COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project
Abstract Background Patients with chronic rheumatic diseases (RDs) are more vulnerable and the containment measures related to the COVID-19 pandemic might have severe psychological consequences. We investigated the presence of and risk factors associated with poor mental health, sleep disorders amon...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-08-01
|
| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-021-03389-7 |
| _version_ | 1818737661977821184 |
|---|---|
| author | Francesca Ingegnoli Massimiliano Buoli Cristina Posio Raffaele Di Taranto Alessandro Lo Muscio Enrico Cumbo Silvia Ostuzzi Roberto Caporali |
| author_facet | Francesca Ingegnoli Massimiliano Buoli Cristina Posio Raffaele Di Taranto Alessandro Lo Muscio Enrico Cumbo Silvia Ostuzzi Roberto Caporali |
| author_sort | Francesca Ingegnoli |
| collection | DOAJ |
| description | Abstract Background Patients with chronic rheumatic diseases (RDs) are more vulnerable and the containment measures related to the COVID-19 pandemic might have severe psychological consequences. We investigated the presence of and risk factors associated with poor mental health, sleep disorders among RDs during the pandemic. Methods This cross-sectional Italian citizen science project evaluated the psychological impact of the COVID-19 pandemic in patients with RDs. Between May and September 2020, eleven RD patients’ associations sent the survey by using their mailing list and the related webpage and social network. 507 RD patients completed an ad-hoc anonymous online survey including the Perceived Stress Scale (PSS) and Impact Event Scale-Revised (IES-R). Results The mean scores on the PSS-10 and the IES-R were 18.1 and 29.7, respectively. Higher PSS scores were associated with younger age (p < 0.01), female gender (p < 0.01), overweight/obesity (p = 0.01), psychiatric pharmacotherapy (p < 0.01), and anxiety for loss of income (p < 0.01). Higher IES-R scores were associated with female gender (p < 0.01), intestinal diseases (p = 0.03), anxiety (p < 0.01), and health concern (p < 0.01). Among 375 patients with inflammatory arthritis, 246 (65.6%) had trouble staying asleep, 238 (63.5%) falling asleep, and 112 (29.9%) had dreams about the pandemic. Older age (OR = 1.038, CI 1.002–1.076), psychiatric pharmacotherapy (OR = 25.819, CI 11.465–58.143), and COVID infection (OR = 2.783, CI 1.215–6.372) were predictive of insomnia during the pandemic. Conclusions A considerable COVID-19 related psychosocial burden has been detected in RDs. Different factors were predictive of poor mental health and sleep disorders in these patients. Focused supportive strategies should be implemented to improve the psychological well-being of fragile patients during pandemics. |
| first_indexed | 2024-12-18T00:56:36Z |
| format | Article |
| id | doaj.art-facf80a067b5438fa9ed1cf8566ee8de |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-18T00:56:36Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-facf80a067b5438fa9ed1cf8566ee8de2022-12-21T21:26:31ZengBMCBMC Psychiatry1471-244X2021-08-012111910.1186/s12888-021-03389-7COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science projectFrancesca Ingegnoli0Massimiliano Buoli1Cristina Posio2Raffaele Di Taranto3Alessandro Lo Muscio4Enrico Cumbo5Silvia Ostuzzi6Roberto Caporali7Division of Clinical Rheumatology, ASST PiniDepartment of Neurosciences and Mental Health, Fondazione IRCCS Ca’Granda Ospedale Maggiore PoliclinicoDepartment of Pathophysiology and Transplantation, Università degli Studi di MilanoDivision of Clinical Rheumatology, ASST PiniDepartment of Pathophysiology and Transplantation, Università degli Studi di MilanoDivision of Clinical Rheumatology, ASST PiniALOMAR Lombard Association for Rheumatic DiseasesDivision of Clinical Rheumatology, ASST PiniAbstract Background Patients with chronic rheumatic diseases (RDs) are more vulnerable and the containment measures related to the COVID-19 pandemic might have severe psychological consequences. We investigated the presence of and risk factors associated with poor mental health, sleep disorders among RDs during the pandemic. Methods This cross-sectional Italian citizen science project evaluated the psychological impact of the COVID-19 pandemic in patients with RDs. Between May and September 2020, eleven RD patients’ associations sent the survey by using their mailing list and the related webpage and social network. 507 RD patients completed an ad-hoc anonymous online survey including the Perceived Stress Scale (PSS) and Impact Event Scale-Revised (IES-R). Results The mean scores on the PSS-10 and the IES-R were 18.1 and 29.7, respectively. Higher PSS scores were associated with younger age (p < 0.01), female gender (p < 0.01), overweight/obesity (p = 0.01), psychiatric pharmacotherapy (p < 0.01), and anxiety for loss of income (p < 0.01). Higher IES-R scores were associated with female gender (p < 0.01), intestinal diseases (p = 0.03), anxiety (p < 0.01), and health concern (p < 0.01). Among 375 patients with inflammatory arthritis, 246 (65.6%) had trouble staying asleep, 238 (63.5%) falling asleep, and 112 (29.9%) had dreams about the pandemic. Older age (OR = 1.038, CI 1.002–1.076), psychiatric pharmacotherapy (OR = 25.819, CI 11.465–58.143), and COVID infection (OR = 2.783, CI 1.215–6.372) were predictive of insomnia during the pandemic. Conclusions A considerable COVID-19 related psychosocial burden has been detected in RDs. Different factors were predictive of poor mental health and sleep disorders in these patients. Focused supportive strategies should be implemented to improve the psychological well-being of fragile patients during pandemics.https://doi.org/10.1186/s12888-021-03389-7Rheumatic diseasesPerceived stressPost-traumatic stress disordersCOVID-19AnxietyDepressive symptoms |
| spellingShingle | Francesca Ingegnoli Massimiliano Buoli Cristina Posio Raffaele Di Taranto Alessandro Lo Muscio Enrico Cumbo Silvia Ostuzzi Roberto Caporali COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project BMC Psychiatry Rheumatic diseases Perceived stress Post-traumatic stress disorders COVID-19 Anxiety Depressive symptoms |
| title | COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project |
| title_full | COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project |
| title_fullStr | COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project |
| title_full_unstemmed | COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project |
| title_short | COVID-19 related poor mental health and sleep disorders in rheumatic patients: a citizen science project |
| title_sort | covid 19 related poor mental health and sleep disorders in rheumatic patients a citizen science project |
| topic | Rheumatic diseases Perceived stress Post-traumatic stress disorders COVID-19 Anxiety Depressive symptoms |
| url | https://doi.org/10.1186/s12888-021-03389-7 |
| work_keys_str_mv | AT francescaingegnoli covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT massimilianobuoli covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT cristinaposio covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT raffaeleditaranto covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT alessandrolomuscio covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT enricocumbo covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT silviaostuzzi covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject AT robertocaporali covid19relatedpoormentalhealthandsleepdisordersinrheumaticpatientsacitizenscienceproject |