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隔离的心理影响及其减轻方法:快速综述证据。

The psychological impact of quarantine and how to reduce it: rapid review of the evidence.

机构信息

Department of Psychological Medicine, King's College London, London, UK.

Department of Psychological Medicine, King's College London, London, UK.

出版信息

Lancet. 2020 Mar 14;395(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8. Epub 2020 Feb 26.

Abstract

The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.

摘要

2019 年 12 月爆发的冠状病毒病疫情促使许多国家要求可能与感染源接触过的人在家或在专门的隔离设施中进行自我隔离。如何实施隔离的决定应该基于现有最佳证据。我们使用三个电子数据库对隔离的心理影响进行了综述。在发现的 3166 篇论文中,本综述纳入了 24 篇。大多数综述研究报告了负面的心理影响,包括创伤后应激症状、困惑和愤怒。压力源包括隔离时间延长、感染恐惧、沮丧、无聊、供应不足、信息不足、经济损失和污名化。一些研究人员提出了长期影响。在认为有必要隔离的情况下,官员们应该在必要的时间内对个人进行隔离,提供隔离的明确理由和关于协议的信息,并确保提供足够的物资。通过提醒公众隔离对更广泛的社会的好处来呼吁利他主义可能是有利的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6d/7158942/87ab47526862/gr1_lrg.jpg

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