{"id":1758,"date":"2020-10-01T08:58:30","date_gmt":"2020-10-01T08:58:30","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=1758"},"modified":"2025-11-04T14:16:09","modified_gmt":"2025-11-04T14:16:09","slug":"staying-well-while-staying-at-home","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/it\/2020\/10\/staying-well-while-staying-at-home\/","title":{"rendered":"Star bene restando a casa"},"content":{"rendered":"<p><strong>Di Dr Federica Picariello and Professor Rona Moss-Morris, King\u2019s College London, the UK<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Nell\u2019arco di poche settimane in tutto il mondo, in seguito alla pandemia di COVID-19, la vita quotidiana \u00e8 cambiata radicalmente, provocando incertezza sul futuro. Oltre all&#8217;immediata e urgente necessit\u00e0 di rallentare la diffusione di COVID-19 attraverso una repentina e ampia modifica dei comportamenti (ad es. l\u2019autoisolamento, il distanziamento sociale e la quarantena), \u00e8 necessario considerare l&#8217;impatto sul benessere mentale e fisico per consentire un intervento precoce e attenuare le conseguenze a lungo termine.<\/span><\/p>\n<p><!--more--><\/p>\n<p><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)30460-8\/fulltext\"><span style=\"font-weight: 400;\">Una rapida review<\/span><\/a><span style=\"font-weight: 400;\"> ha mostrato l&#8217;impatto psicologico negativo della quarantena, mettendo in evidenza gli effetti a lungo termine. Fattori come la maggiore durata della quarantena, la paura di essere contagiati e la preoccupazione per i sintomi fisici che possono indicare l\u2019infezione, la frustrazione, la noia, lo stigma e i problemi pratici sono stati identificati come elementi importanti che possono contribuire a produrre gli effetti psicologici negativi della quarantena. Un <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7159850\/pdf\/main.pdf\"><span style=\"font-weight: 400;\">position paper<\/span><\/a><span style=\"font-weight: 400;\"> ha delineato le priorit\u00e0 della ricerca sulla salute mentale, includendo una valutazione accurata dell\u2019impatto della pandemia e delle misure di contenimento delle conseguenze. Questo documento ha indicato anche l&#8217;importanza di fornire supporto agli individui, per aiutarli a realizzare un\u2019organizzazione adeguata a mantenere il proprio benessere, cosa che, probabilmente, faciliter\u00e0 anche l&#8217;adesione alle indicazioni comportamentali richieste, in risposta al COVID-19.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anticipando tutto questo, noi &#8211; <\/span><a href=\"https:\/\/www.kcl.ac.uk\/ioppn\/depts\/psychology\/research\/researchgroupings\/healthpsych\"><span style=\"font-weight: 400;\">la sezione di Psicologia della salute (IoPPN)<\/span><\/a><span style=\"font-weight: 400;\"> del King&#8217;s College di Londra &#8211; abbiamo organizzato un <\/span><a href=\"https:\/\/www.kcl.ac.uk\/ioppn\/maintaining-health-and-wellbeing-during-the-covid-19-pandemic\"><span style=\"font-weight: 400;\">evento pubblico<\/span><\/a><span style=\"font-weight: 400;\"> dedicato a come mantenere la salute e il benessere durante la pandemia di COVID-19, usando la teoria e le evidenze proprie della Psicologia della salute. Qui ci concentreremo sulle quattro aree chiave del benessere fisico e mentale che sono state messe in evidenza: 1) stabilire nuove routine salutari a casa, 2) raggiungere un equilibrio ragionevole nel monitoraggio dei sintomi, 3) individuare nuove modalit\u00e0 per svagarsi e per rimanere in contatto 4) gestire l&#8217;incertezza.<\/span><\/p>\n<p><b>1) Stabilire nuove routine salutari a casa<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Le misure in atto per il contenimento della diffusione del COVID-19 apportano profondi cambiamenti alle normali routine. Pu\u00f2 essere difficile adattarsi a un nuovo programma giornaliero e tener conto del tempo che passa quando i riferimenti temporali abituali e gli impegni esterni non ci sono pi\u00f9. Questi cambiamenti per\u00f2 rappresentano un&#8217;opportunit\u00e0 per creare nuove routine salutari, che possono diventare la chiave di volta per stare bene fisicamente e mentalmente durante la pandemia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ci sono raccomandazioni chiare per l&#8217;<\/span><a href=\"https:\/\/www.nhs.uk\/live-well\/exercise\/\"><span style=\"font-weight: 400;\">attivit\u00e0 fisica<\/span><\/a><span style=\"font-weight: 400;\">, il <\/span><a href=\"https:\/\/bjsm.bmj.com\/content\/49\/21\/1357\"><span