IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i11p4151-d369783.html
   My bibliography  Save this article

COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology

Author

Listed:
  • Giuseppe Forte

    (Department of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy)

  • Francesca Favieri

    (Department of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy)

  • Renata Tambelli

    (Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Via degli Apuli 1, 00185 Rome, Italy)

  • Maria Casagrande

    (Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Via degli Apuli 1, 00185 Rome, Italy)

Abstract

Since December 2019, the COVID-19 pandemic has attracted worldwide attention for its rapid and exponential diffusion. The long-term psychological impact, of both the spread of the virus and the restrictive policies adopted to counteract it, remains uncertain. However, recent studies reported a high level of psychological distress and Post-Traumatic Stress Disorder (PTSD) symptoms. The purpose of this study is to assess the psychometric properties of a new questionnaire, to evaluate PTSD risk related to the COVID-19 emergency. A total of Italian people completed a web-based cross-sectional survey broadcasted through different social-media. Demographic data and some psychological dimensions, such as general distress and sleep disturbance, were collected. A new self-report questionnaire (COVID-19-PTSD), consisting of 19 items, was developed starting from the PTSD Check List for DSM-5 (PCL-5) questionnaire, and it was administered in order to analyze its psychometric properties. The results highlighted the adequate psychometric properties of the COVID-19-PTSD questionnaire. The confirmatory factor analysis indicated that a seven-factor model ( Intrusion , Avoidance , Negative Affect , Anhedonia , Dysphoric arousal , Anxious arousal and Externali z ing behavior ) best fits the data. Significant correlations were found among COVID-19-PTSD scores, general distress and sleep disturbance. A high percentage of PTSD symptomatology (29.5%) was found in the Italian population. COVID-19-PTSD appears to be effective in evaluating the specific stress symptoms related to the COVID-19 pandemic in the Italian population. These results are relevant from a clinical point of view because they suggest that the COVID-19 pandemic could be considered as a traumatic event. Psychological interventions to counteract short- and long-term psychopathological effects, consequent to the COVID-19 pandemic, appear to be necessary.

