S2468-2667(20)30061-X.
  3. Bai Y., Lin C.-C., Lin C.-Y., Chen J.-Y., Chue C.-M. & Chou P. (2004). Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric Services, 55(9): 1055–7. DOI: 10.1176/appi.ps.55.9.1055.
  4. Baumeister R.F. & Leary M.R. (1995). The need to belong: Desire for interpersonal
  5. attachments as a fundamental human motivation. Psychological Bulletin, 117(3): 497-529. DOI: 10.1037/0033-2909.117.3.497.
  6. Bierhaus A., Wolf J., Andrassy M., Rohleder N., Humpert P.M., Petrov D., Ferstl R., von Eynatten M., Wendt T., Rudofsky G., Joswig M., Morcos M., Schwaninger M., McEwen B., Kirschbaum C. & Nawroth P.P. (2003). A mechanism converting psychosocial stress into mononuclear cell activation. Proceedings of the National Academy of Sciences of the United States of America, 100(4): 1920-5. DOI: 10.1073/pnas.0438019100.
  7. Bowden Davies K.A., Sprung V.S., Norman J.A., Thompson A., Mitchell K.L., Halford J.C.G., Harrold J.A., Wilding J.P.H., Kemp G.J. & Cuthbertson D.J. (2018). Short-term decreased physical activity with increased sedentary behaviour causes metabolic derangements and altered body composition: effects in individuals with and without a first-degree relative with type 2 diabetes. Diabetologia, 61: 1282-94. DOI: 10.1007/s00125-018-4603-50.
  8. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N. & Rubin G.J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395 (10227): 912-20. DOI: 10.1016/ S0140-6736(20)30460-8.
  9. Cacioppo J.T., Ernst J.M., Burleson M.H., McClintock M.K., Malarkey W.B., Hawkley L.C., Kowalewski R.B., Paulsen A., Hobson J.A., Hugdahl K., Spiegel D. & Berntson G.G. (2000). Lonely traits and concomitant physiological processes: the MacArthur social neuroscience studies. International Journal of Psychophysiology, 35(2-3): 143-54. DOI: 10.1016/s0167-8760(99)00049-5.
  10. Cacioppo J.T., Hawkley L.C., Berntson G.G., Ernst J.M., Gibbs A.C., Stickgold R. & Hobson J.A. (2002). Do lonely days invade the nights? Potential social modulation of sleep efficiency. Psychological Science, 13(4): 384-7. DOI: 10.1111/1467-9280.00469.
  11. Cantelmi T. & Lambiase E. (2017). Tecnoliquidità: nuovi scenari (evolutivi?) per la salute mentale. Modelli della Mente, 1: 7-69. DOI: 10.3280/mdm1-2017oa4939.
  12. Chan A.O.M. & Huak C.Y. (2004). Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational Medicine, 54(3): 190-6. DOI:
  13. 1093/occmed/kqh027.
  14. Charles B., Jeyaseelan L., Pandian A.K., Sam A.E., Thenmozhi M. & Jayaseelan V. (2012). Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India. A community based cross sectional study. BMC Public Health, 12: 463. DOI: 10.1186/1471-2458-12-463.
  15. Chen W.-K., Cheng Y.-C., Chung Y.-T. & Lin C.-C. (2005). The impact of the SARS outbreak on an urban emergency department in Taiwan. Medical Care, 43(2): 168-72. DOI: 10.1097/00005650-200502000-00010.
  16. Chouker A., ed. (2020). Stress Challenges and Immunity in Space from Mechanisms to Monitoring and Preventive Strategies. Second Edition. Springer. Berlin.
  17. Cole S.W., Hawkley L.C., Arevalo J.M., Sung C.Y., Rose R.M. & Cacioppo J.T. (2007). Social regulation of gene expression in human leukocytes. Genome Biology, 8(9): R189. DOI: 10.1186/gb-2007-8-9-r189.
