Understanding, compliance and psychological impact of the SARS quarantine experience
Identifieur interne : 001F77 ( Main/Exploration ); précédent : 001F76; suivant : 001F78Understanding, 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.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Adulte, Adulte d'âge moyen, Canada (épidémiologie), Compréhension, Enquêtes et questionnaires, Femelle, Flambées de maladies, Humains, Mâle, Observance thérapeutique (), Personnel de santé (psychologie), Quarantaine (psychologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (psychologie), Syndrome respiratoire aigu sévère (épidémiologie), Transmission de maladie infectieuse (), Troubles de stress post-traumatique (épidémiologie), Études de cohortes.
- MESH :
- psychologie : Personnel de santé, Quarantaine, Syndrome respiratoire aigu sévère.
- épidémiologie : Canada, Syndrome respiratoire aigu sévère, Troubles de stress post-traumatique.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Compréhension, Enquêtes et questionnaires, Femelle, Flambées de maladies, Humains, Mâle, Observance thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Syndrome respiratoire aigu sévère, Transmission de maladie infectieuse, Études de cohortes.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Canada (epidemiology), Cohort Studies, Comprehension, Disease Outbreaks, Disease Transmission, Infectious (prevention & control), Female, Health Personnel (psychology), Humans, Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Patient Compliance (statistics & numerical data), Quarantine (psychology), Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (psychology), Stress Disorders, Post-Traumatic (epidemiology), Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Severe Acute Respiratory Syndrome, Stress Disorders, Post-Traumatic.
- prevention & control : Disease Transmission, Infectious, Severe Acute Respiratory Syndrome.
- psychology : Health Personnel, Quarantine, Severe Acute Respiratory Syndrome.
- statistics & numerical data : Patient Acceptance of Health Care, Patient Compliance.
- Adult, Aged, Aged, 80 and over, Cohort Studies, Comprehension, Disease Outbreaks, Female, Humans, Male, Middle Aged, Surveys and Questionnaires.
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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Infect.</title><idno type="ISSN">0950-2688</idno><idno type="eISSN">1469-4409</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2008">2008</date><biblScope unit="volume">136</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="997">997</biblScope><biblScope unit="page" to="1007">1007</biblScope></imprint><idno type="ISSN">0950-2688</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0950-2688</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Canada (epidemiology)</term><term>Cohort Studies</term><term>Comprehension</term><term>Disease Outbreaks</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Female</term><term>Health Personnel (psychology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Patient Compliance (statistics & numerical data)</term><term>Quarantine (psychology)</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Severe Acute Respiratory Syndrome (psychology)</term><term>Stress Disorders, Post-Traumatic (epidemiology)</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada (épidémiologie)</term><term>Compréhension</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Mâle</term><term>Observance thérapeutique ()</term><term>Personnel de santé (psychologie)</term><term>Quarantaine (psychologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Syndrome respiratoire aigu sévère ()</term><term>Syndrome respiratoire aigu sévère (psychologie)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Transmission de maladie infectieuse ()</term><term>Troubles de stress post-traumatique (épidémiologie)</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel de santé</term><term>Quarantaine</term><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Health Personnel</term><term>Quarantine</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term><term>Patient Compliance</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Syndrome respiratoire aigu sévère</term><term>Troubles de stress post-traumatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Comprehension</term><term>Disease Outbreaks</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Compréhension</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Mâle</term><term>Observance thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Syndrome respiratoire aigu sévère</term><term>Transmission de maladie infectieuse</term><term>Études de cohortes</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Reynolds, D L" sort="Reynolds, D L" uniqKey="Reynolds D" first="D. L." last="Reynolds">D. L. Reynolds</name></noRegion><name sortKey="Deamond, S L" sort="Deamond, S L" uniqKey="Deamond S" first="S. L." last="Deamond">S. L. Deamond</name><name sortKey="Garay, J R" sort="Garay, J R" uniqKey="Garay J" first="J. R." last="Garay">J. R. Garay</name><name sortKey="Gold, W" sort="Gold, W" uniqKey="Gold W" first="W." last="Gold">W. Gold</name><name sortKey="Moran, M K" sort="Moran, M K" uniqKey="Moran M" first="M. K." last="Moran">M. K. Moran</name><name sortKey="Moran, M K" sort="Moran, M K" uniqKey="Moran M" first="M. K." last="Moran">M. K. Moran</name><name sortKey="Reynolds, D L" sort="Reynolds, D L" uniqKey="Reynolds D" first="D. L." last="Reynolds">D. L. Reynolds</name><name sortKey="Styra, R" sort="Styra, R" uniqKey="Styra R" first="R." last="Styra">R. Styra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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