Understanding, compliance and psychological impact of the SARS quarantine experience
Identifieur interne : 000C05 ( Pmc/Curation ); précédent : 000C04; suivant : 000C06Understanding, 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.
Abstract
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 (
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DOI: 10.1017/S0950268807009156
PubMed: 17662167
PubMed Central: 2870884
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L." last="Reynolds">D. L. Reynolds</name><affiliation wicri:level="1"><nlm:aff id="aff001">Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario, Canada)</nlm:aff><country xml:lang="fr" wicri:curation="lc">Canada</country><wicri:regionArea>Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002">University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Toronto, Toronto, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Garay, J R" sort="Garay, J R" uniqKey="Garay J" first="J. R." last="Garay">J. R. Garay</name><affiliation wicri:level="1"><nlm:aff id="aff001">Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario, Canada)</nlm:aff><country xml:lang="fr" wicri:curation="lc">Canada</country><wicri:regionArea>Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Deamond, S L" sort="Deamond, S L" uniqKey="Deamond S" first="S. L." last="Deamond">S. L. Deamond</name><affiliation wicri:level="1"><nlm:aff id="aff001">Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario, Canada)</nlm:aff><country xml:lang="fr" wicri:curation="lc">Canada</country><wicri:regionArea>Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Moran, M K" sort="Moran, M K" uniqKey="Moran M" first="M. K." last="Moran">M. K. Moran</name><affiliation wicri:level="1"><nlm:aff id="aff001">Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario, Canada)</nlm:aff><country xml:lang="fr" wicri:curation="lc">Canada</country><wicri:regionArea>Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002">University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Toronto, Toronto, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Gold, W" sort="Gold, W" uniqKey="Gold W" first="W." last="Gold">W. Gold</name><affiliation wicri:level="1"><nlm:aff id="aff003">University Health Network, Toronto General Division, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University Health Network, Toronto General Division, Toronto, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Styra, R" sort="Styra, R" uniqKey="Styra R" first="R." last="Styra">R. Styra</name><affiliation wicri:level="1"><nlm:aff id="aff003">University Health Network, Toronto General Division, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University Health Network, Toronto General Division, Toronto, Ontario</wicri:regionArea></affiliation></author></analytic><series><title level="j">Epidemiology and Infection</title><idno type="ISSN">0950-2688</idno><idno type="eISSN">1469-4409</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Epidemiol Infect</journal-id><journal-id journal-id-type="publisher-id">HYG</journal-id><journal-title>Epidemiology and Infection</journal-title><issn pub-type="ppub">0950-2688</issn><issn pub-type="epub">1469-4409</issn><publisher><publisher-name>Cambridge University Press</publisher-name><publisher-loc>Cambridge, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17662167</article-id><article-id pub-id-type="pmc">2870884</article-id><article-id pub-id-type="doi">10.1017/S0950268807009156</article-id><article-id pub-id-type="pii">S0950268807009156</article-id><article-id pub-id-type="publisher-id">00915</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Papers</subject></subj-group></article-categories><title-group><article-title>Understanding, compliance and psychological impact of the SARS quarantine experience</article-title><alt-title alt-title-type="left-running">D. L. Reynolds and others</alt-title><alt-title alt-title-type="right-running">The 2003 Canadian SARS quarantine experience</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>REYNOLDS</surname><given-names>D. L.</given-names></name><xref ref-type="aff" rid="aff001">1</xref><xref ref-type="aff" rid="aff002">2</xref><xref ref-type="corresp" rid="cor001">*</xref></contrib><contrib contrib-type="author"><name><surname>GARAY</surname><given-names>J. R.</given-names></name><xref ref-type="aff" rid="aff001">1</xref></contrib><contrib contrib-type="author"><name><surname>DEAMOND</surname><given-names>S. L.</given-names></name><xref ref-type="aff" rid="aff001">1</xref></contrib><contrib contrib-type="author"><name><surname>MORAN</surname><given-names>M. K.</given-names></name><xref ref-type="aff" rid="aff001">1</xref><xref ref-type="aff" rid="aff002">2</xref></contrib><contrib contrib-type="author"><name><surname>GOLD</surname><given-names>W.</given-names></name><xref ref-type="aff" rid="aff003">3</xref></contrib><contrib contrib-type="author"><name><surname>STYRA</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="aff003">3</xref></contrib></contrib-group><aff id="aff001"><label>1</label>Sanofi Pasteur, Toronto, Ontario, Canada (formerly Durham Region Health Department, Whitby, Ontario, Canada)</aff><aff id="aff002"><label>2</label>University of Toronto, Toronto, Ontario, Canada</aff><aff id="aff003"><label>3</label>University Health Network, Toronto General Division, Toronto, Ontario, Canada</aff><author-notes><corresp id="cor001"><label>*</label>Author for correspondence: Dr D. L. Reynolds, Director, Clinical Development, Sanofi Pasteur, Connaught Campus, 1755 Steeles Avenue West, Toronto, ON, Canada M2R 3T4. (Email: <email xlink:href="donna.reynolds@sanofipasteur.com">donna.reynolds@sanofipasteur.com</email>)</corresp></author-notes><pub-date pub-type="ppub"><month>7</month><year>2008</year></pub-date><pub-date pub-type="epub"><day>30</day><month>7</month><year>2007</year></pub-date><volume>136</volume><issue>7</issue><fpage>997</fpage><lpage>1007</lpage><history><date date-type="accepted"><day>13</day><month>6</month><year>2007</year></date></history><permissions><copyright-statement>Copyright © Cambridge University Press 2007</copyright-statement><copyright-year>2007</copyright-year><copyright-holder>Cambridge University Press</copyright-holder></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="S0950268807009156a.pdf"></self-uri><abstract><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></abstract><counts><page-count count="11"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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