  18. Deshmane S.L., Kremlev S., Amini S. & Sawaya B.E. (2009). Monocyte chemoattractant
  19. protein-1 (MCP-1): An overview. Journal of Interferon & Cytokine Research, 29(6): 313-26. DOI: 10.1089/jir.2008.0027.
  20. Dixon D., Cruess S., Kilbourn K., Klimas N. Fletcher M.A. & Ironson G. (2006). Social support mediates loneliness and human herpesvirus type 6 (HHV-6) antibody titers. Journal of applied social psychology, 31(6): 1111-32. DOI: 10.1111/ j.1559-1816.2001.tb02665.x.
  21. Engzell P., Frey A. & Verhagen M.D. (2020). Learning Inequality During the Covid-19 Pandemic. SocArXiv. DOI: 10.31235/osf.io/ve4z7.
  22. Ershler W.B. & Keller E.T. (2000). Age-associated increased Interleukin-6 gene expression, late-life diseases, and frailty. Annual Review of Medicine, 51: 245-70. DOI: 10.1146/annurev.med.51.1.245.
  23. Glaser R. & Kiecolt-Glaser J.K. (2005). Stress-induced immune dysfunction: Implications
  24. for health. Nature Reviews Immunology, 5(3): 243-51. DOI: 10.1038/ nri1571.
  25. Glaser R., Kiecolt-Glaser J.K., Speicher C.E. & Holliday J.E. (1985). Stress, loneliness,
  26. and changes in herpesvirus latency. Journal of Behavioral Medicine, 8(3): 249-60. DOI: 10.1007/BF00870312.
  27. Hackett R.A., Hamer M., Endrighi R., Brydon L. & Steptoe A. (2012). Loneliness and stress-related inflammatory and neuroendocrine responses in older men and women. Psychoneuroendocrinology, 37(11): 1801-9. DOI: 10.1016/j.psyneuen.2012.03.016.
  28. Hansson G.K. (2005). Inflammation, atherosclerosis, and coronary artery disease. New
  29. England Journal of Medicine, 352(16): 1685-95. DOI: 10.1056/NEJMra043430.
  30. Hawkley L.C., Bosch J.A., Engeland C.G., Marucha P.T. & Cacioppo J.T. (2007). Loneliness, dysphoria, stress, and immunity: A role for cytokines. In Plotnikoff N.P., ed., Cytokines: Stress And Immunity. Boca Raton: CRC Press.
  31. Hawkley L.C., Burleson M.H., Berntson G.G. & Cacioppo J.T. (2003). Loneliness in everyday life: Cardiovascular activity, psychosocial context, and health behaviors. Journal of Personality and Social Psychology, 85(1): 105-120. DOI: 10.10 37/0022-3514.85.1.105.
  32. Hawryluck L., Gold W.L., Robinson S., Pogorski S., Galea S. & Styra R. (2004). SARS control and psychological effects of quarantine, Toronto, Canada. Emerging Infectious Diseases Journal, 10(7): 1206-12. DOI: 10.3201/eid1102.040760.
  33. Hernandez S.H.A., Morgan B.J. & Parshall M.B. (2016). Resilience, stress, stigma, and barriers to mental healthcare in U.S. Air Force nursing personnel. Nursing Research, 65(6): 481-86. DOI: 10.1097/nnr.0000000000000182.
  34. Holmes E.A., O’Connor R.C., Perry V.H., Tracey I., Wessely S., Arseneault L., Ballard C., Christensen H., Cohen Silver R., Everall I., Ford T., John A., Kabir T., King K., Madan I., Michie S., Przybylski A.K., Shafran R., Sweeney A., Worthman C.M., Yardley L., Cowan K., Cope C., Hotopf M. & Bullmore E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry, 7(6): 547-60. DOI: 10.1016/S2215-0366(20)30168-1.
  35. Holt-Lunstad J., Smith T.B. & Layton J.B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS Medicine, 7(7): e1000316. DOI: 10.1371/journal.pmed.1000316.
  36. Jaremka L.M., Fagundes C.P., Peng J., Bennett J.M., Glaser R., Malarkey W.B. & Kiecolt-Glaser J.K. (2013). Loneliness promotes inflammation during acute stress. Psychological Science, 24(7): 1089-97. DOI: 10.1177/0956797612464059.
