Centre for Health Behaviours Research.
School of Public Health.
Am Psychol. 2020 Jul-Aug;75(5):607-617. doi: 10.1037/amp0000692.
Quarantine plays a key role in controlling the pandemic of 2019 coronavirus disease (COVID-19). This study investigated (a) the associations between mandatory quarantine status and negative cognitions (perceived discrimination because of COVID-19 and perceived risk of COVID-19 infection)/mental health status (emotional distress because of COVID-19, probable depression, and self-harm/suicidal ideation), (b) the associations between the negative cognitions and mental health status, and (c) potential mediations between quarantined status and probable depression and self-harm/suicidal ideation via COVID-19-related negative cognitions/emotional distress. An online cross-sectional survey was conducted among 24,378 students of 26 universities in 16 Chinese cities (February 1-10, 2020). Correlation coefficients, odds ratios (OR), structural equation modeling, and other statistics were used for data analysis. Mandatory quarantined status was significantly and positively associated with perceived discrimination (Cohen's d = 0.62), perceived high/very high risk of infection (OR = 1.61), emotional distress (Cohen's d = 0.46), probable depression (OR = 2.54), and self-harm/suicidal ideation (OR = 4.98). Perceived discrimination was moderately and positively associated with emotional distress (Spearman correlation = 0.44). Associations between perceived risk of infection and mental health variables were significant but relatively weak. Cross-sectional mediation models showed good model fit, but the overall indirect paths via COVID-19-related negative cognitions/emotional distress only accounted for 12-15% of the total effects between quarantined status and probable depression and self-harm/suicidal ideation. In conclusion, quarantined participants were more likely than others to perceive discrimination and exhibit mental distress. It is important to integrate mental health care into the planning and implementation of quarantine measures. Future longitudinal studies to explore mechanisms underlying the mental health impact of quarantines are warranted. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
检疫在控制 2019 年冠状病毒病（COVID-19）大流行方面发挥着关键作用。本研究调查了（a）强制检疫状态与负面认知（因 COVID-19 而感到的歧视和对 COVID-19 感染的风险感知）/心理健康状况（因 COVID-19 而产生的情绪困扰、可能的抑郁以及自我伤害/自杀意念）之间的关联，（b）负面认知与心理健康状况之间的关联，以及（c）通过 COVID-19 相关负面认知/情绪困扰，在检疫状态与可能的抑郁和自我伤害/自杀意念之间的潜在中介作用。2020 年 2 月 1 日至 10 日，在中国 16 个城市的 26 所大学中，对 24378 名学生进行了在线横断面调查。使用相关系数、优势比（OR）、结构方程模型和其他统计方法进行数据分析。强制检疫状态与感知歧视（Cohen's d = 0.62）、感知高/非常高感染风险（OR = 1.61）、情绪困扰（Cohen's d = 0.46）、可能的抑郁（OR = 2.54）和自杀意念（OR = 4.98）呈显著正相关。感知歧视与情绪困扰呈中度正相关（Spearman 相关系数 = 0.44）。感染风险与心理健康变量之间的关联具有显著意义，但相对较弱。横断面中介模型显示模型拟合良好，但通过 COVID-19 相关负面认知/情绪困扰的总间接途径仅占检疫状态与可能的抑郁和自杀意念之间总效应的 12-15%。总之，与其他人相比，被隔离的参与者更有可能感知到歧视并表现出精神困扰。将心理健康护理纳入检疫措施的规划和实施中非常重要。未来有必要进行纵向研究，以探讨检疫对心理健康的影响的机制。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
