ORIGINAL PAPER
Uncertainty, alexithymia, suppression and vulnerability during the COVID-19 pandemic in Italy
| 1 | University of Messina, Messina, Italy |
| 2 | University Hospital G. Martino, Messina, Italy |
Submission date: 2020-09-06
Final revision date: 2021-01-15
Acceptance date: 2021-01-15
Online publication date: 2021-03-05
Publication date: 2021-03-05
Health Psychology Report 2021;9(2):169–179
KEYWORDS
TOPICS
psychological aspects of illnesshealth attitudes and behaviorincluding prevention and promotionquality of life and well beingresearch methodology, measurement, and statistics in health psychology
ABSTRACT
Background:
The COVID-19 pandemic has expanded to reach many countries, involving healthcare systems facing high numbers of in-fected patients. The repercussions concern every segment of the population; therefore it is necessary to understand the extent of psychopathological variations.
Participants and procedure:
355 subjects aged from 18 to 78 years old (M = 36.51, SD = 13.08) with a prevalence of female subjects (70.3%) were in-volved in completing the protocol during the early 10 days of lockdown. The module provided for the collection of personal information, such as age, gender, and years of study. The variables considered concerned the administration of the IUS-12, the TAS-20, the PVDQ-15 and the SMQ. Descriptive statistics, correlational and linear regressions analyses were performed in order to highlight significant relationships and dependences among the variables.
Results:
Several relationships emerged with reference to the included variables. In particular, uncertainty and alexithymia proved to be indices with an important predictive role in developing psychopathology. The suppression of disturbing and unknown contents represented a defense for overcoming representations, whose impact proved to be negative in terms of adapta-tion. The results clarified the general tendencies of the population to cope with anguish due to the lack of knowledge in the first 10 days of lockdown.
Conclusions:
The impact of the COVID-19 pandemic on the population is evident. The decision to analyze uncertainty, alexithymia and contamination as relevant issues brought the need to analyze a dynamic of conscious suppression of disturbing contents. The results may represent key points to establish interventions.
The COVID-19 pandemic has expanded to reach many countries, involving healthcare systems facing high numbers of in-fected patients. The repercussions concern every segment of the population; therefore it is necessary to understand the extent of psychopathological variations.
Participants and procedure:
355 subjects aged from 18 to 78 years old (M = 36.51, SD = 13.08) with a prevalence of female subjects (70.3%) were in-volved in completing the protocol during the early 10 days of lockdown. The module provided for the collection of personal information, such as age, gender, and years of study. The variables considered concerned the administration of the IUS-12, the TAS-20, the PVDQ-15 and the SMQ. Descriptive statistics, correlational and linear regressions analyses were performed in order to highlight significant relationships and dependences among the variables.
Results:
Several relationships emerged with reference to the included variables. In particular, uncertainty and alexithymia proved to be indices with an important predictive role in developing psychopathology. The suppression of disturbing and unknown contents represented a defense for overcoming representations, whose impact proved to be negative in terms of adapta-tion. The results clarified the general tendencies of the population to cope with anguish due to the lack of knowledge in the first 10 days of lockdown.
Conclusions:
The impact of the COVID-19 pandemic on the population is evident. The decision to analyze uncertainty, alexithymia and contamination as relevant issues brought the need to analyze a dynamic of conscious suppression of disturbing contents. The results may represent key points to establish interventions.
REFERENCES (70)
1.
Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 102092. https://doi.org/10.1016/j.ajp.....
2.
Asmundson, G. J., & Taylor, S. (2020). Coronaphobia: Fear and the 2019-nCoV outbreak. Journal of Anxiety Dis-orders, 70, 102196. https://doi.org/10.1016/j.janx....
3.
Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale – I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32. https://doi.org/10.1016/0022-3....
4.
Bettinsoli, M. L., Di Riso, D., Napier, J. L., Moretti, L., Bettinsoli, P., Delmedico, M., Piazzolla, A., & Moretti, B. (2020). Psychological impact and contextual factors associated with physical and mental health conditions of Italian healthcare professionals during the COVID-19 disease outbreak. PsyArXiv. https://doi.org/10.1111/aphw.1....
