Mental health impact of quarantine during the COVID-19 pandemic
Abstract
Coming in 2019 and the very rapid dissemination of SARS-CoV-2 coronavirus, which causes COVID-19, led to the
announcement of unprecedented recommendations by the WHO. Their goal was to limit and slow the spread of this
potentially deadly infection in the population. The basic recommendations were disinfection, use of personal protective
equipment with social distancing. National governments decided on collective quarantines for fear of overloading health
care systems in the first months of 2020. There have been shorter or longer periods of extinction of economy in order
to limit interpersonal contacts. This strategy proved effective, but its economic costs were very high. Non-material costs,
related to mental health are more difficult to quantify and describe. The article is an attempt to analyze the knowledge
about influence of social isolation during quarantine on mental state based on research conducted before and during
the SARS-CoV-2 pandemic. The stress associated with being in quarantine mainly affects the occurrence of anxiety and
depression. Their intensity depends on belonging to particularly sensitive groups. Further in-depth and methodologically
correct long-term studies on large populations are necessary. The results of such studies can guide clinicians and public
health managers.
Keywords: COVID-19quarantinemental health
References
- Holshue ML, DeBolt C, Lindquist S, et al. Washington State 2019-nCoV Case Investigation Team. First Case of 2019 Novel Coronavirus in the United States. N Engl J Med. 2020; 382(10): 929–936.
- WHO, 2020c. Rolling Updates on Coronavirus Disease (COVID-19) . https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen (31.03.2020).
- Hossain MdM, Sultana A, Purohit N. Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence. Epidemiol Health. 2020; 42: e2020038.
- Brooke J, Jackson D. Older people and COVID-19: Isolation, risk and ageism. J Clin Nurs. 2020; 29(13-14): 2044–2046.
- Wilder-Smith RE, Freedman D. Isolation, quarantine, social distancing and communitycontainment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020; 27: taaa020.
- World Health Organization. Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19): interim guidance, 19 March 2020 (WHO/2019-nCoV/IHR_Quarantine/2020.2). Geneva: World Health Organization, 2020.
- World Health Organization. Promoting mental health: concepts, emerging evidence, practice (Summary Report). Geneva: World Health Organization, 2004.
- Galderisi S, Heinz A, Kastrup M, et al. Toward a new definition of mental health. World Psychiatry. 2015; 14(2): 231–233.
- Roy D, Tripathy S, Kar SK, et al. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr. 2020; 51: 102083.
- Filgueiras A, Stults-Kolehmainen M. The Relationship Between Behavioural and Psychosocial Factors Among Brazilians in Quarantine Due to COVID-19 (3/31/2020). https://ssrn.com/abstract=3566245 or http://dx.doi.org/10.2139/ssrn.3566245.
- Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020; 368: m313.
- Usher K, Bhullar N, Jackson D. Life in the pandemic: Social isolation and mental health. J Clin Nurs. 2020; 29(15-16): 2756–2757.
- Hawryluck L, Gold WL, Robinson S, et al. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004; 10(7): 1206–1212.
- Perrin PC, McCabe OL, Everly GS, et al. Preparing for an influenza pandemic: mental health considerations. Prehosp Disaster Med. 2009; 24(3): 223–230.
- Valtorta N, Hanratty B. Loneliness, isolation and the health of older adults: do we need a new research agenda? J R Soc Med. 2012; 105(12): 518–522.
- Tanskanen J, Anttila T. A Prospective Study of Social Isolation, Loneliness, and Mortality in Finland. Am J Public Health. 2016; 106(11): 2042–2048.
- Webster RK, Brooks SK, Smith LE, et al. How to improve adherence with quarantine: rapid review of the evidence. Public Health. 2020; 182: 163–169.
- Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19)-Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry investigation 2020; 17: 175.
- Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227): 912–920.
- Qiu J, Shen B, Zhao M, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020; 33(2): e100213.
- Says who? The significance of sampling in mental health surveys during COVID-19. Vol 7 July 2020, 567. www.thelancet.com/psychiatry .
- Bai Y, Lin CC, Lin CY, et al. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004; 55(9): 1055–1057.
- Cava MA, Fay KE, Beanlands HJ, et al. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs. 2005; 22(5): 398–406.
- Desclaux A, Badji D, Ndione A G, Sow K (2017). Accepted monitoring or endured quarantine? Ebola contacts’ perceptions in Senegal. Social Science in Medicine, 178, 38–45.
- Jeong H, Yim HW, Song Y-J, et al. Mental health status of people isolated due to Middle East respiratory syndrome. Epidemiol Health. 2016; 38: e2016048.
- Reynolds D, Garay J, Deamond SL, et al. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol Infect. 2008; 136: 997–1007.
- Taylor MR, Agho KE, Stevens GJ, et al. Factors influencing psychological distress during a disease epidemic: data from Australia's first outbreak of equine influenza. BMC Public Health. 2008; 8: 347.
- Wu P, Fang Y, Guan Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009; 54: 302–11.
- Wang C, Pan R, Wan X, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020; 17(5).
- Wang Y, Di Yu, Ye J, et al. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychol Health Med. 2020 [Epub ahead of print]: 1–10.
- Pierce M, Hope H, Ford T, et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. The Lancet Psychiatry. 2020; 7(10): 883–892.
- Jung SJ, Jun JY. Mental health and psychological intervention among COVID-19 outbreak: perspectives from South Korea. Yonsei Med J. 2020; 61(4): 271–272.
- Dong Lu, Bouey J. Public Mental Health Crisis during COVID-19 Pandemic, China. Emerg Infect Dis. 2020; 26(7): 1616–1618.