Most countries have been struggling with the spread of the COVID-19 pandemic imposing social isolation on their citizens. However, this measure carried risks for people's mental health. This study evaluated the psychological repercussions of objective isolation in 1,006 Italians during the first, especially strict, lockdown in spring 2020. Although varying for the regional spread-rate of the contagion, results showed that the longer the isolation and the less adequate the physical space where people were isolated, the worse the mental health (e.g., depression). Offline social contacts buffered the association between social isolation and mental health. However, when offline contacts were limited, online contacts seemed crucial in protecting mental health. The findings inform about the potential downsides of the massive social isolation imposed by COVID-19 spread, highlighting possible risk factors and resources to account for implementing such isolation measures. Specifically, besides some known factors such as physical space availability, the local contagion rate is critical in moderating the link between social isolation and mental health issues, supporting national policies implementing regional tiers of restriction severity.

Conflict of interest: Ian Tyndall declares that he has no conflict of interest. Daniel Waldeck declares that he has no conflict of interest. Robert Whelan declares that he has no conflict of interest. Bryan Roche declares that he has no conflict of interest. David Dawson declares that he has no conflict of interest. Luca Pancani declares that he has no conflict of interest.

Countries are tackling the spread of the COVID-19 pandemic imposing people to social isolate. However, this measure carries risks for people’s mental health. This study evaluated the psychological repercussions of objective isolation in 1006 Italians locked down. Although varying for the regional spread-rate of the contagion, results showed that the longer the isolation and the less adequate the physical space where people were isolated, the worse the mental health (e.g., depression). Offline and online social contacts could buffer the adverse effects of social restrictions. However, when offline contacts are limited, online contacts can protect mental health from isolation. The findings could speak about the possible temporal evolution by which the length of isolation is associated with worse mental health. Moreover, the results outlined the downsides of the massive social isolation imposed by COVID-19 spread, highlighting risk factors and resources to account for in the implementation of such isolation measures.

This study is aimed at investigating the dimensionality of the situational version of the Brief COPE, a questionnaire that is frequently used to assess a broad range of coping responses to specific difficulties, by comparing five different factor models highlighted in previous studies. It also aimed at exploring the relationships among coping responses, personal goal commitment and progress. The study involved 606 adults (male = 289) ranging in age from 19 to 71. Using confirmatory factor analysis, we compared five models and assessed relationships of coping responses with goal commitment and progress. The results confirmed the theoretical factor structure of the situational Brief COPE. All the 14 dimensions showed acceptable reliability and relationships with goal commitment and progress, attesting the reliability and usefulness of this measure to evaluate coping responses to specific events.

Self-care confidence appears to be an important factor influencing heart failure self-care even in patients with impaired cognition. As few studies have successfully improved cognition, interventions addressing confidence should be considered as a way to improve self-care in this population.