style=\"font-weight: 400;\">comportamento sedentario<\/span><\/a><span style=\"font-weight: 400;\">, il <\/span><a href=\"https:\/\/www.sleepfoundation.org\/articles\/how-much-sleep-do-we-really-need\"><span style=\"font-weight: 400;\">sonno<\/span><\/a><span style=\"font-weight: 400;\">, l&#8217;<\/span><a href=\"https:\/\/www.nhs.uk\/live-well\/eat-well\/\"><span style=\"font-weight: 400;\">alimentazione<\/span><\/a><span style=\"font-weight: 400;\"> e il <\/span><a href=\"https:\/\/www.drinkaware.co.uk\/facts\/alcoholic-drinks-and-units\/latest-uk-alcohol-unit-guidance\"><span style=\"font-weight: 400;\">consumo di alcolici<\/span><\/a><span style=\"font-weight: 400;\">. Una recente <\/span><span style=\"font-weight: 400;\">review sulle tecniche efficaci<\/span><span style=\"font-weight: 400;\"> per promuovere un&#8217;alimentazione sana e l&#8217;attivit\u00e0 fisica ha scoperto che l\u2019automonitoraggio associato a una o pi\u00f9 tecniche, quali quella di porsi un obiettivo, sono metodi efficaci per il cambiamento del comportamento. Per quanto riguarda la definizione degli obiettivi, \u00e8 importante essere specifici rispetto al <\/span><a href=\"https:\/\/practicalhealthpsychology.com\/it\/2017\/04\/the-power-of-planning\/\"><span style=\"font-weight: 400;\">&#8220;cosa&#8221; e al &#8220;quando<\/span><\/a><span style=\"font-weight: 400;\">&#8220;. Ad esempio, \u00e8 pi\u00f9 difficile <\/span><a href=\"https:\/\/practicalhealthpsychology.com\/it\/2018\/08\/how-to-set-goals-that-work\/\"><span style=\"font-weight: 400;\">rispettare l\u2019obiettivo<\/span><\/a><span style=\"font-weight: 400;\"> &#8220;star\u00f2 tre giorni senza bere alcolici&#8221; rispetto a uno che dice &#8220;Eviter\u00f2 di bere alcolici il luned\u00ec, il marted\u00ec e il gioved\u00ec&#8221;.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>2) Raggiungere un equilibrio ragionevole nel monitoraggio dei sintomi<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Il <\/span><a href=\"https:\/\/www.kcl.ac.uk\/news\/symptom-tracker-app-hits-15-million-uk-users\"><span style=\"font-weight: 400;\">monitoraggio dei sintomi<\/span><\/a><span style=\"font-weight: 400;\"> e la conseguente scelta di auto-isolarsi in caso di tosse e febbre \u00e8 stata un&#8217;ulteriore misura precauzionale, adottata in risposta alla pandemia. \u00c8 molto naturale nelle circostanze attuali preoccuparsi delle manifestazioni somatiche e controllarsi ripetutamente alla ricerca di sintomi. Tuttavia, circa l&#8217;80% delle persone presenter\u00e0 <\/span><a href=\"https:\/\/www.acpjournals.org\/doi\/10.7326\/M14-0461\"><span style=\"font-weight: 400;\">uno o pi\u00f9 sintomi<\/span><\/a><span style=\"font-weight: 400;\"> in un determinato periodo e i sintomi respiratori sono comuni.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I sintomi fisici quotidiani possono essere una risposta di lotta o fuga del nostro corpo allo stress. Pertanto, mentre un certo livello di ansia \u00e8 utile in quanto sprona le persone a seguire le misure (di sicurezza) previste, troppa ansia pu\u00f2 aumentare i sintomi e impedirci di proseguire le attivit\u00e0 quotidiane. Pu\u00f2 essere utile essere consapevoli dei propri pensieri e delle proprie emozioni e spostare la nostra attenzione dai sintomi ad altre attivit\u00e0, cos\u00ec come dare un nome o reinterpretare i sintomi (ad esempio, la mia mancanza di respiro potrebbe essere dovuta allo stress). Anche gli <\/span><a href=\"http:\/\/wellbeing-glasgow.org.uk\/audio-resources\/\"><span style=\"font-weight: 400;\">esercizi di rilassamento<\/span><\/a><span style=\"font-weight: 400;\"> possono aiutare a gestire l&#8217;ansia quando lo <\/span><a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/1471-244X-8-41\"><span style=\"font-weight: 400;\">stress<\/span><\/a><span style=\"font-weight: 400;\"> acutizza i sintomi. \u00c8 un equilibrio difficile da trovare poich\u00e9 chiaramente \u00e8 importante isolarsi fisicamente quando si hanno sintomi reali del COVID-19 e consultare un medico se diventano pi\u00f9 gravi.