Epidemiology and Health

COVID-19: Systematic Review

Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence: Md Mahbub Hossain, Abida Sultana, Neetu Purohit; Epidemiol Health. 2020;42:e2020038. Published online June 2, 2020; DOI: https://doi.org/10.4178/epih.e2020038

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Abstract

Objectives
Transmission of infectious diseases is often prevented by quarantine and isolation of the populations at risk. These approaches restrict the mobility, social interactions, and daily activities of the affected individuals. In recent coronavirus disease 2019 (COVID-19) pandemic, quarantine and isolation are being adopted in many contexts, which necessitates an evaluation of global evidence on how such measures impact the mental health outcomes among populations. This umbrella review aimed to synthesize the available evidence on mental health outcomes of quarantine and isolation for preventing infectious diseases.

Methods

We searched nine major databases and additional sources and included articles if they were systematically conducted reviews, published as peer-reviewed journal articles, and reported mental health outcomes of quarantine or isolation in any population.

Results

Among 1,364 citations, only eight reviews met our criteria. Most of the primary studies in those reviews were conducted in high-income nations and in hospital settings. These articles reported a high burden of mental health problems among patients, informal caregivers, and healthcare providers who experienced quarantine or isolation. Prevalent mental health problems among the affected individuals include depression, anxiety, mood disorders, psychological distress, posttraumatic stress disorder, insomnia, fear, stigmatization, low self-esteem, lack of self-control, and other adverse mental health outcomes.

Conclusions

This umbrella review found severe mental health problems among individuals and populations who have undergone quarantine and isolation in different contexts. This evidence necessitates multipronged interventions including policy measures for strengthening mental health services globally and promoting psychosocial wellbeing among high-risk populations.

