Huangpu District Dapuqiao Community Health Center, Shanghai, China.
School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Public Health. 2024 Oct 3;12:1368463. doi: 10.3389/fpubh.2024.1368463. eCollection 2024.
The global COVID-19 pandemic has highlighted critical concerns surrounding mental health. Social isolation measures, such as the quarantine of incoming travelers, are essential public health strategies for the prevention and control of infectious diseases. However, quarantine can lead to adverse psychological outcomes, including feelings of confinement, boredom, perceived scarcity of supplies and information, financial hardship, and social stigma. This study aims to assess the mental states of quarantined individuals, investigate the factors affecting their mental well-being, and examine their coping mechanisms, with the objective of providing recommendations to enhance mental health in anticipation of future outbreaks, such as Disease X.
We surveyed 327 individuals in quarantine from September 22, 2020 to January 9, 2021, collecting general demographic data and information related to COVID-19. Depression and anxiety were assessed using the PHQ-9 and GAD-7 scales, respectively, while stress coping was evaluated with a simplified version of the Cope scale. We analyzed the relationships between independent variables and mental health outcomes.
Among the individuals undergoing entry quarantine, 27.8% reported symptoms of depression, and 20.5% reported symptoms of anxiety. Students were more likely to experience depression compared to those with permanent jobs or no occupation. Significant risk factors for both depression and anxiety included pre-existing health conditions, lack of medical insurance, concerns about shortages of daily necessities during quarantine, and high scores for "guilt and self-blame." Additionally, participants who worried about the impact of the epidemic on their studies or work, and those with high scores for "denial," were more likely to exhibit depressive symptoms. On the other hand, participants who were concerned about potential rejection or discrimination from the outside world after quarantine were more prone to anxiety symptoms.
Attention should be paid to the negative psychological reactions of the entry quarantined personnel, especially those with pre-existing health conditions, those without medical insurance, and students studying abroad. Accurate and effective epidemic dynamic information and preventive and control measures can be provided to the public to prevent fear and stigma against quarantined personnel.
全球 COVID-19 大流行凸显了人们对心理健康的关注。入境旅客隔离等社会隔离措施是预防和控制传染病的重要公共卫生策略。然而，隔离可能会导致负面的心理后果，包括被监禁感、无聊感、物资和信息匮乏感、经济困难和社会耻辱感。本研究旨在评估被隔离个体的心理状态，调查影响他们心理健康的因素，并研究他们的应对机制，以期为应对未来的传染病爆发（如疾病 X）提供改善心理健康的建议。
我们于 2020 年 9 月 22 日至 2021 年 1 月 9 日期间对 327 名接受入境隔离的个体进行了调查，收集了一般人口统计学数据和与 COVID-19 相关的信息。使用 PHQ-9 和 GAD-7 量表分别评估抑郁和焦虑症状，使用简化版 Cope 量表评估应激应对方式。我们分析了自变量与心理健康结果之间的关系。
在接受入境隔离的个体中，27.8%报告有抑郁症状，20.5%报告有焦虑症状。与有固定工作或无职业的个体相比，学生更有可能出现抑郁症状。抑郁和焦虑的显著风险因素包括既往健康状况、缺乏医疗保险、对隔离期间日常必需品短缺的担忧，以及“内疚和自责”得分较高。此外，担心疫情对学业或工作的影响，以及“否认”得分较高的参与者更有可能出现抑郁症状。另一方面，担心隔离后可能会受到外界排斥或歧视的参与者更容易出现焦虑症状。
应关注入境隔离人员的负面心理反应，特别是那些有既往健康状况、无医疗保险和留学生。向公众提供准确有效的疫情动态信息和防控措施，可以预防对隔离人员的恐惧和歧视。
