Immediate psychological impacts on the inmates of a quarantine-isolation facility in North Kashmir: a pilot study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20203521Keywords:
Coronavirus, Impacts, Isolation, Kashmir, Pandemic, QuarantineAbstract
Background: During the current COVID-19 pandemic as part of various control measures quarantine-isolation facilities have been setup throughout India. To the best of our knowledge no study has been done so far on the mental health aspects of the inmates from Kashmir region.
Methods: This was a questionnaire based qualitative cross sectional pilot study. A cohort of 301 inmates (196 males and105 females) consented and completed the study questionnaire from March 2020 to June, 2020. The relevant data was statistically analyzed.
Results: Short lived negative impacts were seen in a sizeable number of patients. These negative correlates of mental health remained manageable as we followed the guidelines of MOHFW. Only a small percentage of ~ 4% (11 of 301) inmates needed psychiatric consultation and treatment. However they safely completed their mandatory stay period in the facility.
Conclusions: Based on the results of our study, we conclude that optimum medical care during the pandemic remains the main focus and rightly so, but nevertheless mental health domain needs to be equally strengthened at the facilities in particular for short term impacts and the community in general for long term impacts.
References
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
Zhou S, Zhu T, Wang Y, Xia L. Imaging features and evolution on CT in 100 COVID-19 pneumonia patients in Wuhan, China. Eur Radiol. 2020;1-9.
World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV), 2020. Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov). Accessed on 15 February, 2020.
Somma A, Gialdi G, Krueger RF, Markon KE, Frau C, Lovallo S, et al Dysfunctional personality features, non- scientifically supported causal beliefs, and emotional problems during the first month of the COVID-19 pandemic in Italy. Pers Individ Dif 2020;165:110139.
Hull HF. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2005;11(2):354-5.
Zhang Y, Ma ZF. Impact of the COVID -19 Pandemic on mental health and quality of life among the local residents in Liaoning Province, China: A cross sectional Study. Int J Environ Res Public Health. 2020;17:2381.
Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020;7(4):e15-6.
Duan L, Zhu G. Psychological interventions for people affected by the COVID- 19 epidemic. Lancet Psychiatry. 2020;7(4):300-2.
Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54(5):302-11.
Cava MA, Fay KE, Beanlands HJ, Mc Cay EA, Wignall R. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs. 2005;22:398-406.
Desclaux A, Badji D, Ndione AG, Sow K. Accepted monitoring or endured quarantine? Ebola contacts perceptions in Senegal. Soc Sci Med. 2017;178:38-4.
Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J, et al. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health. 2016;38.
Mihashi M, Otsubo Y, Yinjuan X, Nagatomi K, Hoshiko M, Ishitake T. Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychol. 2009;28(1):91.
Dar KA, Iqbal N, Mushtaq A. Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry. Asian J Psychiat. 2017;29:129-33.
Lee S, Chau AM, Kwok KP, Kleinman A. The experience os SARS- related stigma at Amoy Gardens. Soc Sci Med. 2005;61:2038-46.
Alvarez J, Hunt M. Risk and resilience in canine search and rescue handlers after 9/11. J Trauma Stress. 2005;18:497-505.
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-9.
Banerjee. D. The COVID -19 outbreak: Crucial role the psychiatrists can play. Asian J Psy. 2020;50:102014.
O’ Brien M, Moore K, Mc Nicolas F. Social media spread during COVID 19:the pro’s and con’s of likes and shares. Ir Med J. 2020;113:52.
Gyenes N, Mina AX. How misinfodemics spread disease. Atlantic. 2018;082018.
Pellecchia U, Crestani R, Decroo T, Van der Bergh R, Al-Kourdi Y. Social consequences of Ebola containment measures in Liberia. 2015;10:e0143036.
Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psuychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10:1206-12.