5.
Bottesi, G., Ghisi, M., Carraro, E., Barclay, N., Payne, R., & Freeston, M. H. (2016). Revising the intolerance of un-certainty model of generalized anxiety disorder: evidence from UK and Italian undergraduate samples. Fron-tiers in Psychology, 7, 1723. https://doi.org/10.3389/fpsyg.....
6.
Bressi, C., Taylor, G., Parker, J., Bressi, S., Brambilla, V., Aguglia, E., Allegranti, I., Bongiorno, A., Giberti, F., Bucca, M., Todarello, O., Callegari, C., Vender, S., Gala, C., & Invernizzi, G. (1996). Cross validation of the factor struc-ture of the 20-item Toronto Alexithymia Scale: an Italian multicenter study. Journal of Psychosomatic Re-search, 41, 551–559. https://doi.org/10.1016/s0022-....
7.
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psy-chological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395, 912–920. https://doi.org/10.1016/S0140-....
8.
Buhr, K., & Dugas, M. J. (2002). The Intolerance of Uncertainty Scale: Psychometric properties of the English ver-sion. Behaviour Research and Therapy, 40, 931–945. https://doi.org/10.1016/S0005-....
9.
Caretti, V., Porcelli, P., Solano, L., Schimmenti, A., Bagby, R. M., & Taylor, G. J. (2011). Reliability and validity of the Toronto Structured Interview for Alexithymia in a mixed clinical and nonclinical sample from Italy. Psychiatry Research, 187, 432–436. https://doi.org/10.1016/j.psyc....
10.
Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. (2012). In-creasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26, 468–479. https://doi.org/10.1016/j.janx....
11.
Carleton, R. N., Norton, M. P. J., & Asmundson, G. J. (2007). Fearing the unknown: a short version of the Intoler-ance of Uncertainty Scale. Journal of Anxiety Disorders, 21, 105–117.
12.
Conversano, C. (2019). Psychological common factors in chronic diseases. Frontiers in Psychology, 10, 2727. https://doi.org/10.3389/fpsyg.....
13.
Craparo, G., Faraci, P., & Gori, A. (2015). Psychometric properties of the 20-item Toronto Alexithymia Scale in a group of Italian younger adolescents. Psychiatry Investigation, 12, 500–507. https://doi.org/10.4306/pi.201....
14.
de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., Shin, J. I., Sullivan, S., Brondino, N., Solmi, M., & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of Affective Disorders, 275, 48–57. https://doi.org/10.1016/j.jad.....
15.
Di Giacomo, D. (2020). Public health emergencies and quarantine: Virtual patient engagement as challenge and opportunity for mental health strategy. Mediterranean Journal of Clinical Psychology, 8. https://doi.org/10.6092/2282-1....
16.
Di Giuseppe, M., Ciacchini, R., Piarulli, A., Nepa, G., & Conversano, C. (2019a). Mindfulness dispositions and de-fense style as positive responses to psychological distress in oncology professionals. European Journal of On-cology Nursing, 40, 104–110. https://doi.org/10.1016/j.ejon....
17.
Di Giuseppe, M., Di Silvestre, A., Lo Sterzo, R., Hitchcott, P., Gemignani, A., & Conversano, C. (2019b). Qualitative and quantitative analysis of the defensive profile in breast cancer women: a pilot study. Health Psychology Open, 6. https://doi.org/10.1177/205510....
18.
Di Giuseppe, M., Miniati, M., Miccoli, M., Ciacchini, R., Orrù, G., Sterzo, R. L., Di Silvestre, A., & Conversano, C. (2020). Defensive responses to stressful life events associated with cancer diagnosis. Mediterranean Journal of Clinical Psychology, 8. https://doi.org/10.6092/2282-1....
19.
Di Tella, M., Romeo, A., Benfante, A., & Castelli, L. (2020). Mental health of healthcare workers during the COVID‐19 pandemic in Italy. Journal of Evaluation in Clinical Practice, 26, 1583–1587. https://doi.org/10.1111/jep.13....
20.
