Mental health status of people isolated due to Middle East Respiratory Syndrome.
Mental health status of people isolated due to Middle East Respiratory Syndrome.
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DOI：
10.4178/epih.e2016048
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发表时间：
2016
影响因子：
3.8
通讯作者：
Chae JH
中科院分区：
文献类型：
--
作者：
Jeong H;Yim HW;Song YJ;Ki M;Min JA;Cho J;Chae JH
由于对传染病的管理而导致的隔离被认为会影响心理健康，但其效果尚不清楚。我们调查了在中东呼吸综合征(MERS)疫情期间被隔离的人在隔离期间和从隔离中释放后四到六个月的焦虑、症状和愤怒的流行率。我们还在4到6个月时确定了与这些症状相关的风险因素。2015年，当MERS被引入韩国时，14,992名患者因接触MERS患者而被隔离2周，其中1,692名患者纳入了这项研究。焦虑症状用广泛性焦虑障碍7项量表评定，愤怒用状态-特质愤怒表达问卷在MERS患者出院后4~6个月评定。在1,692名接触过MERS患者的人中，1,656人未被诊断为MERS。在1656人中，隔离期间焦虑症状的发生率为7.6%(95%可信区间为6.3~8.9%)，愤怒情绪发生率为16.6%(95%可信区间为14.8%~18.4%)。出院后4~6个月，3.0%出现焦虑症状(95%可信区间为2.2%~3.9%)。愤怒情绪的发生率为6.4%(95%可信区间为5.2%~7.6%)。在释放后4至6个月经历焦虑症状和愤怒的风险因素包括隔离期间与MERS有关的症状、供应不足(食物、衣服、住宿)、社交活动(电子邮件、短信、互联网)、精神病史和经济损失。通过向心理健康脆弱的个人提供心理健康支持，并提供准确的信息以及适当的用品，包括食物、衣服和住宿，可以预防从隔离中释放后4至6个月出现的心理健康问题。
Isolation due to the management of infectious diseases is thought to affect mental health, but the effects are still unknown. We examined the prevalence of anxiety symptoms and anger in persons isolated during the Middle East Respiratory Syndrome (MERS) epidemic both at isolation period and at four to six months after release from isolation. We also determined risk factors associated with these symptoms at four to six months. Of 14,992 individuals isolated for 2-week due to having contact with MERS patients in 2015, when MERS was introduced to Korea, 1,692 individuals were included in this study. Anxiety symptoms were evaluated with the Generalized Anxiety Disorder 7-item scale and anger was assessed with the State-Trait Anger Expression Inventory at four to six months after release from isolation for MERS. Of 1,692 who came in contact with MERS patients, 1,656 were not diagnosed with MERS. Among 1,656, anxiety symptoms showed 7.6% (95% confidence interval [CI], 6.3 to 8.9%) and feelings of anger were present in 16.6% (95% CI, 14.8 to 18.4%) during the isolation period. At four to six months after release from isolation, anxiety symptoms were observed in 3.0% (95%CI, 2.2 to 3.9%). Feelings of anger were present in 6.4% (95% CI, 5.2 to 7.6%). Risk factors for experiencing anxiety symptoms and anger at four to six months after release included symptoms related to MERS during isolation, inadequate supplies (food, clothes, accommodation), social networking activities (email, text, Internet), history of psychiatric illnesses, and financial loss. Mental health problems at four to six month after release from isolation might be prevented by providing mental health support to individuals with vulnerable mental health, and providing accurate information as well as appropriate supplies, including food, clothes, and accommodation.