Suggested Citation

  • Giuseppe Forte & Francesca Favieri & Renata Tambelli & Maria Casagrande, 2020. "COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology," IJERPH, MDPI, vol. 17(11), pages 1-14, June.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4151-:d:369783
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/11/4151/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/11/4151/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    2. Cristina Mazza & Eleonora Ricci & Silvia Biondi & Marco Colasanti & Stefano Ferracuti & Christian Napoli & Paolo Roma, 2020. "A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors," IJERPH, MDPI, vol. 17(9), pages 1-14, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Michele Mastroberardino & Riccardo Cuoghi Costantini & Antonella Maria Pia De Novellis & Silvia Ferrari & Costanza Filippini & Fedora Longo & Mattia Marchi & Giulia Rioli & Laura Valeo & Roberto Vicin, 2022. "“It’s All COVID’s Fault!”: Symptoms of Distress among Workers in an Italian General Hospital during the Pandemic," IJERPH, MDPI, vol. 19(12), pages 1-16, June.
    2. Martin Sanchez-Gomez & Gabriele Giorgi & Georgia Libera Finstad & Flavio Urbini & Giulia Foti & Nicola Mucci & Salvatore Zaffina & José M. León-Perez, 2021. "COVID-19 Pandemic as a Traumatic Event and Its Associations with Fear and Mental Health: A Cognitive-Activation Approach," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    3. Wei Song & Taiyang Zhao & Ershuai Huang, 2022. "How Does the COVID-19 Pandemic Affect People’s Willingness to Pay for Health in the Short and Long Term? A Longitudinal Study during and after the COVID-19 Pandemic in China," IJERPH, MDPI, vol. 19(3), pages 1-11, January.
    4. Ewa Małgorzata Szepietowska & Ewa Zawadzka & Sara Filipiak, 2022. "Symptoms of Post-Traumatic Stress Disorder and the Sense of Gains and Losses during the COVID-19 Pandemic: An International Study," IJERPH, MDPI, vol. 19(6), pages 1-19, March.
    5. Muhammad Hizri Hatta & Hatta Sidi & Chong Siew Koon & Nur Aishah Che Roos & Shalisah Sharip & Farah Deena Abdul Samad & Ong Wan Xi & Srijit Das & Suriati Mohamed Saini, 2022. "Virtual Reality (VR) Technology for Treatment of Mental Health Problems during COVID-19: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    6. Rute Brites & Mauro Paulino & Sofia Brissos & Sofia Gabriel & Laura Alho & Mário R. Simões & Carlos F. Silva, 2023. "Initial Psychological Reactions to COVID-19 of Middle Adolescents in Portugal," IJERPH, MDPI, vol. 20(9), pages 1-12, May.
    7. Gianluca Vagnani & Francesco Mazzurco, 2022. "Incidental Negative Life Events and the Disposition Effect at the Individual Level," Journal of Finance and Investment Analysis, SCIENPRESS Ltd, vol. 11(2), pages 1-1.
    8. M. Graça Pereira & Ana Filipa Gonçalves & Laura Brito, 2023. "The Moderating Role of Self-Care Behaviors in Personal Care Aides of Older Adults during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(6), pages 1-13, March.
    9. Jessica Burrai & Alessandro Quaglieri & Umberto Aitella & Clarissa Cricenti & Ivan D’Alessio & Alessandra Pizzo & Giulia Lausi & Anna Maria Giannini & Emanuela Mari, 2022. "The Fear of COVID-19: Gender Differences among Italian Health Volunteers," IJERPH, MDPI, vol. 19(11), pages 1-18, May.
    10. Natalie L. Edelman & T. Charles Witzel & Phil Samba & Will Nutland & Tom Nadarzynski, 2022. "Mental Well-Being and Sexual Intimacy among Men and Gender Diverse People Who Have Sex with Men during the First UK COVID-19 Lockdown: A Mixed-Methods Study," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    11. Stefania Scuri & Marina Tesauro & Fabio Petrelli & Ninfa Argento & Genny Damasco & Giovanni Cangelosi & Cuc Thi Thu Nguyen & Demetris Savva & Iolanda Grappasonni, 2022. "Use of an Online Platform to Evaluate the Impact of Social Distancing Measures on Psycho-Physical Well-Being in the COVID-19 Era," IJERPH, MDPI, vol. 19(11), pages 1-10, June.
    12. Charlotte Torinomi & Katajun Lindenberg & Andreas Möltner & Sabine C. Herpertz & Rainer M. Holm-Hadulla, 2022. "Predictors of Students’ Mental Health during the COVID-19 Pandemic: The Impact of Coping Strategies, Sense of Coherence, and Social Support," IJERPH, MDPI, vol. 19(24), pages 1-15, December.
