Difference between revisions of "Mental Health Aspects of Pandemics"

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(What is already known)
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* Symptoms may affect those indirectly and directly affected by a natural disaster <ref name="Rubin2005">Rubin et al Enduring consequences of terrorism: 7-month follow-up survey of reactions to the bombings in London on 7 July 2005. BRITISH JOURNAL OF PSYCHIATRY (2007), 190, 350-356.doi:10.1192/bjp.bp.106.029785.  Also at: https://www.kcl.ac.uk/kcmhr/publications/assetfiles/cbrn/Rubin2007-londonbombings.pdf</ref>, ranging from increased stress levels <ref name="Schuster2001">Schuster,M. A., Stein, B. D., Jaycox, L.H., et al (2001) A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345,1507-1512.</ref> and perception of threat with consequent behavioural changes to PTSD <Ref name="Waite2017">Waite et al 2017 The English national cohort study of flooding and health: cross-sectional analysis of mental health outcomes at year one BMC Public Health 2017; 17:129 https://doi.org/10.1186/s12889-016-4000-2</ref>
 
* Symptoms may affect those indirectly and directly affected by a natural disaster <ref name="Rubin2005">Rubin et al Enduring consequences of terrorism: 7-month follow-up survey of reactions to the bombings in London on 7 July 2005. BRITISH JOURNAL OF PSYCHIATRY (2007), 190, 350-356.doi:10.1192/bjp.bp.106.029785.  Also at: https://www.kcl.ac.uk/kcmhr/publications/assetfiles/cbrn/Rubin2007-londonbombings.pdf</ref>, ranging from increased stress levels <ref name="Schuster2001">Schuster,M. A., Stein, B. D., Jaycox, L.H., et al (2001) A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345,1507-1512.</ref> and perception of threat with consequent behavioural changes to PTSD <Ref name="Waite2017">Waite et al 2017 The English national cohort study of flooding and health: cross-sectional analysis of mental health outcomes at year one BMC Public Health 2017; 17:129 https://doi.org/10.1186/s12889-016-4000-2</ref>
  
=Topic 1=
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=Dealing with anxiety of isolation=
 
==Observations==
 
==Observations==
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* Observations are made of people becoming extremely anxious during the period of social distancing and self-isolation.
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* Persons placed in quarantine have their freedom restricted to contain transmissible diseases. This takes a considerable toll on the person. Longer durations of quarantine were associated with an increased prevalence of PTSD symptoms. Acquaintance with or direct exposure to someone with a diagnosis of SARS was also associated with PTSD and depressive symptoms. <ref name="HAWRYLUCK2004">HAWRYLUCK, Laura, et al. SARS control and psychological effects of quarantine, Toronto, Canada. Emerging Infectious Diseases, 2004, 10.7: 1206.</ref>
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** A combination of lack of knowledge, an incomplete understanding of the rationale for these measures, and a lack of reinforcement from an overwhelmed public health system were likely contributors to this problem. <ref name="HAWRYLUCK2004"/>
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** Of particular interest, strictly adhering to infection control measures, including wearing masks more frequently than recommended, was associated with increased levels of distress. <ref name="HAWRYLUCK2004"/>
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==Analysis and interpretation==
 
==Analysis and interpretation==
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==Consequences for action==
 
==Consequences for action==
 
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* Public Health Professionals must work to define the factors that influence the success of quarantine and infection control practices for both disease containment and community recovery and must be prepared to offer additional support to persons who are at increased risk for the adverse psychological and social consequences of quarantine.<ref name="HAWRYLUCK2004"/>
  
 
=References=
 
=References=

Revision as of 15:12, 16 March 2020

This page collects observations, interpretations, and consequences for action about Mental health Aspects of SARS-CoV2. Please observe the structure of the page, when you add your content. Please use references where possible. Remember to find the relevant page. For example, if your observation is about transmission routes, please use that page, instead of posting your content here.

What is already known

  • Large scale disasters frequently have secondary consequences, including mental health outcomes among those affected. [1]
  • Symptoms may affect those indirectly and directly affected by a natural disaster [2], ranging from increased stress levels [3] and perception of threat with consequent behavioural changes to PTSD [4]

Dealing with anxiety of isolation

Observations

  • Observations are made of people becoming extremely anxious during the period of social distancing and self-isolation.
  • Persons placed in quarantine have their freedom restricted to contain transmissible diseases. This takes a considerable toll on the person. Longer durations of quarantine were associated with an increased prevalence of PTSD symptoms. Acquaintance with or direct exposure to someone with a diagnosis of SARS was also associated with PTSD and depressive symptoms. [5]
    • A combination of lack of knowledge, an incomplete understanding of the rationale for these measures, and a lack of reinforcement from an overwhelmed public health system were likely contributors to this problem. [5]
    • Of particular interest, strictly adhering to infection control measures, including wearing masks more frequently than recommended, was associated with increased levels of distress. [5]

Analysis and interpretation

Consequences for action

  • Public Health Professionals must work to define the factors that influence the success of quarantine and infection control practices for both disease containment and community recovery and must be prepared to offer additional support to persons who are at increased risk for the adverse psychological and social consequences of quarantine.[5]

References

  1. Neria Y, Nandi A, Galea S. 2008. Post-traumatic stress disorder following disasters: a systematic review. Psychol. Med. 38:467–80
  2. Rubin et al Enduring consequences of terrorism: 7-month follow-up survey of reactions to the bombings in London on 7 July 2005. BRITISH JOURNAL OF PSYCHIATRY (2007), 190, 350-356.doi:10.1192/bjp.bp.106.029785. Also at: https://www.kcl.ac.uk/kcmhr/publications/assetfiles/cbrn/Rubin2007-londonbombings.pdf
  3. Schuster,M. A., Stein, B. D., Jaycox, L.H., et al (2001) A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345,1507-1512.
  4. Waite et al 2017 The English national cohort study of flooding and health: cross-sectional analysis of mental health outcomes at year one BMC Public Health 2017; 17:129 https://doi.org/10.1186/s12889-016-4000-2
  5. 5.0 5.1 5.2 5.3 HAWRYLUCK, Laura, et al. SARS control and psychological effects of quarantine, Toronto, Canada. Emerging Infectious Diseases, 2004, 10.7: 1206.