Evidence map›Paper›PMID 35412581›Full record

ArticleEuropean journal of public health2022

The impact of COVID-19 lockdown announcements on mental health: quasi-natural experiment in Lombardy, Italy.

Yuxi Wang, Alessandra Lugo, Andrea Amerio, Luca Cavalieri d'Oro, Licia Iacoviello, Anna Odone, Alberto Zucchi, Silvano Gallus, David Stuckler, Lost in Lombardia Project Investigators

Open access · goldAbstract read
In one paragraph

Article in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Yuxi WangDepartment of Social and Political Science, Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University, Milan, Italy.ORCID 0000-0002-9897-7316
Alessandra LugoDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Andrea AmerioDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Italy, Genoa.
Luca Cavalieri d'OroEpidemiology Unit, Agenzia per la Tutela della Salute-ATS-della Brianza (Local Public Health Authority), Monza, Italy.
Licia IacovielloDepartment of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, Varese, Italy.
Anna OdoneDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Alberto ZucchiEpidemiology Unit, Agenzia per la Tutela della Salute-ATS-di Bergamo (Local Public Health Authority), Bergamo, Italy.
Silvano GallusDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
David StucklerDepartment of Social and Political Science, Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University, Milan, Italy.ORCID 0000-0002-1288-8401
Lost in Lombardia Project Investigators
Mario Negri Institute for Pharmacological Research · ITBocconi University · ITOspedale Policlinico San Martino · ITUniversity of Insubria · ITUniversity of Pavia · ITMinistero della Salute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence showed that mental health problems have risen markedly during COVID-19. It is unclear if part of the mental sufferings relates to the climate of uncertainty and confusion originated from rough communication by health officials and politicians. Here, we test the impact of unanticipated policy announcements of lockdown policies on mental health of the older population.

methodsWe used a representative telephone-based survey of 4400 people aged 65 years or older in Italy's Lombardy region to compare information on self-reported symptoms of anxiety, depression and poor-quality sleep of subjects interviewed on the days of the policy announcement with that of subjects interviewed on other days. We used regression models adjusting for potential socio-demographic confounders as well study design with inverse probability weighting.

resultsOn days when policymakers announced to extend the lockdown, mental health deteriorated on average by 5.5 percentage points [95% confidence interval (CI): 1.1-9.8] for self-reported anxiety symptoms and 5.1 percentage points (95% CI: 2.7-7.4) for self-reported depressive symptoms. The effect of the announcement to shorten the lockdown is more moderate but statistically significant. These associations were short term in duration; after just 1 day, self-reported mental health and sleep quality return to levels better than pre-announcement until a new policy change.

conclusionsOur research shows that lockdown policy announcements are associated with short-term worsening in mental distress, highlighting the importance of appropriate communication strategies and political determinations in crisis times.

Indexed as

COVID-19Sleep Initiation and Maintenance DisordersAnxietyAnxiety DisordersCommunicable Disease ControlDepressionHumansItalyMental Health

Identifiers

PMID35412581
PMCPMC9159307
OpenAlexW4223481992

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.