Díaz, A., Soriano, J. F., & Beleña, Á. (2016). Perceived Vulnerability to Disease Questionnaire: Factor structure, psychometric properties and gender differences. Personality and Individual Differences, 101, 42–49. https://doi.org/10.1016/j.paid....
21.
Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument. Personality and Individual Differences, 47, 541–546. https://doi.org/10.1016/j.paid....
22.
Fiorillo, A., & Gorwood, P. (2020). The consequences of the COVID-19 pandemic on mental health and implica-tions for clinical practice. European Psychiatry, 63, e32. https://doi.org/10.1192/j.eurp....
23.
Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802. https://doi.org/10.1016/0191-8....
24.
Garrafa, E., Levaggi, R., Miniaci, R., & Paolillo, C. (2020). When fear backfires: Emergency department accesses during the COVID-19 pandemic. Health Policy, 124, 1333–1339. https://doi.org/10.1016/j.heal....
25.
Glăveanu, V. (2020). New mobilities and psychology: Why are we still not on the move? Europe’s Journal of Psy-chology, 16, 186–192. https://doi.org/10.5964/ejop.v....
26.
González-Olmo, M. J., Ortega-Martínez, A. R., Delgado-Ramos, B., Romero-Maroto, M., & Carrillo-Diaz, M. (2020). Perceived vulnerability to coronavirus infection: Impact on dental practice. Brazilian Oral Research, 34. https://doi.org/10.1590/1807-3....
27.
Heidegger, M. (1927/1962). Being and time. Translated by John Macquarrie and Edward Robinson. First English edition. SCM Press.
28.
Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Co-hen Silver, R., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R., Sweeney, A., Worthman, C. M., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry, 7, 547–560. https://doi.org/10.1016/S2215-....
29.
Imbriano, G. (2010). “Fear” and “Angst” in the Martin Heidegger’s thought: From the “existential analytic” to the “turning-point” thinking. Governare la Paura. Journal of Interdisciplinary Studies, 3. https://doi.org/10.6092/issn.1....
30.
Imperatori, C., Dakanalis, A., Farina, B., Pallavicini, F., Colmegna, F., Mantovani, F., & Clerici, M. (2020). Global storm of stress-related psychopathological symptoms: a brief overview on the usefulness of virtual reality in facing the mental health impact of COVID-19. Cyberpsychology, Behavior, and Social Networking, 23, 782–788. https://doi.org/10.1089/cyber.....
31.
Jaspers, K. (1913). Allgemeine psychopathologie [General psychopathology]. Springer-Verlag.
32.
Khawaja, N. G., & Yu, L. N. H. (2010). A comparison of the 27‐item and 12‐item intolerance of uncertainty scales. Clinical Psychologist, 14, 97–106. https://doi.org/10.1080/132842....
33.
Klavina, L., Buunk, A. P., & Pollet, T. V. (2011). Out-group mating threat and disease threat increase implicit nega-tive attitudes toward the out-group among men. Frontiers in Psychology, 2, 76. https://doi.org/10.3389/fpsyg.....
34.
Kolesovs, A., Ruza, A., & Silkane, V. (2020). Epidemics among perceived impacts on Latvia before and during COVID-19: Emerging threats versus stability. Health Psychology Report, 8. https://doi.org/10.5114/hpr.20....
35.
Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu, S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., … Yang, C. (2020). Vicarious traumatization in the gen-eral public, members, and non-members of medical teams aiding in.
36.
COVID-19 control. Brain, Behavior, and Immunity, 88, 916–919. https://doi.org/10.1016/j.bbi.....
37.
Mahase, E. (2020). China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ, 368, m408. https://doi.org/10.1136/bmj.m4....
38.
Marchetti, D., Fontanesi, L., Mazza, C., Di Giandomenico, S., Roma, P., & Verrocchio, M. C. (2020). Parenting-related exhaustion during the Italian COVID-19 lockdown. Journal of Pediatric Psychology, 45, 1114–1123. https://doi.org/10.1093/jpepsy....
39.
