Abstract
The Coronavirus Disease 2019 (COVID-19) epidemic broke out from Wuhan in Hubei province, China, spread nationwide and then gradually developed into other countries in the world. The implementation of unprecedented strict isolation measures has affected many aspects of people's lives and posed a challenge to psychological health. To explore whether people isolated for 14 days due to having contact with COVID-19 patients had more psychosocial problems. We conducted an online survey from February 29 to March 10, 2020. Depression, anxiety, post-traumatic stress disorder (PTSD) symptoms, and coping style were assessed by the Patient Health Questionnaire-9 (PHQ-9), 7-item Generalized Anxiety Disorder Scale (GAD-7), Impact of Event Scale-Revised (IES-R), and Simplified Coping Style Questionnaire-20-Chinese Version. This study included 1,315 isolated respondents in Hubei province (58.5% located in Wuhan). 69.3% respondents isolated at home, 30.7% respondents isolated at centralized quarantined spot. Of all respondents, 66.8% reported depressive symptoms, 49.7% reported anxiety symptoms, 89.0% reported PTSD symptoms. The Cronbach α of the IES-R, PHQ-9, GAD-7, and total SCSQ-20 were 0.935, 0.847, 0.843, and 0.888, respectively. Persons who isolated at home were associated with a lower risk of PTSD, depressive and anxiety symptoms (P < 0.01). People who knew someone to have COVID-19 were associated with severe symptoms of PTSD symptoms (P = 0.001). As for coping style, higher level of passive coping style was associated with severe symptoms of PTSD, depression and anxiety (P < 0.001). Our findings identify that person isolated during the COVID-19 epidemic was associated with high proportion of depression, anxiety, and PTSD symptoms. Public health officials should be aware of and prepared to take necessary measures.
Highlights
Coronavirus Disease 2019 (COVID-19), formerly known as 2019 novel coronavirus was first identified in late December 2019 in Wuhan City in China [1]
Persons who knew someone to have COVID-19 were associated with severe symptoms of post-traumatic stress disorder (PTSD) symptoms (OR = 1.94, 95% confidence intervals (CIs): 1.32â2.87, P = 0.001)
We identified for increased depression, anxiety and PTSD symptoms in the quarantined persons at the centralized quarantined spot and those with infected patients around, which brought benefits and challenges to the prevention and control of COVID-19
Summary
Coronavirus Disease 2019 (COVID-19), formerly known as 2019 novel coronavirus was first identified in late December 2019 in Wuhan City in China [1]. As of March 18th, 2020, according to the National Health Commission (https://news.qq.com//zt2020/page/feiyan.htm), there were 179,180. Psychological Effects of Isolated People people had been diagnosed with COVID-19 cases worldwide, including 81,163 in China, and 83.5% of them happened in Hubei province. Most of the studies related to this outbreak have focused on identifying the epidemiological and clinical characteristics of infected patients [8, 9], the genomic characterization of the virus [10], psychological distress among medical staff [11] and general population [12, 13]. There are no researches investigating the psychological impact on the isolated population due to risk of infection during the COVID-19 epidemic
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