Regarding the differences among Italian regions, results suggest that in July 2020 the Campania and Lazio regions suffered a strong psychological impact of the COVID-19 pandemic. In particular in Campania somatic symptoms were more severe, compared to Lombardia and Veneto (Model 2). COVID-19-related anxiety was higher in Campania than in Lombardia (Table 3). This is counterintuitive given that Lombardia had been affected earlier and to a larger extent. There were no significant regional differences between regions in term of anxiety/depression and traumatic stress. As for COVID-19 related anxiety, this result appears counterintuitive, because on the basis of the differences in infection rate and media coverage one may have expected Lombardia to have higher scores than other regions.