Finatti F, Pigato G, Pavan C, Toffanin T, Favaro A. Psychosis in Patients in COVID-19-Related Quarantine: A Case Series. Prim Care Companion CNS Disord. 2020;22(3):20l0-640.
Rubin GJ, Harper S, Williams PD, Öström S, Bredbere S, Amlôt R, et al. How to support staff deploying on overseas humanitarian work: a qualitative analysis of responder views about the 2014/15 West African Ebola outbreak. Euro J Psychotraumatol. 2016;7(1):30933.
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.
Pan L, Mu M, Yang P, Sun Y, Wang R, Yan J, et al. Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: a descriptive, cross-sectional, multicenter study. Am J Gastroentero. 2020;115(5):766-73.
WHO. Rapid reviews to strengthen health policy and systems: a practical guide; 2017. Available at: https..//www.who.int/alliance-hpsr/resources/publications/rapid-revoew-guide/en/. Accessed on Jan 31, 2020.
Mercante G, Ferreli F, De Virgilio A, Gaino F, Di Bari M, Colombo G, et al. Prevalence of Taste and Smell Dysfunction in Coronavirus Disease 2019. JAMA Otolaryngol Head Neck Surg. 2020.
Wilken JA, Pordell P, Goode B, Jarteh R, Miller Z, Saygar BG, et al. Knowledge, attitudes, and practices among members of households actively monitored or quarantined to prevent transmission of Ebola Virus Disease-Margibi County, Liberia: February-March 2015. Prehospital and disaster medicine. 2017;32(6):673-8.
Reynolds DL, Garay JR, Deamond SL, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol Infec. 2008;136(7):997-1007.
Robertson E, Hershenfield K, Grace SL, Stewart DE. The psychological effects of being quarantined following exposure to SARS: a qualitative study of Toronto health care workers. Can J Psychiatry. 2004;49:403-07.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920.
Guidelines for Quarantine facilities COVID-19.2020. Available at: http://www.mohfw.gov.in/pdf/90542653311584546120 quartineguideline.pdf.
Arya S, Gupta R. COVID-19 outbreak: Challenges for Addiction services in India. Asian J Psychiatr. 2020;51:102086.
Barbisch D, Koenig KI, Shih FY. Is there a case for quarantine? Perspectives from SARS to Ebola. Disaster Med Public Health Prep. 2015;9:547-53.
DiGiovanni C, Conley J, Chiu D, Zaborski J. Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak. Biosecurity Bioterrorism: Biodefense Strat Pract Sci. 2004;2(4):265-72.
Gritsenko V, Skugarevsky O, Konstantinov V, Khamenka N, Marinova T, Reznik A, et al. COVID 19 Fear, Stress, Anxiety, and Substance Use Among Russian and Belarusian University Students. Inter J Ment Health Addict. 2020:1.
Pargament KI, Koenig HG, Tarakeshwar N, Hahn J. Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: a two-year longitudinal study. J Health Psychol. 2004;9(6):713-30.
Levin J. The Faith Community and the SARS-CoV-2 Outbreak: Part of the Problem or Part of the Solution?. J Relig Health. 2020;1-14.
Duan-Porter W, Coeytaux RR, McDuffie JR, Goode AP, Sharma P, Mennella H, et al. Evidence map of yoga for depression, anxiety, and posttraumatic stress disorder. J Phys Act Health. 2016;13(3):281-8.
de Manincor M, Bensoussan A, Smith CA, Barr K, Schweickle M, Donoghoe LL, et al. Individualized yoga for reducing depression and anxiety, and improving well‐being: A randomized controlled trial. Depression Anxiety. 2016;33(9):816-28.
Trimmer C, Tyo R, Pikard J, McKenna C, Naeem F. Low-Intensity Cognitive Behavioural Therapy-Based Music Group (CBT-Music) for the Treatment of Symptoms of Anxiety and Depression: A Feasibility Study. Behav Cogn Psychother. 2018;46(2):168-81.
