COVID-19: ruolo della resilienza sull’impatto psicologico del lockdown nei candidati e nei riceventi del trapianto di fegato (adolescenti-giovani adulti)
https://doi.org/10.4081/rp.2022.595
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La pandemia del coronavirus 2019 (COVID-19) e le necessarie misure di controllo di diffusione, attuate dai governi, hanno indotto cambiamenti drastici nella vita quotidiana. La riduzione della mobilità e le severe limitazioni dei contatti sociali pongono una grande sfida, in particolare per gli adolescenti. Lo scopo di questo studio è di analizzare l’impatto psicologico del lockdown e l’eventuale correlazione con la resilienza, sugli adolescenti e sui giovani adulti in attesa di trapianto di fegato o nei riceventi. Sono state raccolte le variabili socio-demografiche dei partecipanti (n=66) come sesso, età, scolarità. Inoltre sono stati somministrati due questionari self-report: Depression Anxiety and Stress Scales (DASS-21) e la Connor-Davidson Resilience Scale (CD-RISC 25). Questi strumenti indagando le seguenti aree: stati emotivi di depressione, ansia e stress e fattori di resilienza. La correlazione tra depressione/ansia e resilienza è stata valutata mediante l’Indice di correlazione di Pearson e i modelli di regressione lineare. I risultati hanno mostrato una correlazione significativa tra le sottoscale: DASS depressione/ansia (r2=0,62) depressione/stress (r2=0,65) CD-RISC impegno/ottimismo (r2=0,71). Il punteggio totale delle scale DAAS depressione/ansia/stress è diminuito significativamente all’aumentare del punteggio totale CD-RISC. La correlazione inversa tra CD-RISC e DAAS sembra riferirsi alla scala secondaria della relazione tra DAAS depressione e CD-RISC (β= –0,33, P=0,006). I risultati del nostro studio suggeriscono che la resilienza può rappresentare un fattore protettivo per gli adolescenti sottoposti a trapianto di fegato e per i candidati a trapianto di fegato nel mitigare l’insorgenza di sintomi psicologici negativi correlati con la pandemia.
Ahola Kohut, S., Stinson, J., Forgeron, P., Luca, S., & Harris, L. (2017). Been there, done that: the experience of acting as a young adult mentor to adolescents living with chronic illness. Journal of Pediatric Psychology, 42(9), 962-969. doi:10.1093/jpepsy/jsx062. DOI: https://doi.org/10.1093/jpepsy/jsx062
Babić, R., Babić, M., Rastović, P., Ćurlin, M., Šimić, J., Mandić, K., & Pavlović, K. (2020). Resilience in health and illness. Psychiatria Danubina, 32(Suppl 2), 226-232.
Barzilay, R., Moore, T. M., Greenberg, D. M., DiDomenico, G. E., Brown, L. A., White, L. K., Gur, R. C., & Gur, R. E. (2020a). Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Translational Psychiatry, 10(1), 1-8. doi:10.1038/s41398-020-00982-4.
Barzilay, R., Moore, T. M., Greenberg, D. M., DiDomenico, G. E., Brown, L. A., White, L. K., Gur, R. C., & Gur, R. E. (2020b). Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Translational Psychiatry, 10(1), 1-8. doi:10.1038/s41398-020-00982-4. DOI: https://doi.org/10.1038/s41398-020-00982-4
Bottesi, G., Ghisi, M., Altoè, G., Conforti, E., Melli, G., & Sica, C. (2015). The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples. Comprehensive Psychiatry, 60, 170-181. doi:10.1016/j.comppsych.2015.04.005. DOI: https://doi.org/10.1016/j.comppsych.2015.04.005
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. doi:10.1016/S0140-6736(20)30460-8. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Buoro, S., Marco, F. D., Rizzi, M., Fabretti, F., Lorini, F. L., Cesa, S., & Fagiuoli, S. (2020). Papa Giovanni XXIII Bergamo Hospital at the time of the COVID-19 outbreak: Letter from the warfront. International Journal of Laboratory Hematology, 42(S1), 8-10. doi:10.1111/ijlh.13207. DOI: https://doi.org/10.1111/ijlh.13207
Bush, R., Upadhyay, K., & McPeters, S. (2021). Identification of anxiety and depression among adolescent kidney transplant recipients: a cross-sectional observational study. Journal of Pediatric Health Care. [Epub ahead of print]. DOI: https://doi.org/10.1016/j.pedhc.2021.10.007
Casale, R., Sarzi-Puttini, P., Botto, R., Alciati, A., Batticciotto, A., Marotto, D., & Torta, R. (2019). Fibromyalgia and the concept of resilience. Clinical and Experimental Rheumatology, 37 Suppl 116(1), 105-113.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. doi:10.1002/da.10113. DOI: https://doi.org/10.1002/da.10113
Cynthia Carbo & Nancy Goldstein. (2018). Metatheory of resilience and resiliency in adolescent pregnancy and substance use disorders. JOJ Nursing & Health Care, 9(2). doi:JOJNHC.2018.09.555760. DOI: https://doi.org/10.19080/JOJNHC.2018.09.555760
Fagiuoli, S., Lorini, F. L., & Remuzzi, G. (2020). Adaptations and lessons in the Province of Bergamo. New England Journal of Medicine, 382(21), e71. doi:10.1056/NEJMc2011599. DOI: https://doi.org/10.1056/NEJMc2011599
