Self-perceived general and ear-nose-throat symptoms related to the COVID-19 outbreak: a survey study during quarantine in Italy

J Int Med Res. 2020 Oct;48(10):300060520961276. doi: 10.1177/0300060520961276.

Abstract

Objective: To survey perceived general and ear-nose-throat (ENT) symptoms of COVID-19 in relation to psychological impact, mental health, perception of information and demographic characteristics in quarantined subjects during a lockdown period in Italy.

Methods: Participants were 1380 respondents who completed an online survey. A logistic regression model was used to evaluate the association between the independent variables and perceived symptoms.

Results: Participants reported different prevalences of perceived ENT and general symptoms. Coryza, cough, sore throat and tinnitus were the most common symptoms, and there was a low prevalence of anxiety, depression and stress compared with the psychological impact of the symptom. Comparison of the two symptom groups demonstrated a common need for updates, their relationship with the media and correct information about the route of transmission.

Conclusions: The health information provided during a disease outbreak must be grounded in evidence. This would help to prevent adverse psychological reactions and somatization symptoms that can engulf healthcare systems, especially in clinical areas like ENT, which frequently treat airway problems.

Keywords: COVID-19; Italy; ear-nose-throat; healthcare system; mental health; quarantine; somatization; survey.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / epidemiology
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / psychology*
  • Cough / epidemiology
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Pandemics
  • Pharyngitis / epidemiology
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / psychology*
  • Rhinitis / epidemiology
  • SARS-CoV-2
  • Stress, Psychological / epidemiology
  • Surveys and Questionnaires
  • Tinnitus / epidemiology
  • Young Adult