PTSD trajectories across different mental disorders in the second year of the COVID-19 pandemic in Italy: a naturalistic, longitudinal, multicenter study.
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| Title: | PTSD trajectories across different mental disorders in the second year of the COVID-19 pandemic in Italy: a naturalistic, longitudinal, multicenter study. |
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| Authors: | Carmassi, Claudia, Tosato, Sarah, Bertelloni, Carlo Antonio, Pedrinelli, Virginia, Cappelli, Andrea, Abbate-Daga, Giovanni, Albert, Umberto, Castellini, Giovanni, Luciano, Mario, Menchetti, Marco, Pompili, Maurizio, Sampogna, Gaia, Signorelli, Maria Salvina, Massimetti, Gabriele, Fiorillo, Andrea |
| Source: | International Review of Psychiatry. Nov/Dec2022, Vol. 34 Issue 7/8, p797-808. 12p. |
| Subjects: | Diagnosis of post-traumatic stress disorder, Psychiatric diagnosis, Research, College students, Unemployment, Cross-sectional method, Psychoses, Post-traumatic stress disorder, Coronavirus diseases, Questionnaires, Classification of mental disorders, COVID-19 pandemic, Longitudinal method, Outpatient services in hospitals, Eating disorders, Obsessive-compulsive disorder |
| Geographic Terms: | Italy |
| Abstract: | The potentially traumatic impact of the COVID-19 pandemic in subjects with pre-existing mental disorders is still unclear, especially regarding its long-term consequences. The aim of this study was to prospectively assess post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms (PTSS) in patients with mental disorders, during the 3rd wave of the infection (T0, March-April 2021) while strict containment measures were applied in Italy, and after 3 months (T1, June-July 2021), with reduced restrictive measures. A total sample of 527 subjects, with different DSM-5 diagnoses, was consecutively enrolled at nine Italian psychiatric outpatient services. Assessments at T0 included: the Trauma and Loss Spectrum-Self Report (TALS-SR), the Impact of Event Scale-Revised (IES-R) and the Work and Social Adjustment Scale (WSAS). These two latter were repeated at T1. Results showed that at T0, 43.6% of the sample reported symptoms of PTSD, with females (p =.004), younger subjects (p =.011), unemployed/students (p =.011), and living with their parental families (p =.017), resulting more affected. Differences in PTSD rates emerged across diagnostic groups ranging from 10% in patients with psychoses up to 59% in those with feeding and eating disorders. An improvement at T1 emerged in all diagnostic groups for the IES-R scores, while WSAS scores improved only in subjects with mood disorders. In conclusions, subjects with mental disorders presented relevant rates of PTSD and PTSS at 1-year into the pandemic. Further long-term studies are needed to follow-up the course of pandemic traumatic burden especially in patients with severe mental disorders. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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