Fujita, A. (2016). Daily lives of pre-adolescents/adolescents and their parents after liver transplant: Liver transplanted children; daily life. Japan Journal of Nursing Science, 13(1), 10-19. doi:10.1111/jjns.12078. DOI: https://doi.org/10.1111/jjns.12078
Goldmann, E., & Galea, S. (2014). Mental health consequences of disasters. Annual Review of Public Health, 35(1), 169-183. doi:10.1146/annurev-publhealth-032013-182435. DOI: https://doi.org/10.1146/annurev-publhealth-032013-182435
Hames, A., Matcham, F., Joshi, D., Heneghan, M. A., Dhawan, A., Heaton, N., & Samyn, M. (2016). Liver transplantation and adolescence: the role of mental health. Liver Transplantation, 22(11), 1544-1553. doi:10.1002/lt.24629. DOI: https://doi.org/10.1002/lt.24629
Hu, T., Zhang, D., & Wang, J. (2015). A meta-analysis of the trait resilience and mental health. Personality and Individual Differences, 76, 18-27. doi:10.1016/j.paid.2014.11.039. DOI: https://doi.org/10.1016/j.paid.2014.11.039
Kelly, D., & Wray, J. (2014). The adolescent liver transplant patient. Clinics in Liver Disease, 18(3), 613-632. doi:10.1016/j.cld.2014.05.006. DOI: https://doi.org/10.1016/j.cld.2014.05.006
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Diaz, E., & Kaniasty, K. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry: Interpersonal and Biological Processes, 65(3), 207-239. doi:psyc.65.3.207.20173. DOI: https://doi.org/10.1521/psyc.65.3.207.20173
Perico, L., Tomasoni, S., Peracchi, T., Perna, A., Pezzotta, A., Remuzzi, G., & Benigni, A. (2020). COVID-19 and lombardy: TESTing the impact of the first wave of the pandemic. EBioMedicine, 61, 103069. doi:10.1016/j.ebiom.2020.103069. DOI: https://doi.org/10.1016/j.ebiom.2020.103069
Perico, N., Fagiuoli, S., Di Marco, F., Laghi, A., Cosentini, R., Rizzo, M., Gianatti, A., Rambaldi, A., Ruggenenti, P., La Vecchia, C., Bertolini, G., Paglia, S., Lorini, F. L., & Remuzzi, G. (2020). Bergamo and COVID-19: how the dark can turn to light [Preprint]. Open Science Framework. doi:10.31219/osf.io/bupgn. DOI: https://doi.org/10.31219/osf.io/bupgn
Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J., & Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Social Science & Medicine, 262, 113261. doi:j.socscimed.2020.113261. DOI: https://doi.org/10.1016/j.socscimed.2020.113261
Richardson, G. E., Neiger, B. L., Jensen, S., & Kumpfer, K. L. (1990). The Resiliency Model. Health Education, 21(6), 33-39. doi:10.1080/00970050.1990.10614589. DOI: https://doi.org/10.1080/00970050.1990.10614589
Sandifer, P. A., & Walker, A. H. (2018). Enhancing Disaster Resilience by Reducing Stress-Associated Health Impacts. Frontiers in Public Health, 6, 373. doi:10.3389/fpubh.2018.00373. DOI: https://doi.org/10.3389/fpubh.2018.00373
Senni, M. (2020). COVID-19 experience in Bergamo, Italy. European Heart Journal, 41(19), 1783-1784. doi:10.1093/eurheartj/ehaa279. DOI: https://doi.org/10.1093/eurheartj/ehaa279
Shah, K., Mann, S., Singh, R., Bangar, R., & Kulkarni, R. (2020). Impact of COVID-19 on the mental health of children and adolescents. Cureus. doi:10.7759/cureus.10051. DOI: https://doi.org/10.7759/cureus.10051
Silva, C. A., Queiroz, L. B., Fonseca, C. de B., da Silva, L. E. V., Lourenço, B., & Marques, H. H. S. (2020). Spotlight for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic. Clinics, 75, e1931. doi:10.6061/clinics/2020/e1931. DOI: https://doi.org/10.6061/clinics/2020/e1931
Taylor, R. M., Franck, L. S., Dhawan, A., & Gibson, F. (2010). The stories of young people living with a liver transplant. Qualitative Health Research, 20(8), 1076-1090. doi:10.1177/1049732310368405. DOI: https://doi.org/10.1177/1049732310368405
Watson, A. R. (2000). Non-compliance and transfer from paediatric to adult transplant unit. Pediatric Nephrology, 14(6), 0469-0472. doi:10.1007/s004670050794. DOI: https://doi.org/10.1007/s004670050794
Windle, G., Bennett, K. M., & Noyes, J. (2011). A methodological review of resilience measurement scales. Health and Quality of Life Outcomes, 9(1), 8. doi:10.1186/1477-7525-9-8. DOI: https://doi.org/10.1186/1477-7525-9-8
Zhang, C., Ye, M., Fu, Y., Yang, M., Luo, F., Yuan, J., & Tao, Q. (2020). The psychological impact of the COVID-19 pandemic on teenagers in China. Journal of Adolescent Health, 67(6), 747-755. doi:10.1016/j.jadohealth.2020.08.026. DOI: https://doi.org/10.1016/j.jadohealth.2020.08.026
Zhang, Q., Zhou, L., & Xia, J. (2020). Impact of COVID-19 on emotional resilience and learning management of middle school students. Medical Science Monitor, 26. doi:10.12659/MSM.924994. DOI: https://doi.org/10.12659/MSM.924994
Zhou, S.-J., Zhang, L.-G., Wang, L.-L., Guo, Z.-C., Wang, J.-Q., Chen, J.-C., Liu, M., Chen, X., & Chen, J.-X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29(6), 749-758. doi:10.1007/s00787-020-01541-4. DOI: https://doi.org/10.1007/s00787-020-01541-4
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