Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study.
<h4>Background</h4>Isolation is an indispensable measure to contain the SARS-CoV-2 virus, but it may have a negative impact on mental health and overall wellbeing. Evidence on the isolation experience, facilitating and complicating factors is needed to mitigate negative effects.<h4>...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0264655 |
| _version_ | 1811311411879477248 |
|---|---|
| author | Anja Domenghino Hélène E Aschmann Tala Ballouz Dominik Menges Dominique Strebel Sandra Derfler Jan S Fehr Milo A Puhan |
| author_facet | Anja Domenghino Hélène E Aschmann Tala Ballouz Dominik Menges Dominique Strebel Sandra Derfler Jan S Fehr Milo A Puhan |
| author_sort | Anja Domenghino |
| collection | DOAJ |
| description | <h4>Background</h4>Isolation is an indispensable measure to contain the SARS-CoV-2 virus, but it may have a negative impact on mental health and overall wellbeing. Evidence on the isolation experience, facilitating and complicating factors is needed to mitigate negative effects.<h4>Methods and findings</h4>This observational, population-based cohort study enrolled 1547 adults from the general population with SARS-CoV-2 infection reported to authorities between 27 February 2020 and 19 January 2021 in Zurich, Switzerland. We assessed the proportion of individuals reporting symptoms of depression and anxiety before, during and after isolation (by DASS-21), and queried worries, positive experiences, and difficulties. We analyzed the association of these outcomes with socio-demographics using ordinal regression. Additionally, we report free-text statements by participants to capture most important aspects of isolation. The proportion of participants affected by depression or anxiety increased during isolation from 10·0% to 17·1% and 9·1% to 17·6%, respectively. Ordinal regression showed that taking care of children increased the difficulty of isolation (OR 2·10, CI 1·43-3·08) and risk of non-compliance (OR 1·63, CI 1·05-2·53), especially in younger participants. A facilitating factor that individuals commonly expressed was receiving more support during isolation.<h4>Conclusion</h4>Isolation due to SARS-CoV-2 presents a mental burden, especially for younger individuals and those taking care of children. Public health authorities need to train personnel and draw from community-based resources to provide targeted support, information, and guidance to individuals during isolation. Such efforts could alleviate the negative impact isolation has on the mental and physical health of individuals and ensure compliance of the population with recommendations. |
| first_indexed | 2024-04-13T10:17:22Z |
| format | Article |
| id | doaj.art-6329b421d17845f9b16e059d3f47925c |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T10:17:22Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6329b421d17845f9b16e059d3f47925c2022-12-22T02:50:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026465510.1371/journal.pone.0264655Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study.Anja DomenghinoHélène E AschmannTala BallouzDominik MengesDominique StrebelSandra DerflerJan S FehrMilo A Puhan<h4>Background</h4>Isolation is an indispensable measure to contain the SARS-CoV-2 virus, but it may have a negative impact on mental health and overall wellbeing. Evidence on the isolation experience, facilitating and complicating factors is needed to mitigate negative effects.<h4>Methods and findings</h4>This observational, population-based cohort study enrolled 1547 adults from the general population with SARS-CoV-2 infection reported to authorities between 27 February 2020 and 19 January 2021 in Zurich, Switzerland. We assessed the proportion of individuals reporting symptoms of depression and anxiety before, during and after isolation (by DASS-21), and queried worries, positive experiences, and difficulties. We analyzed the association of these outcomes with socio-demographics using ordinal regression. Additionally, we report free-text statements by participants to capture most important aspects of isolation. The proportion of participants affected by depression or anxiety increased during isolation from 10·0% to 17·1% and 9·1% to 17·6%, respectively. Ordinal regression showed that taking care of children increased the difficulty of isolation (OR 2·10, CI 1·43-3·08) and risk of non-compliance (OR 1·63, CI 1·05-2·53), especially in younger participants. A facilitating factor that individuals commonly expressed was receiving more support during isolation.<h4>Conclusion</h4>Isolation due to SARS-CoV-2 presents a mental burden, especially for younger individuals and those taking care of children. Public health authorities need to train personnel and draw from community-based resources to provide targeted support, information, and guidance to individuals during isolation. Such efforts could alleviate the negative impact isolation has on the mental and physical health of individuals and ensure compliance of the population with recommendations.https://doi.org/10.1371/journal.pone.0264655 |
| spellingShingle | Anja Domenghino Hélène E Aschmann Tala Ballouz Dominik Menges Dominique Strebel Sandra Derfler Jan S Fehr Milo A Puhan Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. PLoS ONE |
| title | Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. |
| title_full | Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. |
| title_fullStr | Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. |
| title_full_unstemmed | Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. |
| title_short | Mental health of individuals infected with SARS-CoV-2 during mandated isolation and compliance with recommendations-A population-based cohort study. |
| title_sort | mental health of individuals infected with sars cov 2 during mandated isolation and compliance with recommendations a population based cohort study |
| url | https://doi.org/10.1371/journal.pone.0264655 |
| work_keys_str_mv | AT anjadomenghino mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT heleneeaschmann mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT talaballouz mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT dominikmenges mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT dominiquestrebel mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT sandraderfler mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT jansfehr mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy AT miloapuhan mentalhealthofindividualsinfectedwithsarscov2duringmandatedisolationandcompliancewithrecommendationsapopulationbasedcohortstudy |