Understanding, compliance and psychological impact of the SARS quarantine experience
Identifieur interne : 000161 ( Psycho/Analysis ); précédent : 000160; suivant : 000162Understanding, 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 ] ; 2008.
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 (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:
- https://api.istex.fr/ark:/67375/6GQ-HJZJ7K65-K/fulltext.pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2870884
DOI: 10.1017/S0950268807009156
Affiliations:
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<front><div type="abstract" xml:lang="en">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.</div>
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