  37. Jeong H., Yim H.W., Song Y.-J., Ki M., Min J.-A., Cho J. & Chae J.-H. (2016). Mental health status of people isolated due to Middle East respiratory syndrome. Epidemiology and health, 38: e2016048. DOI: 10.4178/epih.e2016048.
  38. Jones N.M., Thomson R.R., Dunkel Schetter C. & Silver R.C. (2017). Distress and rumor exposure on social media during a campus lockdown. Proc Natl Acad Sci, 114(44): 11663–8. DOI: 10.1073/pnas.1708518114.
  39. Kang L., Li Y., Hu S., Chen M., Yang C., Yang B.X., Wang Y., Hu J., Lai J., Ma X., Chen J., Guan L., Wang G., Ma H. & Liu Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3): e14. DOI: 10.1016/S2215-0366(20)30047-X.
  40. Khalid I., Khalid T.J., Qabajap M.R., Barnard A.G. & Qushmaq I.A. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, 14(1): 7-14. DOI: 10.3121/ cmr.2016.1303.
  41. Khee K.S., Lee L.B., Chai O.T., Loong C.K., Ming C.W. & Kheng T.H. (2004). The psychological impact of SARS on health care providers. Critical Care and Shock, 7: 99-106. DOI: 10.1177/070674370905400504.
  42. Kiecolt-Glaser J.K., Garner W., Speicher C., Penn G.M., Holliday J. & Glaser R. (1984). Psychosocial modifiers of immunocompetence in medical students. Psychosomatic
  43. Medicine, 46(1): 7-14. DOI: 10.1097/00006842-198401000-00003.
  44. Kiecolt-Glaser J.K., Ricker D., George J., Messick G., Speicher C., Garner W. & Glaser R. (1984). Urinary cortisol levels, cellular immunocompetency, and loneliness in psychiatric inpatients. Psychosomatic Medicine, 46(1): 15-23. DOI: 10.1097/00006842-198401000-00004.
  45. Kim Y.G., Moon H., Kim S.-Y., Lee Y.-H., Jeong D.-W., Kim K., Moon J.Y., Lee Y.-K., Cho A., Lee H.-S., Park H.C. & Lee S.-H. (2019). Inevitable isolation and the change of stress markers in hemodialysis patients during the 2015 MERS-CoV outbreak in Korea. Scientific Reports, 9(1): 5676. DOI: 10.1038/s41598-019-41964-x.
  46. Koh D., Lim M.K., Chia S.E., Ko S.M., Quin F., Ng V., Tan B.H., Wong K.S., Chew W.M., Tang H.K., Ng W., Muttakin Z., Emmanuel S., Fong N.P., Koh G., Kwa C.T., Tan K.B. & Fones C. (2005). Risk perception and impact of severe acute respiratory syndrome (SARS) on work and personal lives of healthcare workers in Singapore: What can we learn? Medical Care, 43(7): 676-82. DOI: 10.1097/01.mlr.0000167181.36730.cc.
  47. Kohm A.P. & Sanders V.M. (2000). Norepinephrine: a messenger from the brain to the immune system. Immunology Today, 21(11): 539-42. DOI: 10.1016/s0167-5699(00)01747-3.
  48. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N., Wu J., Du H., Chen T., Li R., Tan H., Kang L., Yao L., Huang M., Wang H., Wang G., Liu Z. & Hu S. (2020). Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3): e203976. DOI: 10.1001/jamanetworkopen.2020.3976.
  49. Lee S.M., Kang W.S., Cho A.R., Kim T. & Park J.K. (2018). Psychological impact of the
  50. MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive psychiatry, 87: 123-127. DOI: 10.1016/j.comppsych.2018.10.003.
  51. Liu J.J., Bao Y., Huang X., Shi J. & Lu L. (2020). Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolesc Health, 4(5): 347-9. DOI: 10.1016/S2352-4642(20)30096-1.
