The psychological effects of quarantining a city

Rubin, G. James; Wessely, Simon

doi:10.1136/bmj.m313

Cited by 856 publications

(810 citation statements)

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“…Residents have been comparing the situation to "the end of the world," hospitals are "overwhelmed" and there are concerns about food shortages. "Panic in Wuhan" is a common refrain (Rubin and Wessely, 2020). In this situational framework, patients and front-line healthcare workers are vulnerable to the emotional impact of coronavirus Maunder et al, 2003;Folkman and Greer, 2000).…”

Section: Discussionmentioning

confidence: 99%

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The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

Lima

Carvalho

Lima

et al. 2020

Psychiatry Research

957

730

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Section: Discussionmentioning

confidence: 99%

“…Thus, mass quarantine is likely to raise anxiety substantially, for multiple reasons. Elevated anxiety may also have knock-on implications for other health measures (Rubin and Wessely, 2020).…”

Section: Discussionmentioning

confidence: 99%

The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

Lima

Carvalho

Lima

et al. 2020

Psychiatry Research

957

730

View full text Add to dashboard Cite

“…About 57.1-69.0% individuals were ever bothered by this issue, and the prevalence of this issue was significantly more common among people subject to quarantine in Wuhan, suggesting stronger desire for facts. 28 Second, consequences of misinformation could be long-lasting and should not be underestimated in health crisis management. 7,29 Although efficacy of behaviors supported in advertising campaign was well received, rumors that have been proved wrong earlier during the SARS outbreak, for example, washing mouth with salty water, or having vitamin C or radix isatidis, still found their audience.…”

Section: Discussionmentioning

confidence: 99%

Psychological responses, behavioral changes and public perceptions during the early phase of the COVID-19 outbreak in China: a population based cross-sectional survey

Qian

et al. 2020

Preprint

163

157

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Objective: To investigate psychological and behavioral responses to the threat of SARS-CoV-2 infections and their associations with public perceptions in China Design: Cross sectional population-based telephone survey via random digital dialing between 1 and 10 February, 2020 Setting: Wuhan (the epicentre and quarantined city), and Shanghai (a typical major city with close transportation link with Wuhan) Participants: Random sample of 510 residents in Wuhan and 501 residents in Shanghai aged above 18 Main outcome measures: Anxiety (measured by the 7-item generalized anxiety disorder [GAD-7] scale), recommended and avoidance behaviors (engaged in all six behaviors such as increasing surface cleaning and reducing going out).Results: The prevalence rates of moderate or severe anxiety (score ≥10 on GAD-7) were 32.7% (n=167) among Wuhan participants and 20.4% (n=102) among Shanghai participants. 78.6% (n=401) of Wuhan participants and 63.9% (n=320) of Shanghai participants had carried out all six precautionary behaviors. For both measures, Wuhan participants were more responsive to the outbreak (p<0.001). Controlling for personal characteristics, logistic regression results suggested that risks of moderate or severe anxiety were positively associated with perceived susceptibility (odds ratio 1.6, 95% confidence interval 1.3-1.8) and severity of the disease (1.6, 1.4-1.9) and confusion about information reliability (1.6, 1.5-1.9). Having confidence in taking measures to protect oneself against the disease was associated with a lower risk (0.6, 0.5-0.7).The strongest predictor of behavioral change was perceived severity (1.2, 1.1-1.4), followed by confusion about information reliability (1.1, 1.0-1.3). Conclusions:Psychological and behavioral responses to COVID-19 have been dramatic during the rising phase of the outbreak. Our results support efforts for timely dissemination of accurate and reliable information to address the high anxiety level.

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“…The potential benefits of mandatory mass quarantine need to be weighed carefully against the possible psychological costs. 7 Successful use of quarantine as a public health measure requires us to reduce, as far as possible, the negative effects associated with it.…”

Section: Why Is This Review Needed?mentioning

confidence: 99%

The psychological impact of quarantine and how to reduce it: rapid review of the evidence

et al. 2020

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The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.

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The psychological effects of quarantining a city

Cited by 856 publications

References 0 publications

The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

Psychological responses, behavioral changes and public perceptions during the early phase of the COVID-19 outbreak in China: a population based cross-sectional survey

The psychological impact of quarantine and how to reduce it: rapid review of the evidence

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