Understanding, compliance and psychological impact of the SARS quarantine experience.
Identifieur interne : 000797 ( PubMed/Curation ); précédent : 000796; suivant : 000798Understanding, compliance and psychological impact of the SARS quarantine experience.
Auteurs : D L Reynolds [Canada] ; J R Garay ; S L Deamond ; M K Moran ; W. Gold ; R. StyraSource :
- 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.
DOI: 10.1017/S0950268807009156
PubMed: 17662167
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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. 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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. 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