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Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence
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Md Mahbub Hossain, Abida Sultana, Neetu Purohit
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Epidemiol Health. 2020;42:e2020038. Published online June 2, 2020
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DOI: https://doi.org/10.4178/epih.e2020038
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Abstract
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Abstract
Objectives Transmission of infectious diseases is often prevented by quarantine and isolation of the populations at risk. These approaches restrict the mobility, social interactions, and daily activities of the affected individuals. In recent coronavirus disease 2019 (COVID-19) pandemic, quarantine and isolation are being adopted in many contexts, which necessitates an evaluation of global evidence on how such measures impact the mental health outcomes among populations. This umbrella review aimed to synthesize the available evidence on mental health outcomes of quarantine and isolation for preventing infectious diseases.
Methods We searched nine major databases and additional sources and included articles if they were systematically conducted reviews, published as peer-reviewed journal articles, and reported mental health outcomes of quarantine or isolation in any population.
Results Among 1,364 citations, only eight reviews met our criteria. Most of the primary studies in those reviews were conducted in high-income nations and in hospital settings. These articles reported a high burden of mental health problems among patients, informal caregivers, and healthcare providers who experienced quarantine or isolation. Prevalent mental health problems among the affected individuals include depression, anxiety, mood disorders, psychological distress, posttraumatic stress disorder, insomnia, fear, stigmatization, low self-esteem, lack of self-control, and other adverse mental health outcomes.
Conclusions This umbrella review found severe mental health problems among individuals and populations who have undergone quarantine and isolation in different contexts. This evidence necessitates multipronged interventions including policy measures for strengthening mental health services globally and promoting psychosocial wellbeing among high-risk populations.
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Summary
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Citations
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Arista Lahiri, Sweety Suman Jha, Rudraprasad Acharya, Abhijit Dey, Arup Chakraborty Sleep Medicine.2021; 77: 66. CrossRef - The psychological effects of staying home due to the COVID-19 pandemic
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Maurizio Bonati, Rita Campi, Michele Zanetti, Massimo Cartabia, Francesca Scarpellini, Antonio Clavenna, Giulia Segre BMC Psychiatry.2021;[Epub] CrossRef - Stress und Covid-19: Ein Narrativer Review über
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Mohammed A Mamun Psychology Research and Behavior Management.2021; Volume 14: 695. CrossRef - Impact of COVID-19 Institutional Isolation Measures on Postnatal Women in Level 3 COVID Facility in Northern India
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