  52. Maunder R.G., Lancee W.J., Rourke S., Hunter J.J., Goldbloom D., Balderson K., Petryshen P., Steinberg R., Wasylenki D., Koh D. & Fones C.S.L. (2004). Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosomatic medicine, 66(6): 938-42. DOI: 10.1097/01.psy.0000145673.84698.18.
  53. Maunder R.G., Leszcz M., Savage D., Adam M.A., Peladeau N., Romano D., Rose M. & Schulman R.B. (2008). Applying the Lessons of SARS to Pandemic Influenza. An evidence based approach to mitigating the stress experienced by healthcare workers. Canadian Journal of Public Health, 99(6): 486-8. DOI: 10.1007/BF03403782.
  54. Mihashi M., Otsubo Y., Yinjuan X., Nagatomi K., Hoshiko M. & Ishitake T. (2009). Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychology, 28(1): 91-100. DOI: 10.1037/a00 13674.
  55. Mowbray H. (2020). In Beijing, coronavirus 2019-nCoV has created a siege mentality.
  56. BMJ, 368: m516. DOI: 10.1136/bmj.m516.
  57. Park J.S., Lee E.H., Park N.R. & Choi Y.H. (2018). Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study. Archives of psychiatric nursing, 32(1): 2-6. DOI: 10.1016/j.apnu.2017.09.006.
  58. Parkinson D. & Zara C. (2013). The hidden disaster: domestic violence in the aftermath
  59. of natural disaster. Australian Journal of Emergency Management, 28(2): 28-33.
  60. Perini M. (2012). Panic and pandemics: from fear of contagion to contagion of fear. In: Brunning H., ed., Psychoanalytic Reflections on a Changing World. London: Karnac Books.
  61. Pressman S.D., Cohen S., Miller G.E., Barkin A., Rabin B.S. & Treanor J.J. (2005). Loneliness, social network size, and immune response to influenza vaccination in college freshmen. Health Psychology, 24(3): 297-306. DOI: 10.1037/ 0278-6133.24.3.297.
  62. Purgato M., Gastaldon C., Papola D., van Ommeren M., Barbui C. & Tol W.A. (2018).
  63. Psychological therapies for the treatment of mental disorders in low- and middleincome
  64. countries affected by humanitarian crises. Cochrane Database Systematic Reviews, 7(7): CD011849. DOI: 10.1002/14651858.CD011849.pub2.
  65. Reynolds D.L., Garay J.R., Deamond S.L., Moran M.K., Gold W. & Styra R. (2008). Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiology & Infection, 136(7): 997-1007. DOI: 10.1017/ S0950268807009156.
  66. Rogers P.J., Chesney E., Oliver D., Pollak T.A., McGuire P., Fusar-Poli P., Zandi M.S., Lewis G. & David A.S. (2020). Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry, 7(7): 611-27. DOI: 10.1016/S2215-0366(20)30203-0.
  67. Srivatsa S. & Stewart K. A. (2020). How Should Clinicians Integrate Mental Health Into Epidemic Responses?. AMA Journal of Ethics, 22(1): E10-15. DOI: 10.1001/amajethics.2020.10.
  68. Strine T.W. & Chapman D.P. (2005). Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Medicine, 6(1): 23-7. DOI: 10.1016/j.sleep.2004.06.003.
  69. Strong P. (1990). Epidemic Psychology: a model. Sociology of Health and Illness, 12(3): 249-259. DOI: 10.1111/1467-9566.ep11347150.
  70. Thurston R.C. & Kubzansky L.D. (2009). Women, loneliness, and incident coronary heart disease. Psychosomatic Medicine, 71(8): 836-42. DOI: 10.1097/PSY. 0b013e3181b40efc.
  71. Torales J., O’Higgins M., Castaldelli-Maia J.M. & Ventriglio A. (2020a). The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatr, 66(4): 317-320. DOI:10.1177/0020764020915212.
