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Understanding, compliance and psychological impact of the SARS quarantine experience

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Understanding, compliance and psychological impact of the SARS quarantine experience

Auteurs : D. L. Reynolds [Canada] ; J. R. Garay [Canada] ; S. L. Deamond [Canada] ; M. K. Moran [Canada] ; W. Gold [Canada] ; R. Styra [Canada]

Source :

Epidemiology and Infection [ 0950-2688 ] ; 2007.

RBID : PMC:2870884

Abstract

SUMMARY

This study examines a cohort of persons quarantined during the 2003 SARS outbreak in Canada and describes their understanding of, difficulties and compliance with, and the psychological impact of the quarantine experience. A mailed questionnaire was administered to 1912 eligible adults and included the Impact of Events Scale – Revised (IES-R) to assess symptoms of post-traumatic stress disorder (PTSD). Self-reported compliance with all required quarantine measures was low (15·8±2·3%), although significantly higher when the rationale for quarantine was understood (P=0·018). Health-care workers (HCW) experienced greater psychological distress, including symptoms of PTSD (P<0·001). Increasing perceived difficulty with compliance, HCW, longer quarantine and compliance with quarantine requirements were significant contributors to higher IES-R scores. The low compliance with quarantine requirements introduces concerns about the effectiveness of quarantine as a public health measure. Improvements in compliance and reduced psychological distress may be possible by minimizing duration, revising requirements, and providing enhanced education and support.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2870884

DOI: 10.1017/S0950268807009156
PubMed: 17662167
PubMed Central: 2870884

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PMC:2870884

Le document en format XML

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<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<p>This study examines a cohort of persons quarantined during the 2003 SARS outbreak in Canada and describes their understanding of, difficulties and compliance with, and the psychological impact of the quarantine experience. A mailed questionnaire was administered to 1912 eligible adults and included the Impact of Events Scale – Revised (IES-R) to assess symptoms of post-traumatic stress disorder (PTSD). Self-reported compliance with all required quarantine measures was low (15·8±2·3%), although significantly higher when the rationale for quarantine was understood (<italic>P</italic>
=0·018). Health-care workers (HCW) experienced greater psychological distress, including symptoms of PTSD (<italic>P</italic>
<0·001). Increasing perceived difficulty with compliance, HCW, longer quarantine and compliance with quarantine requirements were significant contributors to higher IES-R scores. The low compliance with quarantine requirements introduces concerns about the effectiveness of quarantine as a public health measure. Improvements in compliance and reduced psychological distress may be possible by minimizing duration, revising requirements, and providing enhanced education and support.</p>
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Understanding, compliance and psychological impact of the SARS quarantine experience

Understanding, compliance and psychological impact of the SARS quarantine experience

Source :

Abstract

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