Mental health consequences of isolation of patients with COVID-19
e202207055
Keywords:
Mental health, Primary care, IsolationAbstract
BACKGROUND // The COVID-19 pandemic has had a negative effect on the mental health on the population. It is unknown if the different types of patient isolation affect them equally. The objective of the study was to determine if the effect on the psychological discomfort caused by the isolation of the population with COVID-19 in a hotel supervised by health professionals was different compared with those who were isolated at home.
METHODS // Patients diagnosed with COVID-19 during the first pandemic wave in Barcelona, consecutively selected from the Primary Care lists. A telephone survey was carried out to collect information about mental health in patients who were isolated in a hotel compared to those isolated at their homes. Descriptive statistics were performed and the study variables were analyzed using mean and standard deviation, count (percentage), Chi-square test, and Student’s t-test. Logistic regression models were carried out selecting frustration and anger/irritability as response variables.
RESULTS // Of the 89 patients included, 45 (50.6%) were isolated at their homes and 44 (49.4%) at the hotel. Frustration was identified in 48.3% and irritability in 29.2% of the most patients. Most of those who presented frustration were between 45 and 65 years old, while 50% of those who felt irritability were younger. Multivariate models confirmed that patients isolated at home showed a higher risk of frustration (Odds ratio 4,12; 95% Confidence interval 1,60-11,49) and irritability (Odds ratio 3,81; 95% Confidence interval 1,32-12,10), respectively.
CONCLUSIONS // Patients isolated at home show a higher risk of presenting feelings of frustration and irritability than isolated patients in supervised hotels.
Downloads
References
Roberts DL, Rossman JS, Jarić I. Dating first cases of COVID-19. PLoS Pathog 2021;17(6): e1009620.
Johns Hopkings University & Medicine. Disponible en: https://coronavirus.jhu.edu/map.html (06 octubre 2021, último acceso).
Parrado-González A, León-Jariego JC. COVID-19: Factores asociados al malestar emocional y morbilidad psíquica en población española. Rev Esp Salud Pública. 2020; 94: 8 de junio e202006058.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227):912-920.
Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008 ;30(5):446-452.
Sartorius N, Holt RIG, Maj M (editores): Comorbidity of Mental and Physical Disorders. Key Issues Ment Health. Basel, Karger, 2015, vol 179, pp 99-113.
Bäuerle A, Teufel M, Musche V, Weismüller B, Kohler H, Hetkamp M et al. Increased generalized anxiety, depression and distress during the COVID-19 pandemic: a cross-sectional study in Germany. Journal of public health (Oxford, England) 2020; 42(4): 672–678.
Danet Danet A. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Medicina clinica (English ed.) 2021; 156(9): 449-458.
Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S et al. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health. 2020;17(22):8358.
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934.
Informe de políticas: La COVID-19 y la necesidad de actuar en relación con la salud mental. Disponible en https://www.un.org/sites/un2.un.org/files/policy_brief_-_covid_and_mental_health_spanish.pdf (06 octubre 2021, último acceso).
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020 ;88:901-907.
Muñoz MA, López-Grau M. Lessons learned from the approach to the COVID-19 pandemic in urban primary health care centres in Barcelona, Spain. Eur J Gen Pract. 2020;26(1):106-107.
Caldeira D, Vaz-Carneiro A, Costa J. The impact of dosing frequency on medication adherence in chronic cardiovascular disease: systematic review and meta-analysis. Rev Port Cardiol. 2014; 33(7-8):431-437.
COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet.2021;6: 398(10312): 1700-1712.
McGinty EE, Presskreischer R, Han H, Barry CL. Psychological Distress and Loneliness Reported by US Adults in 2018 and April 2020. JAMA. 2020;324(1):93-94.
Reynolds DL, Garay JR, Deamond SL, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol Infect. 2008;136(7):997-1007.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920
Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004; 10: 1206-1212.
Gil Cuesta J, Vaqué Rafart J. Aspectos básicos de la transmisibilidad. Vacunas. 2008; 9(1): 25-33.
World Health Organization. Considerations for public health and social measures in the workplace in the context of COVID-19. Disponible en: https://apps.who.int/iris/handle/10665/332084 (último acceso: 28/03/2022).
Leite A, Leão T, Soares P, Severo M, Moniz M, Lucas R et al. A Case-Control Study of Contextual Factors for SARS-CoV-2 Transmission. Frontiers in public Health 2021; 9, 772782.
Moran C, Campbell DJT, Campbell TS et al. Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature. J Public Health (Oxf). 2021; 43(4):739-753.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Elena Navas, Merce López, Miguel Ángel Muñoz, Rafael Abós-Herrándiz, Claudia Gallego, Ana Tobella, Nuria Turmo, Alba Monclús, Alba Martínez, Artur Rami
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.