  72. Torales J., O’Higgins M., Rios-González C.M., Barrios I., García-Franco O., Castaldelli-Maia J.M. & Ventriglio A. (2020b). Considerations on the mental health impact of the novel coronavirus outbreak (COVID-19). Scientific Electronic Library Online. DOI: 10.1590/SciELOPreprints.171.
  73. Tracey K.J. (2009). Reflex control of immunity. Nature Reviews Immunology, 9(6): 418-28. DOI: 10.1038/nri2566.
  74. Verma S., Mythily S., Chan Y.H., Deslypere J.P., Teo E.K. & Chong S.A. (2004). Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Annals of the Academy of Medicine Singapore, 33(6): 743-8.
  75. Wu P., Fang Y., Guan Z., Fan B., Kong J., Yao Z., Liu X., Fuller C.J., Susser E., Lu J. & Hoven C.W. (2009). The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Canadian Journal of Psychiatry, 54(5): 302-11. DOI: 10.1177/0706743 70905400504.
  76. Bibliografia online
  77. Body J., Young A. & O’Leary P. (2020). ‘Cabin fever’: Australia must prepare for the social and psychological impacts of a coronavirus lockdown. The Conversation. 13 marzo 2020. Online: https://theconversation.com/cabin-feveraustralia-must-prepare-for-the-social-and-psychological-impacts-of-acoronavirus-lockdown-133353. Consultato il 30/03/2020.
  78. Dave S. (2020). Covid-19: Companies rope in psychiatrists, experts for emotional
  79. counselling of work from home employee. The Economic Times. Online: https://economictimes.indiatimes.com/news/company/corporate-trends/covid-19-com panies-rope-in-psychiatrists-experts-for-emotional-counselling-of-work–from-home-employees/articleshow/74819122.cms. Consultato il 30/03/2020.
  80. Ferro E. (2020). Coronavirus, effetto lockdown: ansia e depressione per l’85% dei giovani. La Repubblica. Online: https://www.repubblica.it/cronaca/2020/05/09/news/coronavirus_effetto_lockdown_ansia_e_depressione_per_l_85_dei_giovani-256134039/. Consultato il 12/10/2020.
  81. Grey Ellis E. (2020). What Coronavirus Isolation Could Do to Your Mind (and Body). Wired. Online: https://www.wired.com/story/coronavirus-covid-19-isolation-psychology/. Consultato il 30/03/2020.
  82. Ipsos MORI (2020). Covid-19 and mental wellbeing. The Academy of Medical Sciences.
  83. https://www.ipsos.com/ipsos-mori/en-uk/Covid-19-and-mental-wellbeing. Consultato il 12/10/2020.
  84. Jung W.S. & Cho H.K. (2015). Punishment when refused to attend school of child with medical staff parents caring MERS-CoV infection patients. The Kyunghyang Shinmun. Online: http://news.khan.co.kr/kh_news/khan_art_view.html?artid=201506212253315&code=940100. Consultato il 30/03/2020.
  85. MaremmaNews (2020). Covid-19: Il 65% degli italiani ha avuto disturbi psicologici.
  86. Online: https://www.maremmanews.it/index.php/salute/81862-covid-19-il-65-degli-italiani-ha-avuto-disturbi-psicologici?jjj=1602486119780. Consultato il 12/10/2020.
  87. Moukaddam N. & Shah A. (2020). Psychiatrists beware! The impact of COVID-19 and pandemics on mental health. Psychiatr Times. Online: https://www.psychiatrictimes.com/psychiatrists-beware-impactcoronavirus-pandemics-mental-health Consultato il 12/10/2020.
  88. Quotidiano.net (2020). Coronavirus, “boom dei divorzi in Cina dopo la quarantena”.
  89. Online: https://www.quotidiano.net/magazine/coronavirus-cina-divorzi-1.50 63371. Consultato il 12/10/2020.
  90. Whiting K. (2020). An Expert Explains: How to Help Older People Through the COVID-19 Pandemic. World Econ Forum. Online: https://www.weforum.org/agenda/2020/03/coronavirus-covid-19-elderly-older-people-health-risk/ Consultato il 12/10/2020.

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