Summary

Citations

Citations to this article as recorded by

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Masar Gjaka, Kaltrina Feka, Antonino Bianco, Faton Tishukaj, Valerio Giustino, Anna Maria Parroco, Antonio Palma, Giuseppe Battaglia
Journal of Clinical Medicine.2021; 10(4): 763. CrossRef
COVID-19 and Personality: A Cross-Sectional Multicenter Study of the Relationship Between Personality Factors and COVID-19-Related Impacts, Concerns, and Behaviors
Mahmoud K. AL-Omiri, Ibrahim A. Alzoubi, Abdullah A. Al Nazeh, Abdallah K. Alomiri, Mohannad N. Maswady, Edward Lynch
Frontiers in Psychiatry.2021;[Epub] CrossRef
Health, Psycho-Social Factors, and Ageism in Older Adults in Spain during the COVID-19 Pandemic
Rocío Fernández-Ballesteros, Macarena Sánchez-Izquierdo
Healthcare.2021; 9(3): 256. CrossRef
Exercise and Use of Enhancement Drugs at the Time of the COVID-19 Pandemic: A Multicultural Study on Coping Strategies During Self-Isolation and Related Risks
Artemisa R. Dores, Irene P. Carvalho, Julius Burkauskas, Pierluigi Simonato, Ilaria De Luca, Roisin Mooney, Konstantinos Ioannidis, M. Ángeles Gómez-Martínez, Zsolt Demetrovics, Krisztina Edina Ábel, Attila Szabo, Hironobu Fujiwara, Mami Shibata, Alejandr
Frontiers in Psychiatry.2021;[Epub] CrossRef
Coping Styles, Mental Health, and the COVID-19 Quarantine: A Nationwide Survey in Poland
Agata Kołodziejczyk, Błazej Misiak, Dorota Szcześniak, Julian Maciaszek, Marta Ciułkowicz, Dorota Łuc, Tomasz Wieczorek, Karolina Fila-Witecka, Sylwia Chladzinska-Kiejna, Joanna Rymaszewska
Frontiers in Psychiatry.2021;[Epub] CrossRef
Mental Health in Patients with Coronavirus Disease-19 and the Quarantined People
Hye Yoon Park
Journal of Korean Neuropsychiatric Association.2021; 60(1): 11. CrossRef
Effects of COVID-19 Lockdown on Physical Activity, Sedentary Behavior, and Satisfaction with Life in Qatar: A Preliminary Study
Souhail Hermassi, Maha Sellami, Ahmad Salman, Abdulla S. Al-Mohannadi, El Ghali Bouhafs, Lawrence D. Hayes, René Schwesig
International Journal of Environmental Research and Public Health.2021; 18(6): 3093. CrossRef
The Impact of the COVID-19 Pandemic on Male Strength Athletes Who Use Non-prescribed Anabolic-Androgenic Steroids
Barnaby N. Zoob Carter, Ian D. Boardley, Katinka van de Ven
Frontiers in Psychiatry.2021;[Epub] CrossRef
Changes in health status, workload, and lifestyle after starting the COVID-19 pandemic: a web-based survey of Japanese men and women
Machi Suka, Takashi Yamauchi, Hiroyuki Yanagisawa
Environmental Health and Preventive Medicine.2021;[Epub] CrossRef
Telecommuting, Off-Time Work, and Intrusive Leadership in Workers’ Well-Being
Nicola Magnavita, Giovanni Tripepi, Carlo Chiorri
International Journal of Environmental Research and Public Health.2021; 18(7): 3330. CrossRef
The Italians in the Time of Coronavirus: Psychosocial Aspects of the Unexpected COVID-19 Pandemic
Francesca Favieri, Giuseppe Forte, Renata Tambelli, Maria Casagrande
Frontiers in Psychiatry.2021;[Epub] CrossRef
Ethische Entscheidungsempfehlungen zu Besuchsregelungen im Krankenhaus während der COVID-19-Pandemie
Annette Rogge, Michaela Naeve-Nydahl, Peter Nydahl, Florian Rave, Kathrin Knochel, Katharina Woellert, Claudia Schmalz
Medizinische Klinik - Intensivmedizin und Notfallmedizin.2021; 116(5): 415. CrossRef
Facing COVID-19 Between Sensory and Psychoemotional Stress, and Instrumental Deprivation: A Qualitative Study of Unmanageable Critical Incidents With Doctors and Nurses in Two Hospitals in Northern Italy
Ines Testoni, Chiara Franco, Enrica Gallo Stampino, Erika Iacona, Robert Crupi, Claudio Pagano
Frontiers in Psychology.2021;[Epub] CrossRef
Effects of Home Confinement on the Intensity of Physical Activity during the COVID-19 Outbreak in Team Handball According to Country, Gender, Competition Level, and Playing Position: A Worldwide Study
Souhail Hermassi, El Ghali Bouhafs, Nicola Luigi Bragazzi, Shiro Ichimura, Khaled E. Alsharji, Lawrence D. Hayes, René Schwesig
International Journal of Environmental Research and Public Health.2021; 18(8): 4050. CrossRef
