Covid-19 Pandemic

Demographic Predictors of Self-Isolation or Self-Quarantine and Impact of Isolation and Quarantine on Perceived Stress, Anxiety, and Depression

Dados Bibliográficos

ID15519131
AutoresNnamdi Nkire (0000-0002-1156-7585, University of Alberta), Kelly Mrklas (0000-0002-3887-1843, University of Calgary), Marianne Hrabok (0000-0002-1663-9285, University of Calgary), April Gusnowski (0000-0003-4665-0490, Alberta Health Services), Wesley Vuong (0000-0001-8990-4804, Alberta Health Services), Shireen Surood (0000-0002-9776-2348, Alberta Health Services), Adam Abba‐Aji (0000-0003-0369-4768, Alberta Health Services), Adam Abba-Aji, Liana Urichuk (0000-0003-1013-5921, University of Alberta), Bo Cao (0009-0004-8332-2001, University of Alberta), Andrew J Greenshaw (0000-0002-9097-900X, University of Alberta), Vincent I O Agyapong (0000-0002-2743-0372, University of Alberta, autor correspondente)
Ano2021
Volume12
Páginas553468-553468
Data de publicação2021-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.553468
PMID33597900
OpenAlexW3127833434
IdiomaEN
Citações recebidas21
Referências citadas27

Introduction: With the sudden onset and global dispersal of the SARS-CoV-2 virus, many nations including Canada attempted to reduce spread of the resultant COVID-19 syndrome with self-isolation and quarantine, while seeking a cure or vaccine for this disease. Understanding impacts of self-isolation and self-quarantine on stress, anxiety, and depression will help us to mitigate these issues through appropriate development of mental health services. Methods: The sample was drawn from individuals who self-subscribed to Text4Hope, a service that delivers text messages based on a cognitive behavioral therapy framework. Text4Hope was developed to support Albertans during the COVID-19 pandemic. Subscribers were asked for demographic information and if they had to self-isolate or self-quarantine during the pandemic via a survey link. Mental health was assessed using the validated instruments: Perceived Stress Scale (PSS), Generalized Anxiety Disorder-7 item scale (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9). Descriptive statistics and Chi-Square test results were derived using Statistical Package for Social Sciences (SPSS) version-26. Results: 6,041 of 32,805 Text4Hope subscribers (18.4%) completed the survey. Of these respondents, 19.2% had self-isolated or self-quarantined in Alberta as of March 31, 2020 during the COVID-19 pandemic. Post-hoc analysis using adjusted residuals suggested that individuals aged 60 years of age or older, and retirees had a higher likelihood of self-isolation or self-quarantine, compared to respondents with other age or employment characteristics. One-week prevalence rates for self-reported measures of moderate to high stress, likely Generalized Anxiety Disorder (GAD), and likely Major Depressive Disorder (MDD) were 84.9, 46.7, and 41.4%, respectively. Respondents who had to self-isolate or self-quarantine during the COVID-19 pandemic were significantly more likely to present with moderate to high stress, significant anxiety symptomatology, and significant depressive symptomatology. Conclusions: Older age and employment status were significantly associated with the likelihood of self-isolation or self-quarantine. We found elevated self-reported levels of anxiety and depression associated with self-reported COVID-19 pandemic-related self-isolation and self-quarantine activity. These findings have mental health implications both during and after the pandemic and demonstrate the need for greater focus on psychological complications of self-isolation and self-quarantine, and development of optimal ways to manage these pandemic consequences

Anxiety · Coronavirus disease 2019 (COVID-19 · Depression (economics · Disease · Infectious disease (medical specialty · Isolation (microbiology · Mental health · Pandemic · Psychiatry · Quarantine · Social isolation · Clinical Psychology · COVID-19 and Mental Health · Digital Mental Health Interventions · Medicine · Mental Health Research Topics · Psychology · Internal Medicine