The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study

International Journal of Environmental Research and Public Health

Filippo Alongi¹  Anna Scaglione²  Jennifer Faietti³  Giulio Molon⁴  Anna Di Profio⁵  Matteo Giansante⁶  Sara Poli⁶  Giuseppe Deledda⁶  Eleonora Geccherle⁶  Gabriella Biffa⁷  Elena Sarcletti⁷  Nicoletta Desantis⁸  Cristina Mazzi⁸  Ronaldo Silva⁸  Zeno Bisoffi⁹  Niccolò Riccardi⁹  Andrea Angheben⁹  Naida Faldetta^1,10  Patrizia Dorangricchia^1,10  Alessandro Failo^1,11  Mariantonietta Mazzoldi^1,11  Roland Keim^1,12  Alida M. R. Di Gangi Hermis^1,12  Licia Grazzi^1,13  Antonio Di Biagio^1,14  Andrea Giacomelli^1,15  Stefano Rusconi^1,15  Paolo Confalonieri^1,16  Fabio Marchioretto^1,17  Stefania Gori^1,18  Maria Moschetto^1,19  Hector Josè Soto Parra^1,19  Antonio Marchetta^2,20  Carlo Sestito^2,21  Ambra Mara Giovannetti^2,22  Alessandra Solari^2,22 

[1] Advanced Radiation Oncology Department, Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;CFU-Italia ODV (Fybromyalgia Association), Castenaso, 40085 Bologna, Italy;Cardiac Surgery Unit, Salus Hospital GVM Care & Research, 42123 Regio Emilia, Italy;Cardiology Deparment, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Clinical Oncology Unit, S.S. Annunziata Hospital, 66100 Chieti, Italy;Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Clinical Psychology and Psychotherapy Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy;Clinical Research Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Department of Infectious—Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Department of Oncoplastic Surgery of Breast Unit. V. Cervello Hospital, 90100 Palermo, Italy;General Hospital Bolzano Azienda Sanitaria dell’Alto Adige, 39100 Bolzano, Italy;General Hospital Bressanone, Azienda Sanitaria dell’Alto Adige, Bressanone, 39042 Bolzano, Italy;Headache Center, Neurology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;Infectious Diseases Clinic, Policlinico San Martino Hospital-IRCCS, 16132 Genoa, Italy;Infectious Diseases Unit, Department of Biomedical and Clinical Sciences (DIBIC) Luigi Sacco, University of Milan, 20157 Milan, Italy;Multiple Sclerosis Centre, Neuroimmunology Unit, Clinical Neurology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;Neurological Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, 37024 Verona, Italy;Oncology Unit, Azienda Ospedaliero Universitaria (A.O.U.) Policlinico Vittorio Emanuele, 95123 Catania, Italy;Rheumatology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;Service of Psycho Oncology, San Giovanni di Dio Hospital, Azienda Sanitaria Provinciale di Crotone, 88900 Crotone, Italy;Unit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;

关键词: COVID-19;    virus;    pandemic;    lockdown;    psychological flexibility;    depression;   

DOI  :  10.3390/ijerph18010340

来源: DOAJ

【 摘 要 】

Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate the psychosocial factors contributing to the cancellation of medical appointments during the pandemic by patients with pre-existing health conditions. Data were collected in eleven Italian hospitals during the last week of lockdown, and one month later. In order to assess the emotional impact of the SARS-CoV-2 outbreak and the subject’s degree of psychological flexibility, we developed an ad hoc questionnaire (ImpACT), referring to the Acceptance and Commitment Therapy (ACT) model. The Impact of Event Scale-Revised (IES-R), the Depression, Anxiety and Stress Scale (DASS) and the Cognitive Fusion Questionnaire (CFQ) were also used. Pervasive dysfunctional use of experiential avoidance behaviours (used with the function to avoid thought, emotions, sensations), feelings of loneliness and high post-traumatic stress scores were found to correlate with the fear of COVID-19, increasing the likelihood of cancelling medical appointments. Responding promptly to the information and psychological needs of patients who cancel medical appointments can have positive effects in terms of psychological and physical health.

【 授权许可】

Unknown