BBiomedSc (Hons), MBBS, GradCertSpaceStud MP, Psychiatry Registrar, St Vincent@s Hospital, Vic.
MBBS, MMed (Psych), MD, FRANZCP, Healthscope Chair of Psychiatry, The Professorial Unit, The Melbourne Clinic, Vic; Professor of Psychiatry, The University of Melbourne, Vic; Director, WHO Collaborating Centre in Mental Health, St Vincent@s Hospital, Vic.
Aust J Gen Pract. 2020 Dec;49(12):778-783. doi: 10.31128/AJGP-06-20-5481.
The COVID-19 pandemic has highlighted the stark reality of city lockdowns, mass quarantines and social isolation worldwide. The importance of social isolation and quarantine measures to reduce community transmission of COVID-19 must be balanced against the potential impact on the psychological health of the population.
The purpose of this article is to provide an overview of the psychological and social impacts of human isolation, how these may present and approaches to identifying and mitigating these effects.
Quarantine has been associated with increased rates of suicide, anger, acute stress disorder, depression and post-traumatic stress disorder, with symptoms continuing even years after quarantine ends. There are several predisposing risk factors including the inhabited environment, unique aspects of assessment as well as phenomena seen specifically among groups facing isolation together. The article provides management strategies for the general practitioner as well as indicators for referral to further psychological supports.
COVID-19 大流行凸显了全球城市封锁、大规模隔离和社会隔离的严峻现实。为了减少 COVID-19 在社区中的传播，必须权衡社会隔离和检疫措施的重要性，这必须与对人口心理健康的潜在影响相平衡。
本文旨在概述人类隔离的心理和社会影响，以及这些影响可能的表现形式，以及识别和减轻这些影响的方法。
隔离与自杀、愤怒、急性应激障碍、抑郁和创伤后应激障碍的发生率增加有关，即使在隔离结束多年后，这些症状仍在继续。有几个易感因素，包括居住环境、评估的独特方面，以及在共同面临隔离的群体中出现的特定现象。本文为全科医生提供了管理策略，并为进一步的心理支持提供了转诊指标。
