The intervention of the emergency psychologist: the SIPEM SoS Emilia Romagna during the first lockdown from COVID-19 A retrospective study.

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Brenda Cervellione
Sandra Rossi
Roberta Carbone
Giuseppina Ferracane
Ester M.C. Lombardo
Enrica Pedrelli
Anna Sozzi
Giovanna Artioli
Leopoldo Sarli
Calogero Iacolino


COVID-19, psychological support, coping resources, anxiety, public health, psychological intervention, triage, emergency


Background and purpose of this work: WHO 11 March 2020 declares that Sars-Cov-2 infection is not only a health emergency but must be considered a pandemic. Covid-19 required the urgency of a new psychological intervention model to better address the crisis and ensure a direct support response to the people involved in the pandemic. The present study aimed to detect the symptoms and reactions of the population with respect to the event. The survey was carried out by describing the clinical symptoms that emerged from the triage card used by SIPEM SoS Emilia Romagna (Italy), connoting the criteria of emergency psychology. Methods: A retrospective quantitative study was conducted on 288 psychological triage cards. Results: only 11% of users who ask for support say they are positive while 85% report not having contracted the virus. Of the total, 40.9% call for psychological support in the management of anxiety symptoms, a need also reported by 55% of the subsample who declared previous psychological problems. In reaction to the pandemic event, 51.1% of the total refers to coping resources and availability for help. Discussions: the need for support of the population to manage symptoms highlights the need for early interventions, also to facilitate that slice of the population that does not have effective individual coping strategies and resources available to help. Conclusions: it can be deduced that interventions during these types of emergencies must be timely and aimed not only at those affected but also at the general population.