Martino, G., Bellone, F., Langher, V., Caputo, A., Catalano, A., Quattropani, M. C., & Morabito, N. (2019a). Alexi-thymia and psychological distress affect perceived quality of life in patients with type 2 diabetes mellitus. Mediterranean Journal of Clinical Psychology, 7. https://doi.org/10.6092/2282-1....
40.
Martino, G., Caputo, A., Bellone, F., Quattropani, M. C., & Vicario, C. M. (2020). Going beyond the visible in type 2 diabetes mellitus: Defense mechanisms and their associations with depression and health-related quality of life. Frontiers in Psychology, 11, 267. https://doi.org/10.3389/fpsyg.....
41.
Martino, G., Catalano, A., Bellone, F., Russo, G. T., Vicario, C. M., Lasco, A., Quattropani, M. C., & Morabito, N. (2019b). As time goes by: Anxiety negatively affects the perceived quality of life in patients with type 2 diabe-tes of long duration. Frontiers in Psychology, 10, 1779. https://doi.org/10.3389/fpsyg.....
42.
Martino, G., Langher, V., Cazzato, V., & Vicario, C. M. (2019c). Psychological factors as determinants of medical conditions. Frontiers in Psychology, 10, 2502. https://doi.org/10.3389/fpsyg.....
43.
Merlo, E. M. (2019a). Adolescent phobia as a “mask object”. Mediterranean Journal of Clinical Psychology, 7. https://doi.org/10.6092/2282-1....
44.
Merlo, E. M. (2019b). The role of psychological features in chronic diseases, advancements and perspectives. Mediterranean Journal of Clinical Psychology, 7. https://doi.org/10.6092/2282-1....
45.
Merlo, E. M., Sicari, F., Frisone, F., Alibrandi, A., & Settineri, S. (2020a). Personality types and dreaming in future health professionals: Effect of age and gender. International Journal of Dream Research, 13, 160–172. https://doi.org/10.11588/ijodr....
46.
Merlo, E. M., Stoian, A. P., Motofei, I. G., & Settineri, S. (2020b). Clinical psychological figures in healthcare pro-fessionals: Resilience and maladjustment as the “cost of care”. Frontiers in Psychology, 11, 607783. https://doi.org/10.3389/fpsyg.....
47.
Nowakowska, I. (2020). Lonely and thinking about the past: The role of time perspectives, Big Five traits and per-ceived social support in loneliness of young adults during COVID-19 social distancing. Current Issues in Per-sonality Psychology, 8, 175–184. https://doi.org/10.5114/cipp.2....
48.
Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. (2020). “Pandemic fear” and COVID-19: Mental health burden and strategies. Brazilian Journal of Psychiatry, 42, 232–235. https://doi.org/10.1590/1516-4....
49.
Orrù, G., Ciacchini, R., Gemignani, A., & Conversano, C. (2020). Psychological intervention measures during the COVID-19 pandemic. Clinical Neuropsychiatry, 17, 76–79. https://doi.org/10.36131/CN202....
50.
Pawluk, E. J., & Koerner, N. (2013). A preliminary investigation of impulsivity in generalized anxiety disorder. Personality and Individual Differences, 54, 732–737. https://doi.org/10.1016/j.paid....
51.
Perna, G., Cuniberti, F., Daccò, S., Nobile, M., & Caldirola, D. (2020). Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic. Journal of Affective Disorders, 277, 772–778. https://doi.org/10.1016/j.jad.....
52.
Pfattheicher, S., Nockur, L., Böhm, R., Sassenrath, C., & Petersen, M. B. (2020). The emotional path to action: Em-pathy promotes physical distancing and wearing of face masks during the COVID-19 pandemic. Psychological Science, 31, 1363–1373. https://doi.org/10.1177/095679....
53.
Rajkumar, R. P. (2020). COVID-19 and mental health: a review of the existing literature. Asian Journal of Psychia-try, 52, 102066. https://doi.org/10.1016/j.ajp.....
54.
Settineri, S., Frisone, F., & Merlo, E. M. (2019a). The mask object in psychotherapy: Presentation and Represen-tation. Mediterranean Journal of Clinical Psychology, 7. https://doi.org/10.6092/2282-1....