    13. Linke Yu & Mariah Lecompte & Weiguo Zhang & Peizhong Wang & Lixia Yang, 2021. "Sociodemographic and COVID-Related Predictors for Mental Health Condition of Mainland Chinese in Canada Amidst the Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    14. Grzegorz Józef Nowicki & Barbara Ślusarska & Kinga Tucholska & Katarzyna Naylor & Agnieszka Chrzan-Rodak & Barbara Niedorys, 2020. "The Severity of Traumatic Stress Associated with COVID-19 Pandemic, Perception of Support, Sense of Security, and Sense of Meaning in Life among Nurses: Research Protocol and Preliminary Results from ," IJERPH, MDPI, vol. 17(18), pages 1-18, September.
    15. Anna Stepowicz & Barbara Wencka & Jan Bieńkiewicz & Wojciech Horzelski & Mariusz Grzesiak, 2020. "Stress and Anxiety Levels in Pregnant and Post-Partum Women during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(24), pages 1-9, December.
    16. Hyejung Yoon & Myoungsoon You & Changwoo Shon, 2021. "Peritraumatic Distress during the COVID-19 Pandemic in Seoul, South Korea," IJERPH, MDPI, vol. 18(9), pages 1-14, April.
    17. Sofia Pappa & Nikolaos Athanasiou & Nikolaos Sakkas & Stavros Patrinos & Elpitha Sakka & Zafeiria Barmparessou & Stamatoula Tsikrika & Andreas Adraktas & Athanasia Pataka & Ilias Migdalis & Sofia Gida, 2021. "From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Section," IJERPH, MDPI, vol. 18(5), pages 1-16, March.
    18. José Luis Carballo & Ainhoa Coloma-Carmona & Sara Arteseros-Bañón & Virtudes Pérez-Jover, 2021. "The Moderating Role of Caregiving on Fear of COVID-19 and Post-Traumatic Stress Symptoms," IJERPH, MDPI, vol. 18(11), pages 1-11, June.
    19. Yun-Ming Tang & Tsung-Lin Wu & Hsiang-Te Liu, 2023. "Causal Model Analysis of the Effect of Formalism, Fear of Infection, COVID-19 Stress on Firefighters’ Post-Traumatic Stress Syndrome and Insomnia," IJERPH, MDPI, vol. 20(2), pages 1-15, January.
    20. Ilenia Rosa & Chiara Conti & Luigia Zito & Konstantinos Efthymakis & Matteo Neri & Piero Porcelli, 2023. "Has the COVID-19 Pandemic Worsened Health-Related Quality of Life of Patients with Inflammatory Bowel Disease? A Longitudinal Disease Activity-Controlled Study," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    21. Cristina Ciuluvica (Neagu) & Giulio Gualdi & Marco Dal Canton & Fabrizio Fantini & Andrea Paradisi & Paolo Sbano & Marco Simonacci & Daniele Dusi & Gian Marco Vezzoni & Carmine D’Acunto & Maurizio Lom, 2021. "Mental Health Consequences of the COVID-19 Pandemic Long-Term Exposure in Italian Dermatologists," IJERPH, MDPI, vol. 18(21), pages 1-20, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. J. Pierre Zila-Velasque & Pamela Grados-Espinoza & Naomi Coba-Villan & Jocelyn Quispe-Chamorro & Yesenia F. Taipe-Guillén & Estefany Pacheco & Laura Ccasa-Valero & Virgilio E. Failoc-Rojas & Cristian , 2022. "Mental Disorders and Level of Resilience in Eight High-Altitude Cities of Peru during the Second Pandemic Wave: A Multicenter Population-Based Study," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    2. Ankica Kosic & Tamara Džamonja Ignjatović & Nebojša Petrović, 2021. "A Cross-Cultural Study of Distress during COVID-19 Pandemic: Some Protective and Risk Factors," IJERPH, MDPI, vol. 18(14), pages 1-15, July.
    3. Stefania Scuri & Marina Tesauro & Fabio Petrelli & Ninfa Argento & Genny Damasco & Giovanni Cangelosi & Cuc Thi Thu Nguyen & Demetris Savva & Iolanda Grappasonni, 2022. "Use of an Online Platform to Evaluate the Impact of Social Distancing Measures on Psycho-Physical Well-Being in the COVID-19 Era," IJERPH, MDPI, vol. 19(11), pages 1-10, June.
    4. Lucía del Río-Casanova & Milagrosa Sánchez-Martín & Ana García-Dantas & Anabel González-Vázquez & Ania Justo, 2021. "Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain," IJERPH, MDPI, vol. 18(7), pages 1-20, April.
    5. Mateusz Ciski & Krzysztof Rząsa, 2023. "Multiscale Geographically Weighted Regression in the Investigation of Local COVID-19 Anomalies Based on Population Age Structure in Poland," IJERPH, MDPI, vol. 20(10), pages 1-23, May.
    6. José Pais-Ribeiro & Alexandra Ferreira-Valente & Margarida Jarego & Elisabet Sánchez-Rodríguez & Jordi Miró, 2022. "COVID-19 Pandemic in Portugal: Psychosocial and Health-Related Factors Associated with Psychological Discomfort," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    7. Juan Gómez-Salgado & Montserrat Andrés-Villas & Sara Domínguez-Salas & Diego Díaz-Milanés & Carlos Ruiz-Frutos, 2020. "Related Health Factors of Psychological Distress During the COVID-19 Pandemic in Spain," IJERPH, MDPI, vol. 17(11), pages 1-16, June.