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1. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. World Health Organization; 2020. Accessed 11 April 2020
2. De Girolamo G, Cerveri G, Clerici M, Monzani E, Spinogatti F, Starace F, Tura G, Vita A. Mental health in the coronavirus disease 2019 emergency-the Italian response. JAMA psychiatry. 2020 Sep 1;77(9):974-6.
3. Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. European Psychiatry. 2020;63(1).
4. Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychological Trauma: Theory, Research, Practice, and Policy. 2020 May;12(4):331.
5. Luo M, Guo L, Yu M, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public-A systematic review and meta-analysis. Psychiatry research. 2020 Jun 7:113190.
6. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in theCOVID-19 epidemic: implications and policy recommendations. General psychiatry. 2020;33(2).
7. Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence.Brain, behavior, and immunity. 2020 Oct 1;89:531-42.
8. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020 Mar 14;395(10227):912-20.
9. Giorgi G, Lecca LI, Alessio F, Finstad GL, Bondanini G, Lulli LG, Arcangeli G, Mucci N. COVID-19-related mental health effects in the workplace: a narrative review. International journal of environmental research and public health. 2020 Jan;17(21):7857.
10. Maria N, Zaid A, Catrin S, Ahmed K, Ahmed AJ, Christos I, Maliha A, Riaz A. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of Surgery. 2020 Jun;78:185-93.
11. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, Liu X, Fuller CJ, Susser E, Lu J, Hoven CW. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry. 2009 May;54(5):302-11.
12. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and clinical neurosciences. 2020 Apr;74(4):281.
13. Di Giuseppe M, Zilcha-Mano S, Prout TA, Perry JC, Orrù G, Conversano C. Psychological impact of Coronavirus Disease 2019 among Italians during the first week of lockdown. Frontiers in Psychiatry. 2020;11.
14. Maunder RG, Leszcz M, Savage D, Adam MA, Peladeau N, Romano D, Rose M, Schulman RB. Applying the lessons of SARS to pandemic influenza. Canadian Journal of Public Health. 2008 Nov;99(6):486-8.
15. Cacioppo S, Capitanio JP, Cole SW. The cognition. Trends in Cognitive Sciences 2015; 13, 447-454.
16. Cacioppo JT, Hawkley LC. Perceived social isolation and cognition. Trends in Cognitive Sciences. 2009 Oct; 13(10): 447-454.
17.Carleton RN, Mulvogue MK, Thibodeau MA, McCabe RE, Antony MM, Asmundson GJ. Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of anxiety disorders, 2012 Apr 1;26(3):468-79.
18. Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj. 2020 Jan 28;368.
19. Blakey SM, Reuman L, Jacoby RJ, Abramowitz JS. Tracing “Fearbola”: psychological predictors of anxious responding to the threat of ebola, Cognitive Therapy and Research, 2015 Dec;39(6):816-25.
20. Bonanno GA, Ho SM, Chan JC, Kwong RS, Cheung CK, Wong CP, Wong VC. Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach. Health Psychology. 2008 Sep;27(5):659.
21. Cowling BJ, Ng DM, Ip DK, Liao Q, Lam WW, Wu JT, Lau JT, Griffiths SM, Fielding R. Community psychological and behavioral responses through the first wave of the 2009 influenza A (H1N1) pandemic in Hong Kong. The Journal of infectious diseases. 2010 Sep 15;202(6):867-76.
22. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, Liu X, Fuller CJ, Susser E, Lu J, Hoven CW. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry. 2009 May;54(5):302-11.
23, Ko CH, Yen CF, Yen JY, Yang MJ. Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan. Psychiatry and clinical neurosciences. 2006 Aug;60(4):397-403.
24. Lam MH, Wing YK, Yu MW, Leung CM, Ma RC, Kong AP, So WY, Fong SY, Lam SP. Mental morbidities and chronic fatigue in severe acute respiratory syndrome survivors: long-term follow-up. Archives of internal medicine. 2009 Dec 14;169(22):2142-7.
25. Lima CK, de Medeiros Carvalho PM, Lima ID, de Oliveira Nunes JV, Saraiva JS, de Souza RI, da Silva CG, Neto ML. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry research. 2020 May 1;287:112915.
26. Esterwood E, Saeed SA. Past epidemics, natural disasters, COVID19, and mental health: learning from history as we Deal with the present and prepare for the future. Psychiatric quarterly. 2020 Aug 16:1-3. 27. Orrù G, Ciacchini R, Gemignani A, Conversano C. Psychological intervention measures during the COVID-19 pandemic. ClinicalNeuropsychiatry. 2020 Jan 1;17(2):76-9.
28. Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020 Apr 1;7(4):300-2. 29. Montemurro N. The emotional impact of COVID-19: From medical staff to common people. Brain Behav Immun. 2020 Jul;87:23-24.
30. Minihan E, Gavin B, Kelly BD, McNicholas F. COVID-19, mental health and psychological first aid. Ir J Psychol Med. 2020 Dec;37(4):259-263.
31. World Health Organization. (2011). Psychological First Aid; Guide for Field Workers. Accessed 11 April 2020.
32. Marazziti D, Pozza A, Di Giuseppe M, Conversano C. The psychosocial impact of COVID-19 pandemic in Italy: A lesson for mental health prevention in the first severely hit European country. Psychological Trauma: Theory, Research, Practice, and Policy. 2020 Jul;12(5):531.
33. Cusano M, Iacolino C. Il triage psicologico nelle grandi emergenze in Calogero Iacolino (a cura di) Dall'emergenza alla normalità. Milano: Franco Angeli. 2016; 53-82; cap.3
34. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub; 2013 May 22.
35. Nussbaum AM. The pocket guide to the DSM-5 diagnostic exam. American Psychiatric Pub; 2013 May 8.
36. Lazarus RS, Folkman S. Coping and adaptation. The handbook of behavioral medicine. 1984;282 - 325. 37. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, Ballard C, Christensen H, Silver RC, Everall I, Ford T. Multidisciplinary_research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry. 2020 Apr 15; 7(6): 547-560
38.Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, Zandi MS, Lewis G, David AS. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. The Lancet Psychiatry. 2020 Jul 1;7(7):611-27.
39. Panchal N, Kamal R, Orgera K, Cox C, Garfield R, Hamel L, Chidambaram P. The implications of COVID-19 for mental health and substance use. Kaiser family foundation. 2020 Apr 21.
40. Chatterjee SS, Malathesh Barikar C, Mukherjee A. Impact of COVID-19 pandemic on pre-existing mental health problems. Asian Journal of Psychiatry 2020; 51: 102071.
41. Druss BG. Addressing the COVID-19 pandemic in populations with serious mental illness. JAMA Psychiatry, 2020; 77 (9): 891-892.
42. Yao H, Chen JH, Xu YF. Patients with mental health disorders in the COVID-19 epidemic. The Lancet Psychiatry. 2020 Apr 1;7(4):e21.
43.Passavanti M, Argentieri A, Barbieri DM, Lou B, Wijayaratna K, Mirhosseini SA, Wang F, Naseri S, Qamhia I, Tangerås M, Pelliciari M. The psychological impact of COVID-19 and restrictive measures in the world. Journal of Affective Disorders, 2021 Jan 15; 283: 36-51.

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