Were anxiety, depression and psychological distress associated with local mortality rates during COVID-19 outbreak in Italy? Findings from the COMET study
- PMID: 35753244
- PMCID: PMC9212315
- DOI: 10.1016/j.jpsychires.2022.06.018
Were anxiety, depression and psychological distress associated with local mortality rates during COVID-19 outbreak in Italy? Findings from the COMET study
Abstract
Background: The mental health of the Italian population declined at the onset of the COVID-19 pandemic. However, nationwide population prevalence estimates may not effectively reproduce the heterogeneity in distress responses to the pandemic. In particular, contextual determinants specific to COVID-19 pandemic need to be considered. We thus aimed to explore the association between local COVID-19 mortality rates and mental health response among the general population.
Methods: We capitalised on data (N = 17,628) from a large, cross-sectional, national survey, the COMET study, run between March and May 2020. While psychological distress was measured by General Health Questionnaire-12 (GHQ-12), the Depression, Anxiety and Stress Scale-21 Items (DASS-21) was used to assess relevant domains. In addition, a Covid-19 mortality ratio was built to compare single regional mortality rates to the national estimate and official statistics were used to control for other area-level determinants.
Results: Adjusted ordered regression analyses showed an association between mortality ratio and moderate (OR = 1.10, 95%CI 1.03-1.18) and severe (OR = 1.11, 95%CI 1.03-1.21) DASS-21 anxiety levels. No effects of mortality ratio on GHQ-12 scores and DASS-21 depression and stress levels, uniformly high across the country, were estimated.
Conclusions: Although we could not find any association between regional COVID-19 mortality ratio and depression or psychological distress, anxiety levels were significantly increased among subjects from areas with the highest mortality rates. Local mortality rate seems a meaningful driver for anxiety among the general population. Considering the potentially long-lasting scenario, local public health authorities should provide neighbouring communities with preventive interventions reducing psychological isolation and anxiety levels.
Keywords: Anxiety; COVID-19; Depression; Mortality rate; Psychological distress.
Copyright © 2022 Elsevier Ltd. All rights reserved.
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References
-
- Ahrens K.F., Neumann R.J., Kollmann B., Plichta M.M., Lieb K., Tüscher O., Reif A. Differential impact of COVID-related lockdown on mental health in Germany. World Psychiatr. 2021;20:140–141. https://doi:10.1002/wps.20830 - DOI - PMC - PubMed
-
- Britton J.C., Lissek S., Grillon C., Norcross M.A., Pine D.S. Development of anxiety: the role of threat appraisal and fear learning. Depress. Anxiety. 2011;28:5–17. https://doi:10.1002/da.20733 - DOI - PMC - PubMed
-
- COVID-19 Mental Disorders Collaborators Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;(21) https://doi:10.1016/S0140-6736(21)02143-7 S0140-6736. 02143-02147. - DOI - PMC - PubMed
-
- CSTS-Center for the Study of Traumatic Stress . Uniformed Services University; Bethesda: 2020. Mental health and behavioral guidelines for response to a pandemic flu outbreak: background on the mental health impact of natural disasters, including epidemics.https://www.cstsonline.org/resources/resource-master-list/mental-health-...
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