impact of COVID-19 lockdown announcements on mental health: quasi-natural experiment in Lombardy, Italy.

Background Evidence showed that mental health problems have risen markedly during COVID-19. It is unclear if part of the mental sufferings relates to the climate of uncertainty and confusion originated from rough communication by health officials and politicians. Here, we test the impact of unantici...

Descripción completa

Detalles Bibliográficos
Publicado en:European Journal of Public Health Vol. 32; no. 3; pp. 488 - 494
Autores principales: Wang, Yuxi, Lugo, Alessandra, Amerio, Andrea, d'Oro, Luca Cavalieri, Iacoviello, Licia, Odone, Anna, Zucchi, Alberto, Gallus, Silvano, Stuckler, David, Investigators, the Lost in Lombardia Project
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2022
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157279787&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 157279787
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        11011262
        BHW
      jtl: European Journal of Public Health
      issn: 11011262
      maglogo: N
    pubinfo:
      dt: Jun2022
      vid: 32
      iid: 3
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        157279787
        157279787
        157279787
        10.1093/eurpub/ckac035
        157279787
      ppf: 488
      ppct: 6
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: impact of COVID-19 lockdown announcements on mental health: quasi-natural experiment in Lombardy, Italy.
      aug:
        au:
          Wang, Yuxi
          Lugo, Alessandra
          Amerio, Andrea
          d'Oro, Luca Cavalieri
          Iacoviello, Licia
          Odone, Anna
          Zucchi, Alberto
          Gallus, Silvano
          Stuckler, David
          Investigators, the Lost in Lombardia Project
        affil: Department of Social and Political Science, Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University , Milan, Italy
      sug:
        subj:
          COVID-19 Pandemic Psychosocial Factors
          Stay-at-Home Orders
          Mental Health
          Human
          Quasi-Experimental Studies
          Public Policy
          Surveys
          Middle Age
          Aged
          Aged, 80 and Over
          Regression
          Sociodemographic Factors
          Confidence Intervals
          Descriptive Statistics
          Italy
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Background Evidence showed that mental health problems have risen markedly during COVID-19. It is unclear if part of the mental sufferings relates to the climate of uncertainty and confusion originated from rough communication by health officials and politicians. Here, we test the impact of unanticipated policy announcements of lockdown policies on mental health of the older population. Methods We used a representative telephone-based survey of 4400 people aged 65 years or older in Italy's Lombardy region to compare information on self-reported symptoms of anxiety, depression and poor-quality sleep of subjects interviewed on the days of the policy announcement with that of subjects interviewed on other days. We used regression models adjusting for potential socio-demographic confounders as well study design with inverse probability weighting. Results On days when policymakers announced to extend the lockdown, mental health deteriorated on average by 5.5 percentage points [95% confidence interval (CI): 1.1–9.8] for self-reported anxiety symptoms and 5.1 percentage points (95% CI: 2.7–7.4) for self-reported depressive symptoms. The effect of the announcement to shorten the lockdown is more moderate but statistically significant. These associations were short term in duration; after just 1 day, self-reported mental health and sleep quality return to levels better than pre-announcement until a new policy change. Conclusions Our research shows that lockdown policy announcements are associated with short-term worsening in mental distress, highlighting the importance of appropriate communication strategies and political determinations in crisis times.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N