Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence.
Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence.
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DOI：
10.4178/epih.e2020038
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发表时间：
2020
影响因子：
3.8
通讯作者：
Purohit N
中科院分区：
文献类型：
--
作者：
Hossain MM;Sultana A;Purohit N
传染病的传播通常通过对高危人群进行检疫和隔离来预防。这些方法限制了受影响个体的流动性、社会互动和日常活动。在最近的2019冠状病毒病（COVID-19）大流行中，许多情况下都采用了检疫和隔离措施，这需要评估有关措施如何影响人群心理健康结果的全球证据。这一总括性审查旨在综合现有证据，说明为预防传染病而进行的检疫和隔离对心理健康的影响。 我们检索了9个主要数据库和其他来源，并纳入了系统性综述的文章，作为同行评议的期刊文章发表，并报告了任何人群中隔离或隔离的心理健康结果。 在1,364篇引文中，只有8篇评论符合我们的标准。这些评论中的大多数初步研究都是在高收入国家和医院环境中进行的。这些文章报告了经历隔离或隔离的患者，非正式护理人员和医疗保健提供者的心理健康问题负担很高。受影响的个人普遍存在的心理健康问题包括抑郁、焦虑、情绪障碍、心理困扰、创伤后应激障碍、失眠、恐惧、污名化、自卑、缺乏自我控制和其他不良心理健康后果。 这一总括性审查发现，在不同情况下经历隔离和隔离的个人和人群存在严重的心理健康问题。这一证据要求采取多管齐下的干预措施，包括加强全球精神卫生服务和促进高危人群心理健康的政策措施。
Transmission of infectious diseases is often prevented by quarantine and isolation of the populations at risk. These approaches restrict the mobility, social interactions, and daily activities of the affected individuals. In recent coronavirus disease 2019 (COVID-19) pandemic, quarantine and isolation are being adopted in many contexts, which necessitates an evaluation of global evidence on how such measures impact the mental health outcomes among populations. This umbrella review aimed to synthesize the available evidence on mental health outcomes of quarantine and isolation for preventing infectious diseases. We searched nine major databases and additional sources and included articles if they were systematically conducted reviews, published as peer-reviewed journal articles, and reported mental health outcomes of quarantine or isolation in any population. Among 1,364 citations, only eight reviews met our criteria. Most of the primary studies in those reviews were conducted in high-income nations and in hospital settings. These articles reported a high burden of mental health problems among patients, informal caregivers, and healthcare providers who experienced quarantine or isolation. Prevalent mental health problems among the affected individuals include depression, anxiety, mood disorders, psychological distress, posttraumatic stress disorder, insomnia, fear, stigmatization, low self-esteem, lack of self-control, and other adverse mental health outcomes. This umbrella review found severe mental health problems among individuals and populations who have undergone quarantine and isolation in different contexts. This evidence necessitates multipronged interventions including policy measures for strengthening mental health services globally and promoting psychosocial wellbeing among high-risk populations.
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DOI：
10.1016/j.jhin.2010.04.027
发表时间：
2010-10
期刊：
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影响因子：
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作者：
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影响因子：
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DOI：
10.1097/xeb.0000000000000055
发表时间：
2015-09-01
影响因子：
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