    8. Daniela Marchetti & Roberta Maiella & Rocco Palumbo & Melissa D’Ettorre & Irene Ceccato & Marco Colasanti & Adolfo Di Crosta & Pasquale La Malva & Emanuela Bartolini & Daniela Biasone & Nicola Mammare, 2023. "Self-Reported Mental Health and Psychosocial Correlates during the COVID-19 Pandemic: Data from the General Population in Italy," Data, MDPI, vol. 8(6), pages 1-7, June.
    9. Mohammad Farhan Al. Qudah & Ismael Salamah Albursan & Heba Ibraheem Hammad & Ahmad Mohammad Alzoubi & Salaheldin Farah Bakhiet & Abdullah M. Almanie & Soltan S. Alenizi & Suliman S. Aljomaa & Mohammed, 2021. "Anxiety about COVID-19 Infection, and Its Relation to Smartphone Addiction and Demographic Variables in Middle Eastern Countries," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    10. Eriona Thartori & Concetta Pastorelli & Flavia Cirimele & Chiara Remondi & Maria Gerbino & Emanuele Basili & Ainzara Favini & Carolina Lunetti & Irene Fiasconaro & Gian Vittorio Caprara, 2021. "Exploring the Protective Function of Positivity and Regulatory Emotional Self-Efficacy in Time of Pandemic COVID-19," IJERPH, MDPI, vol. 18(24), pages 1-19, December.
    11. Fang-Yi Tsai & Hannah Schillok & Michaela Coenen & Christina Merkel & Caroline Jung-Sievers & on behalf of the COSMO Study Group, 2022. "The Well-Being of the German Adult Population Measured with the WHO-5 over Different Phases of the COVID-19 Pandemic: An Analysis within the COVID-19 Snapshot Monitoring Study (COSMO)," IJERPH, MDPI, vol. 19(6), pages 1-27, March.
    12. Anna Maria Cybulska & Katarzyna Głębicka & Marzanna Stanisławska & Aneta Cymbaluk-Płoska & Elżbieta Grochans & Kamila Rachubińska, 2023. "The Relationship between Social Support and Mental Health Problems of Peri- and Postmenopausal Women during the SARS-CoV-2 Pandemic," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    13. Manuel Maciel-Saldierna & Emmanuel Elizondo-Hernández & Gabino Cervantes-Guevara & Enrique Cervantes-Pérez & Guillermo Alonso Cervantes-Cardona & Bertha Georgina Guzmán-Ramírez & Irma Valeria Brancacc, 2022. "Prevalence of Depression, Anxiety, and Stress in Junior High School Students in Guadalajara, Mexico: A Cross-Sectional Survey Study," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    14. Agnes Y. K. Lai & George O. C. Cheung & Asa C. M. Choi & Man-Ping Wang & Polly S. L. Chan & Angie H. Y. Lam & Esther W. S. Lo & Chia-Chin Lin & Tai-Hing Lam, 2022. "Mental Health, Support System, and Perceived Usefulness of Support in University Students in Hong Kong Amidst COVID-19 Pandemic: A Mixed-Method Survey," IJERPH, MDPI, vol. 19(19), pages 1-18, October.
    15. Maria Rosaria Gualano & Giuseppina Lo Moro & Gianluca Voglino & Fabrizio Bert & Roberta Siliquini, 2020. "Effects of Covid-19 Lockdown on Mental Health and Sleep Disturbances in Italy," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    16. Yiyi Chen & Ye Liu, 2021. "Which Risk Factors Matter More for Psychological Distress during the COVID-19 Pandemic? An Application Approach of Gradient Boosting Decision Trees," IJERPH, MDPI, vol. 18(11), pages 1-18, May.
    17. Kata Morvay-Sey & Melinda Trpkovici & Pongrác Ács & Dávid Paár & Ágnes Pálvölgyi, 2022. "Psychological Responses of Hungarian Students during the First Wave of the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(18), pages 1-17, September.
    18. Yongdong Shi & Rongsheng Huang & Hanwen Cui, 2021. "Prediction and Analysis of Tourist Management Strategy Based on the SEIR Model during the COVID-19 Period," IJERPH, MDPI, vol. 18(19), pages 1-12, October.
    19. Maheen M. Adamson & Angela Phillips & Srija Seenivasan & Julian Martinez & Harlene Grewal & Xiaojian Kang & John Coetzee & Ines Luttenbacher & Ashley Jester & Odette A. Harris & David Spiegel, 2020. "International Prevalence and Correlates of Psychological Stress during the Global COVID-19 Pandemic," IJERPH, MDPI, vol. 17(24), pages 1-16, December.
    20. María del Carmen Olmos-Gómez, 2020. "Sex and Careers of University Students in Educational Practices as Factors of Individual Differences in Learning Environment and Psychological Factors during COVID-19," IJERPH, MDPI, vol. 17(14), pages 1-19, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4151-:d:369783. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.