55.
Settineri, S., Frisone, F., Alibrandi, A., & Merlo, E. M. (2019b). Emotional suppression and oneiric expression in psychosomatic disorders: Early manifestations in emerging adulthood and young patients. Frontiers in Psy-chology, 10, 1897. https://doi.org/10.3389/fpsyg.....
56.
Settineri, S., Frisone, F., Merlo, E. M., Geraci, D., & Martino, G. (2019c). Compliance, adherence, concordance, empowerment, and self-management: Five words to manifest a relational maladjustment in diabetes. Journal of Multidisciplinary Healthcare, 12, 299–314. https://doi.org/10.2147/JMDH.S....
57.
Settineri, S., Merlo, E. M., Frisone, F., Alibrandi, A., Carrozzino, D., Diaconu, C. C., & Pappalardo, S. M. (2019d). Suppression Mental Questionnaire App: a mobile web service-based application for automated real-time evaluation of adolescent and adult suppression. Mediterranean Journal of Clinical Psychology, 7. https://doi.org/10.6092/2282-1....
58.
Settineri, S., & Merlo, E. M. (2020a). Commentary: A contagious other? Exploring the public’s appraisals of con-tact with ‘mental illness’. Mediterranean Journal of Clinical Psychology, 8. https://doi.org/10.6092/2282-1....
59.
Settineri, S., & Merlo, E. M. (2020b). Fear of contamination. Mediterranean Journal of Clinical Psychology, 8. https://doi.org/10.6092/2282-1....
60.
Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations. Psychia-try and Clinical Neurosciences, 74, 281–282. https://doi.org/10.1111/pcn.12....
61.
Steardo, L., & Verkhratsky, A. (2020). Psychiatric face of COVID-19. Translational Psychiatry, 10, 261. https://doi.org/10.1038/s41398....
62.
Super, S., Pijpker, R., & Polhuis, K. (2020). The relationship between individual, social and national coping re-sources and mental health during the COVID-19 pandemic in the Netherlands. Health Psychology Report, 8. https://doi.org/10.5114/hpr.20....
63.
Taylor, G. J., Bagby, R. M., Parker, J. D., & Speranza, M. (2000). I disturbi della regolazione affetiva: l’alessitimia nelle malattie somatiche e psichiatriche [Disorders of affect regulation: alexithymia in somatic and psychiatric diseases]. Giovanni Fioriti Editore.
64.
Tsamakis, K., Triantafyllis, A. S., Tsiptsios, D., Spartalis, E., Mueller, C., Tsamakis, C., Chaidou, S., Spandidos, D. A., Fotis, L., Economou, M., & Rizos, E. (2020). COVID-19 related stress exacerbates common physical and mental pathologies and affects treatment. Experimental and Therapeutic Medicine, 20, 159–162. https://doi.org/10.3892/etm.20....
65.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., & Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in Chi-na. Brain, Behavior, and Immunity, 87, 40–48. https://doi.org/10.1016/j.bbi.....
66.
World Health Organization (2020). Report of the WHO-China Joint Mission on coronavirus disease 2019 (COVID-19). WHO.
67.
Wu, P. E., Styra, R., & Gold, W. L. (2020). Mitigating the psychological effects of COVID-19 on health care work-ers. CMAJ, 192, E459–E460. https://doi.org/10.1503/cmaj.2....
68.
Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7, 228–229. https://doi.org/10.1016/S2215-....
69.
Zhang, W. R., Wang, K., Yin, L., Zhao, W. F., Xue, Q., Peng, M., Min, B. Q., Tian, Q., Leng, H. X., Du, J. L., Chang, H., Yang, Y., Li, W., Shangguan, F. F., Yan, T. Y., Dong, H. Q., Han, Y., Wang, Y. P., Cosci, F., & Wang, H. X. (2020a). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and Psychosomatics, 89, 242–250. https://doi.org/10.1159/000507....
70.
Zhang, J., Wu, W., Zhao, X., & Zhang, W. (2020b). Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine, 3, 3–8. https://doi.org/10.1093/pcmedi....
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