Dos Santos Erlene Roberta Ribeiro, Silva de Paula Jose Lucas, Tardieux Felipe Maia, Costa-E-Silva Vânia Nazaré, Lal Amos, Leite Antonio Flaudiano Bem
Department of Neuropsychiatry and Behavioral Science-Neurosciences, Research Circle on Technologies, Strategies and Instruments Applied to Collective Health, Vitória de Santo Antão 55608680, Brazil.
Department of Collective Health, Research Circle on Technologies, Strategies and Instruments Applied to Collective Health, Vitória de Santo Antão 55608680, Brazil.
World J Clin Cases. 2021 Sep 6;9(25):7433-7444. doi: 10.12998/wjcc.v9.i25.7433.
The uncertainties about coronavirus disease 2019 (COVID-19), the change in routine, lifestyles and the reduction of physical contact can cause stress, anxiety, emotional overload, poor sleep and even physical health complications.
To evaluate the scientific publications available on the relationship between COVID-19 and anxiety experienced in the general population, during the period of social isolation, adopted by governmental organizations and public health policymakers as a measure to contain the spread of cases.
A literature search was performed systematically exploring the PubMed and Medline databases using the following terms classified as MeSH descriptors: ("anxiety" AND "pandemic" AND "COVID-19"). For the search, in the - BVS, Science.gov, Web of Science and National Library platforms, the following keywords were used: ("anxiety" AND "coronavirus" AND "social isolation"). Thirty-seven peer-reviewed articles were found. PRISMA and the Downs & Black checklist were used for qualitative evaluation.
After applying the inclusion criteria, seven ( = 7) original scientific articles were selected. The collated evidence demonstrated increased levels of symptoms of anxiety and depression during the period of social isolation. The population between 21 to 40 years was most affected. The risk of severe depression was twice as high at the epicenter of the pandemic. Sleep quality was significantly impaired. Questions about politics, religion, and consumption of products from China were found to generate fear and anticipate probable changes in the pattern of post-pandemic consumption. Social isolation exacerbated feelings of extreme hopelessness, sadness, loneliness and suicidal ideation.
We conclude that there is a potential relationship between social isolation during the COVID-19 pandemic and symptoms of anxiety. It is important to note that the direct and indirect costs of not identifying the detrimental effects of this phenomenon and neglecting strategies for intervention could lead to a significant psychological burden on society in several aspects after social isolation.
2019冠状病毒病（COVID-19）的不确定性、日常生活的改变、生活方式以及身体接触的减少会导致压力、焦虑、情绪过载、睡眠不佳甚至身体健康并发症。
评估政府组织和公共卫生政策制定者为遏制病例传播而采取社会隔离期间，关于COVID-19与普通人群焦虑之间关系的现有科学出版物。
使用以下分类为医学主题词（MeSH）描述符的术语，系统地检索PubMed和Medline数据库进行文献检索：（“焦虑” AND “大流行” AND “COVID-19”）。在虚拟健康图书馆（BVS）、科学.gov、科学网和国家图书馆平台进行检索时，使用了以下关键词：（“焦虑” AND “冠状病毒” AND “社会隔离”）。共找到37篇经同行评审的文章。采用PRISMA和唐斯&布莱克清单进行定性评估。
应用纳入标准后，选择了7篇原创科学文章。整理后的证据表明，在社会隔离期间，焦虑和抑郁症状水平有所增加。21至40岁的人群受影响最大。在疫情中心，重度抑郁的风险高出两倍。睡眠质量明显受损。发现有关政治、宗教以及中国产品消费的问题会引发恐惧，并预期大流行后消费模式可能发生变化。社会隔离加剧了极度绝望、悲伤、孤独和自杀意念等情绪。
我们得出结论，COVID-19大流行期间的社会隔离与焦虑症状之间存在潜在关系。需要注意的是，未能识别这一现象的有害影响并忽视干预策略的直接和间接成本，可能会在社会隔离后在多个方面给社会带来重大心理负担。