Is Watching TV Series an Adaptive Coping Strategy During the COVID-19 Pandemic? Insights From an Italian Community Sample
Valentina Boursier, Alessandro Musetti, Francesca Gioia, Maèva Flayelle, Joël Billieux, Adriano Schimmenti
Frontiers in Psychiatry.2021;[Epub] CrossRef
A cross-sectional study of psychological distress in patients hospitalized for COVID-19
Srilakshmi Pingali, AjayKumar Joopaka, PradeepSharma Telkapalli, Molanguri Umashankar
Archives of Mental Health.2021; 22(1): 4. CrossRef
Effects of Interoceptive Sensibility on Mental Health during the Coronavirus Disease 2019 Pandemic
Naho Suzuki, Tetsuya Yamamoto, Chigusa Uchiumi, Nagisa Sugaya
International Journal of Environmental Research and Public Health.2021; 18(9): 4616. CrossRef
Psychological impact of infection with SARS-CoV-2 on health care providers: A qualitative study
Vidya Venkatesh, VijayNirup Samyuktha, BennyPaul Wilson, Dheeraj Kattula, JayaprakashRussell Ravan
Journal of Family Medicine and Primary Care.2021; 10(4): 1666. CrossRef
Cyberchondria Amidst COVID-19 Pandemic: Challenges and Management Strategies
Rahul Varma, Sreeja Das, Tushar Singh
Frontiers in Psychiatry.2021;[Epub] CrossRef
Utilization of Inpatient Mental Health Care in the Rhineland During the COVID-19 Pandemic
Jürgen Zielasek, Jürgen Vrinssen, Euphrosyne Gouzoulis-Mayfrank
Frontiers in Public Health.2021;[Epub] CrossRef
Daily hassles and depressive symptoms among COVID-19 home quarantined Chinese university students: The moderating effects of negative cognitive styles
Junyi Wang, Yinglu Zhou, Jinhong Ding, Jing Xiao
Journal of Psychology in Africa.2021; 31(2): 124. CrossRef
Changes in physical activity and sleep habits among adults in Russian Federation during COVID-19: a cross-sectional study
Anna V. Kontsevaya, Dinara K. Mukaneeva, Azaliia O. Myrzamatova, Anthony D. Okely, Oxana M. Drapkina
BMC Public Health.2021;[Epub] CrossRef
Mental Disorders of Bangladeshi Students During the COVID-19 Pandemic: A Systematic Review
Firoj al Mamun, Ismail Hosen, Jannatul Mawa Misti, Mark Mohan Kaggwa, Mohammed A. Mamun
Psychology Research and Behavior Management.2021; Volume 14: 645. CrossRef
Suicide and Suicidal Behaviors in the Context of COVID-19 Pandemic in Bangladesh: A Systematic Review
Mohammed A Mamun
Psychology Research and Behavior Management.2021; Volume 14: 695. CrossRef
Impact of COVID-19 Institutional Isolation Measures on Postnatal Women in Level 3 COVID Facility in Northern India
Manisha Gupta, Neelima Agarwal, Alpana G Agrawal
Journal of South Asian Federation of Obstetrics and Gynaecology.2021; 13(1): 50. CrossRef
MENTAL HEALTH CHALLENGES, RESILIENCE AND COPING STYLE CONTRIBUTING TO THE WELL BEING OF PATIENTS RECOVERED FROM COVID - 19.
Kanaga Lakshmi P, V Smitha Ruckmani
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Holistic approach supporting mental wellbeing of people in enforced quarantine in South Australia during the COVID‐19 pandemic
Katina D'Onise, Sonali Meena, Kamalesh Venugopal, Marc Currie, Emily Kirkpatrick, Jenny Hurley, Rebecca Nolan, John Brayley, Bryan Atherton, Nicola Spurrier
Australian and New Zealand Journal of Public Health.2021; 45(4): 325. CrossRef
Catharsis Through Cinema: An Italian Qualitative Study on Watching Tragedies to Mitigate the Fear of COVID-19
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Frontiers in Psychiatry.2021;[Epub] CrossRef
The psychophysiological effects of the COVID-19 quarantine in the college students
Yusuf Soylu
Physical education of students.2021; 25(3): 158. CrossRef
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Kaitlin E. Bountress, Shannon E. Cusack, Abigail H. Conley, Steven H. Aggen, Jasmin Vassileva, Danielle M. Dick, Ananda B. Amstadter
European Journal of Psychotraumatology.2021;[Epub] CrossRef
The Experience of Patients with COVID-19 in China: An Interpretative Phenomenological Analysis
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Psychology Research and Behavior Management.2021; Volume 14: 877. CrossRef
Differences Between the Psychiatric Symptoms of Healthcare Workers Quarantined at Home and in the Hospital After Contact With a Patient With Middle East Respiratory Syndrome
