Is the act of mandatory and prolonged in-hospital quarantine a contributing risk factor for impaired mental health among individuals with confirmed COVID-19 infection?
Background. Coronavirus disease 2019 (COVID-19) affects mental health. Our study aimed to investigate whether the act of mandatory and prolonged in-hospital quarantine is a contributing risk factor for impaired mental health among individuals with confirmed COVID-19 infection. Materials and methods. A mixed survey-based cross-sectional study included 300 COVID-19 patients who filled Depression, Anxiety, and Stress Scales 21 (DASS-21), a 36-item health survey of the Medical Outcomes Study Short Form (SF-36), Insomnia Severity Scale (ISS), Impact of Event Scale (IES) with two subscales -Intrusion (IES-I) and Avoidance (IES-AS), and a questionnaire designed for research purposes. Results. Lower scores on IES-AS, higher scores on IES-I, and in-hospital quarantine are good predictors of high results on the Stress subscale. In-hospital quarantine, lower IES-AS scores, higher IES-I scores, and male gender are significant predictors of higher scores on the Depression subscale. Also, higher scores on IES-I as well as in-hospital quarantine are significant predictors of higher scores on the Anxiety subscale. The presence of insomnia was more pronounced in in-hospital quarantined individuals, while the levels of stress, anxiety, and depression were nearly twice as pronounced. Conclusion. Mandatory in-hospital quarantine of individuals with confirmed COVID-19 infection is a contributing risk factor for impaired mental health.
References
1.
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. New England Journal of Medicine. 2020;382(8):727–33.
2.
Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. The Lancet. 2020;395(10224):565–74.
3.
Sommer IE, Bakker PR. What can psychiatrists learn from SARS and MERS outbreaks? The Lancet Psychiatry. 2020;7(7):565–6.
4.
Mak IWC, Chu CM, Pan PC, Yiu MGC, Chan VL. Long-term psychiatric morbidities among SARS survivors. General Hospital Psychiatry. 2009;31(4):318–26.
5.
Milutinovic S, Veljkovic K, Zlatanovic M, Radunovic G, Damjanov N. Depression/anxiety symptoms in axial spondyloarthritis and psoriatic arthritis patients in Serbia: a pilot study. Rheumatology International. 2019;39(9):1595–605.
6.
Jenkinson C, Coulter A, Wright L. Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. BMJ. 1993;306(6890):1437–40.
7.
Stojanov J, Malobabic M, Stanojevic G, Stevic M, Milosevic V, Stojanov A. Quality of sleep and health-related quality of life among health care professionals treating patients with coronavirus disease-19. International Journal of Social Psychiatry. 2021;67(2):175–81.
8.
Zhang W rui, Wang K, Yin L, Zhao W feng, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychotherapy and Psychosomatics. 2020;89(4):242–50.
9.
Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: A Measure of Subjective Stress. Psychosomatic Medicine. 1979;41(3):209–18.
10.
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research. 2020;288:112954.
11.
Samrah SM, Al-Mistarehi AH, Aleshawi AJ, Khasawneh AG, Momany SM, Momany BS, et al. <p>Depression and Coping Among COVID-19-Infected Individuals After 10 Days of Mandatory in-Hospital Quarantine, Irbid, Jordan</p> Psychology Research and Behavior Management. Volume 13:823–30.
12.
Penninx BWJH, Benros ME, Klein RS, Vinkers CH. How COVID-19 shaped mental health: from infection to pandemic effects. Nature Medicine. 2022;28(10):2027–37.
13.
Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, Hasson-Ohayon I, Matalon N, Gross R, et al. Anxiety and Depression Symptoms in COVID-19 Isolated Patients and in Their Relatives. Frontiers in Psychiatry. 11.
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
,