<\/span><\/p>\n<p><b>3) Individuare nuove modalit\u00e0 per svagarsi e per rimanere in contatto<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Il termine distanziamento sociale per descrivere la quarantena \u00e8 forse sfortunato, poich\u00e9 dobbiamo mantenere una distanza fisica mentre cerchiamo di trovare il modo di rimanere connessi socialmente. L&#8217;isolamento sociale e la solitudine sono legati all&#8217;<\/span><span style=\"font-weight: 400;\">aumento della mortalit\u00e0 e alle ospedalizzazioni<\/span><span style=\"font-weight: 400;\">. Pertanto, rimanere in contatto con gli amici e la famiglia a distanza mentre si sta a casa, passare del tempo con i membri della famiglia e le attivit\u00e0 del tempo libero sono state segnalate come importanti <\/span><a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthandwellbeing\/bulletins\/coronavirusandthesocialimpactsongreatbritain\/16april2020\"><span style=\"font-weight: 400;\">strategie di coping<\/span><\/a><span style=\"font-weight: 400;\"> durante la quarantena.<\/span><\/p>\n<p><b>4) Gestire l&#8217;incertezza<\/b><\/p>\n<p><span style=\"font-weight: 400;\">La preoccupazione per il futuro e l&#8217;incertezza su quando la vita torner\u00e0 alla normalit\u00e0 <\/span><a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthandwellbeing\/bulletins\/coronavirusandthesocialimpactsongreatbritain\/16april2020\"><span style=\"font-weight: 400;\">sono comuni<\/span><\/a><span style=\"font-weight: 400;\">. Le emozioni, sia positive che negative, fanno parte della vita normale. La preoccupazione, la paura e l&#8217;ansia in risposta alle circostanze attuali sono infatti adeguate. Il dottor Russ Harris, un medico di fama mondiale che si occupa di Terapia dell&#8217;Accettazione e dell&#8217;Impegno (ACT), ha messo insieme alcune <\/span><a href=\"https:\/\/www.baps.org.uk\/content\/uploads\/2020\/03\/FACE-COVID-by-Russ-Harris-pdf-pdf.pdf\"><span style=\"font-weight: 400;\">risorse molto utili<\/span><\/a><span style=\"font-weight: 400;\"> per strategie volte a gestire meglio l&#8217;attuale incertezza. Per esempio, se vi viene in mente un pensiero contro cui state lottando (per esempio: &#8220;Non posso vedere la mia famiglia a causa dell&#8217;isolamento&#8221;), concentratevi su questo pensiero per 30 secondi. Poi, mettete questo pensiero nella frase &#8220;Sto avendo il pensiero che&#8230;&#8221; e concentratevi su questo per 30 secondi. Infine, mettete il vostro pensiero dentro la frase &#8220;Mi sto accorgendo che sto avendo il pensiero che&#8230;&#8221; e concentratevi su questo per 30 secondi. Ad ogni passo, potreste notare una maggiore distanza dal pensiero.\u00a0<\/span><\/p>\n<p><b>Raccomandazioni pratiche<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Aiutare le persone a ristabilire o sviluppare nuove routine utili a casa, incoraggiando l&#8217;automonitoraggio dell&#8217;attivit\u00e0 fisica, del comportamento sedentario, del ciclo sonno-veglia, dell&#8217;alimentazione e del consumo di alcolici e utilizzando <\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2018\/08\/how-to-set-goals-that-work\/\"><span style=\"font-weight: 400;\">obiettivi SMART<\/span><\/a><span style=\"font-weight: 400;\"> (specifici, misurabili, realizzabili, realistici e tempestivi) per apportare cambiamenti.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Normalizzare le emozioni negative, come la rabbia, il senso di colpa, la frustrazione, la paura, l&#8217;ansia e la tristezza come risposte adeguate a una situazione difficile e incerta.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Spiegare che \u00e8 essenziale dare priorit\u00e0 ad alcune attivit\u00e0 piacevoli e rilassanti, non solo al lavoro e alle faccende domestiche. Questo pu\u00f2 significare imparare qualcosa di nuovo o riscoprire un hobby per il quale normalmente non avrebbero tempo. Durante questo periodo di tempo a casa, potrebbe essere necessario essere creativi su cosa possono essere queste attivit\u00e0, in particolare per un tempo libero da schermi.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ulteriori suggerimenti utili possono essere trovati <\/span><a href=\"https:\/\/phe-newsroom.prgloo.com\/news\/covid-19-mental-health-campaign-launched-today\"><span style=\"font-weight: 400;\">qui<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0[translated by <\/span><i><span style=\"font-weight: 400;\">Giusi Gelmi and Veronica Velasco<\/span><\/i><span style=\"font-weight: 400;\">]<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dr Federica Picariello and Professor Rona Moss-Morris, King\u2019s College London, the UK. Within weeks around the world, daily life dramatically changed, and uncertainty seized our future in the wake of the COVID-19 pandemic. 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Within weeks around the world, daily life dramatically changed, and uncertainty seized our future in the wake of the COVID-19 pandemic. 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