Su Jeong Seong, Hyung Joon Kim, Kyung Mi Yim, Ji Won Park, Kyung Hoon Son, Yeong Ju Jeon, Jae Yeon Hwang
Frontiers in Psychiatry.2021;[Epub] CrossRef
Impact of COVID-19 Pandemic on Sleep Quality, Stress Level and Health-Related Quality of Life—A Large Prospective Cohort Study on Adult Danes
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International Journal of Environmental Research and Public Health.2021; 18(14): 7610. CrossRef
COVID-19 Fear, Resilience, Social Support, Anxiety, and Suicide among College Students in Spain
Jesús Muyor-Rodríguez, Francisco Caravaca-Sánchez, Juan Sebastián Fernández-Prados
International Journal of Environmental Research and Public Health.2021; 18(15): 8156. CrossRef
Family perceptions related to isolation during COVID-19 hospitalization
Candace Eden, Susan B. Fowler
Nursing.2021; 51(8): 56. CrossRef
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International Journal of Environmental Research and Public Health.2021; 18(16): 8240. CrossRef
Towards an In-Depth Understanding of Physical Activity and Eating Behaviours during COVID-19 Social Confinement: A Combined Approach from a Portuguese National Survey
Marlene Nunes Silva, Maria João Gregório, Rute Santos, Adilson Marques, Bruno Rodrigues, Cristina Godinho, Catarina Santos Silva, Romeu Mendes, Pedro Graça, Miguel Arriaga, Graça Freitas
Nutrients.2021; 13(8): 2685. CrossRef
COVID-19’a Yakalanma Kaygısı İle Fiziksel Aktiviteye Katılım Motivasyonu Arasındaki İlişkinin İncelenmesi
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COVID-19 crisis: Influence of eHealth literacy on mental health promotion among Saudi nursing students
Ejercito M. Balay-odao, Nahed Alquwez, Fatmah Alsolami, Hanan M.M. Tork, Khalaf Al Otaibi, Abdulellah Al Thobaity
Journal of Taibah University Medical Sciences.2021; 16(6): 906. CrossRef
‘When the Waves Roll High’: Religious Coping among the Amish and Mennonites during the COVID-19 Pandemic
Bernard D. DiGregorio, Katie E. Corcoran, Corey J. Colyer, Rachel E. Stein
Religions.2021; 12(9): 678. CrossRef
The Impact of the COVID-19 Pandemic and Societal Infection Control Measures on Children and Adolescents' Mental Health: A Scoping Review
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Frontiers in Psychiatry.2021;[Epub] CrossRef
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Plasticidad y Restauración Neurológica.2021; 8(1): 28. CrossRef
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International Journal of Environmental Research and Public Health.2021; 18(18): 9632. CrossRef
Psychological Distress of International Students during the COVID-19 Pandemic in China: Multidimensional Effects of External Environment, Individuals’ Behavior, and Their Values
Tao Xu
International Journal of Environmental Research and Public Health.2021; 18(18): 9758. CrossRef
Suicidality in Bangladeshi Young Adults During the COVID-19 Pandemic: The Role of Behavioral Factors, COVID-19 Risk and Fear, and Mental Health Problems
Mohammed A Mamun, Firoj al Mamun, Ismail Hosen, Mahmudul Hasan, Abidur Rahman, Ahsanul Mahbub Jubayar, Zeba Maliha, Abu Hasnat Abdullah, Md Abedin Sarker, Humayun Kabir, Avijit Sarker Jyoti, Mark Mohan Kaggwa, Md Tajuddin Sikder
Risk Management and Healthcare Policy.2021; Volume 14: 4051. CrossRef
Impact of Synchronous Online Physical Education Classes Using Tabata Training on Adolescents during COVID-19: A Randomized Controlled Study
Kwang-Jin Lee, Byungjoo Noh, Keun-Ok An
International Journal of Environmental Research and Public Health.2021; 18(19): 10305. CrossRef
Loneliness and Depression among Women in Poland during the COVID-19 Pandemic
Anna Idzik(oneninenine), Anna Leńczuk-Gruba, Ewa Kobos, Mariola Pietrzak, Beata Dziedzic
International Journal of Environmental Research and Public Health.2021; 18(20): 10698. CrossRef
Novel coronavirus pathogen in humans and animals: an overview on its social impact, economic impact, and potential treatments
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Environmental Science and Pollution Research.2021; 28(48): 68071. CrossRef
The Virtual Team Member: Remote Engagement of Medical Students in COVID-19 Care
