Emotional Scars from COVID-19: The Wave of Post-Traumatic Stress Disorder

Authors

  • Eva Mazzotti Department of Clinical and Molecular Medicine Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
  • Anna Costantini Psycho-Oncology Departmental Unit, Sant’ Andrea Hospital, Rome, Italy

DOI:

https://doi.org/10.14738/assrj.910.13213

Keywords:

COVID-19, PTSD, distress, psychological trauma, perceived isolation, sleep difficulties.

Abstract

This study examined the prevalence and the characteristics of post-traumatic stress disorder (PTSD), as measured by IES-R, in a sample of 1464 online respondents 4 or more months after the first pandemic wave in Italy. Results. 375 (25.61%) of respondents were probable case of PTSD. In multivariate logistic regression analysis, the variables independently associated with PTSD were peritraumatic distress (Adjusted Odds Ratio, AOR 25.69; 95% Confidence Interval, CI 17.96-36.74), have been in quarantine (AOR 3.16; 95%CI 1.94-5.15), have been worried about dying (AOR 2.58; 95%CI 1.74-3.83), female gender (AOR 2.49; 95%CI 1.64-3.78), having used sleep remedies (AOR 2.25; 95%CI 1.549-3.29), feeling shunned by others as a possible source of contagion (AOR 1.92; 95%CI 1.33-2.78), and having tested positive for a COVID-19 (as protection factor) (AOR 0.25; 95%CI 0.08-0.80), after adjusting for age. Conclusions. One in four of people could be a case of PTSD and could have important long-term physical and psychological consequences. The COVID-19 pandemic is connoted as a "trauma" that can favor the development of a PTSD, which if not treated in addition to psychological, social and occupational distress, could cause in the long term, biological damage. It is therefore important to recognize the symptoms of PTSD for early diagnosis and timely treatment chosen from those that have also been shown to be effective in promoting neurogenesis.

References

APA (American Psychiatric Association). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Bossini L, Tavanti M, Calossi S, et al. (2007a). Magnetic resonance imaging volumes of the hippocampus in drugnaïve patients with post-traumatic stress disorder without comorbidity conditions. J Psychiatr Res, 42: 752-762.

Bossini L, Tavanti M, Lombardelli A, et al. (2007b). Changes in hippocampal volume in patients with posttraumatic stress disorder after sertraline treatment. J Clin Psychopharmacol, 27: 233-235.

Bremner JD, Mletzko T, Welter S, et al. (2005). Effects of phenytoin on memory, cognition and brain structure in post-traumatic stress disorder: a pilot study. J Psychopharmacol, 19: 159-165.

Costantini A, Mazzotti E. (2020a). Italian validation of COVID-19 Peritraumatic Distress Index and preliminary data in a sample of general population. Rivista di Psichiatria, 55(3): 145-151. https://doi.org/10.1708/3382.33570

Costantini A, Mazzotti E, Marchetti P. (2020b). COVID-19 and oncologic health workers: psychological reactions and interventions. Cancer Studies and Therapeutics, 5(2) https://researchopenworld.com/covid-19-andoncological-health-workers-psychological-reactions-and-interventions/

Eriksson PS, Perfilieva E, Björk-Eriksson T, et al. (1998). Neurogenesis in the adult human hippocampus. Nat Med, 4: 1313-1317. https://doi.org/10.1038/3305

Greenberg DA, Jin K. (2005). From angiogenesis to neuropathology. Nature, 438: 954-959. https://doi.org/10.1038/nature04481

Gualano MR, Lo Moro G, Voglino G, Bert F, Siquilini R. (2020). Effects of Covid-19 Lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health, 17: 4779. https://doi.org/10.3390/ijerph17134779

Karl A, Schaefer M, Malta LS, Dörfel D, Rohleder N, Werner A. (2006). A meta-analysis of structural brain abnormalities in PTSD. Neurosci Biobehav Rev, 30: 1004-31. https://doi.org/10.1016/j.neubiorev.2006.03.004.

Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr, 33(2): e100213. https://doi.org/10.1136/gpsych-2020-100213

Rossi R, Socci V, Talevi D, et al. (2020). COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. An N: 18147 web-based survey. MedRxiv. https://doi.org/10.1101/2020.04.09.20057802

Vermetten E, Vythilingam M, Southwick SM, Charney DS, Bremner JD. (2003). Long-term treatment with paroxetine increases verbal declarative memory and hippocampal volume in posttraumatic stress disorder. Biol Psychiatry, 54: 693-702. https://doi.org/10.1016/s0006-3223(03)00634-6.

Weiss DS, Marmar CR. (1997). The Impact of Event Scale-Revised. In J. P. Wilson and T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). New York: The Guilford Press.

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Published

2022-10-11

How to Cite

Mazzotti, E., & Costantini, A. (2022). Emotional Scars from COVID-19: The Wave of Post-Traumatic Stress Disorder. Advances in Social Sciences Research Journal, 9(10), 71–83. https://doi.org/10.14738/assrj.910.13213