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Understanding, compliance and psychological impact of the SARS quarantine experience

Identifieur interne : 000161 ( Psycho/Analysis ); précédent : 000160; suivant : 000162

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 :

RBID : ISTEX:88F15D5B0ACE1204F4246226C0FB3DF01B0DEAEA

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:
DOI: 10.1017/S0950268807009156


Affiliations:


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ISTEX:88F15D5B0ACE1204F4246226C0FB3DF01B0DEAEA

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