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Medical Science Educator.2021; 31(6): 1831. CrossRef
Effect of COVID-19 Pandemic-Induced Dietary and Lifestyle Changes and Their Associations with Perceived Health Status and Self-Reported Body Weight Changes in India: A Cross-Sectional Survey
Jagmeet Madan, Traci Blonquist, Eram Rao, Ankita Marwaha, Joshya Mehra, Richa Bharti, Nishi Sharma, Ritika Samaddar, Sandhya Pandey, Eunice Mah, Varsha Shete, YiFang Chu, Oliver Chen
Nutrients.2021; 13(11): 3682. CrossRef
“Everything Will Be All Right!” National and European Identification as Predictors of Positive Expectations for the Future During the COVID-19 Emergency
Silvia Moscatelli, Anna Rita Graziani, Lucia Botindari, Stefano Ciaffoni, Michela Menegatti
Frontiers in Psychology.2021;[Epub] CrossRef
The Impact of COVID-19 on Mental Health: Psychosocial Conditions of Students with and without Special Educational Needs
David Scheer, Désirée Laubenstein
Social Sciences.2021; 10(11): 405. CrossRef
Dietary Patterns, Adherence to the Food-Based Dietary Guidelines, and Ultra-Processed Consumption During the COVID-19 Lockdown in a Sample of Spanish Young Population
José Francisco López-Gil, Antonio García-Hermoso, Pedro Juan Tárraga-López, Javier Brazo-Sayavera
Frontiers in Pediatrics.2021;[Epub] CrossRef
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COVID-19 Infection: A Neuropsychiatric Perspective
Theodora A. Manolis, Evdoxia J. Apostolopoulos, Antonis A. Manolis, Helen Melita, Antonis S. Manolis
The Journal of Neuropsychiatry and Clinical Neurosciences.2021; 33(4): 266. CrossRef
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BMC Public Health.2021;[Epub] CrossRef
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Age-Related Differences of Rumination on the Loneliness–Depression Relationship: Evidence From a Population-Representative Cohort
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Innovation in Aging.2021;[Epub] CrossRef
Social Inequities in the Impact of COVID-19 Lockdown Measures on the Mental Health of a Large Sample of the Colombian Population (PSY-COVID Study)
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Journal of Korean Medical Science.2021;[Epub] CrossRef
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World Journal of Psychiatry.2021; 11(12): 1247. CrossRef
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All Life.2021; 14(1): 1011. CrossRef
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Epidemiology and Health.2021; 43: e2021078. CrossRef
Excess deaths on suicide during COVID-19 in South Korea
Haemin Park, Domyung Paek
The Korean Journal of Public Health.2021; 58(2): 1. CrossRef
ՀԱՄԱՎԱՐԱԿԻ ԸՆԹԱՑՔՈՒՄ ԱՆՁԻ ՀՈԳԵԲԱՆԱԿԱՆ ԱՆՎՏԱՆԳՈՒԹՅՈՒՆԸ ԵՒ ՀՈԳԵԿԱՆ ԱՌՈՂՋՈՒԹՅՈՒՆԸ. ՏԵՍԱԿԱՆ ԱՍՊԵԿՏ / A PERSON’S PSYCHOLOGICAL SAFETY AND MENTALHEALTH DURING A PANDEMIC: THE THEORETICAL ASPECT
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ARMENIAN JOURNAL OF MENTAL HEALTH.2021; : 30. CrossRef
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Impact on Mental Health Due to COVID-19 Pandemic: Cross-Sectional Study in Portugal and Brazil
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International Journal of Environmental Research and Public Health.2020; 17(18): 6794. CrossRef
Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network
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Nutrients.2020; 12(12): 3660. CrossRef
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Frontiers in Psychology.2020;[Epub] CrossRef
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International Journal of Environmental Research and Public Health.2020; 17(24): 9445. CrossRef
Psychological Distress in Quarantine Designated Facility During COVID-19 Pandemic in Saudi Arabia
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Risk Management and Healthcare Policy.2020; Volume 13: 3103. CrossRef
Assessment of the Mental Health Status of Social Media Users during the Outbreak of COVID-19
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Digital Medicine.2020; 6(2): 53. CrossRef

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