Abstract

The spread of COVID-19 and its related confinement measures were important stressors for a large part of the global population, with massive effects on both physical and mental health. Assessing how individuals coped with such a stressor and which strategies were effective is one of the main challenges for psychological research. In this study, we aimed to investigate the coping strategies implied during the COVID-19 lockdown and their effectiveness. We recruited 374 Italian participants through convenience sampling during the first pandemic wave (April 2020). We administered to our participants an online battery of questionnaires including the Brief COPE, the use of alternative coping strategies proposed by the WHO to help people facing lockdown stress, and a range of psychological symptoms. An exploratory factor analysis conducted on the subscales of the Brief COPE revealed a three-factor structure. Following the previous literature, we named these factors engagement, disengagement, and help-seeking coping styles. In the pandemic scenario, the engagement and disengagement styles revealed the typical correlation patterns with psychological symptoms (i.e., the engagement was adaptive while the disengagement was maladaptive). Instead, contrary to previous literature, help-seeking was positively related to psychological symptoms, suggesting a mismatch between searching for help and finding it during the lockdown. This result supports the importance of evaluating the effectiveness of coping strategies in the pandemic scenario, to give more compelling and precise advice to the population.

Highlights

  • Dipartimento Salute Mentale e Dipendenze, Azienda Socio-Sanitaria Territoriale Valtellina e Alto Lario, Dipartimento di Scienze Cliniche e Sperimentali, Università degli Studi di Brescia, 25121 Brescia, Italy; Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, “Sapienza”, Università di Roma, Abstract: The spread of COVID-19 and its related confinement measures were important stressors for a large part of the global population, with massive effects on both physical and mental health

  • The national healthcare system went through a huge crisis due to an increase in the number of hospitalized patients with COVID-19, with difficulties in both containing the virus spread inside hospitals and treating patients with other diseases

  • We investigated how people coped with the distress due to COVID-19 spreading and to lockdown

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Summary

Introduction

Dipartimento Salute Mentale e Dipendenze, Azienda Socio-Sanitaria Territoriale Valtellina e Alto Lario, Dipartimento di Scienze Cliniche e Sperimentali, Università degli Studi di Brescia, 25121 Brescia, Italy; Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, “Sapienza”, Università di Roma, Abstract: The spread of COVID-19 and its related confinement measures were important stressors for a large part of the global population, with massive effects on both physical and mental health. Contrary to previous literature, help-seeking was positively related to psychological symptoms, suggesting a mismatch between searching for help and finding it during the lockdown. This result supports the importance of evaluating the effectiveness of coping strategies in the pandemic scenario, to give more compelling and precise advice to the population. In order to limit the virus spreading, many national governments (included the Italian one) implemented severe restrictions in social and economic life. To contain the virus spread, since 23 February 2020 the Italian Government implemented increasingly restrictive dispositions, up to strong or complete limitations of social life from the middle of March to the end of April. We call the complex of such severe restrictive measures ‘lockdown’

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