본문 바로가기
KERD
논문KCI 등재

COVID-19 대규모 유행 국가에서 귀국한 격리자의 정신건강문제

Mental Health Problems of Quarantined People Returned From Countries With Large-Scale COVID-19 Outbreak

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives This study aimed to propose an efficient mental health service plan to be implemented during epidemics by identifying the mental health characteristics of people who have returned from countries with large-scale coronavirus disease-2019 (COVID-19) outbreaks. Methods We analyzed the mental health evaluation scale data submitted by 504 quarantined people who had returned from countries hit by the COVID-19 pandemic from January to April 2020 through a government support project. Results The average age of the study group was 35.6±8.72 years, and males accounted for 67.1% and females 32.9% of the total subjects. The screening score for post-traumatic stress disorder was met by 12.1% of the subjects. Moderate to high level of depression and anxiety symptoms were seen in 10.7% and 7.0%, respectively. Also, 2.2% of the group complained of clinical level somatization symptoms, and 1.4% were evaluated as being at a high risk of suicide. The average scores and the proportion of subjects at high risk on all scales were significantly higher in female than in male. In a comparison by age, the average score of post-traumatic stress symptoms was significantly higher in subjects in their 20s than those in their 50s, and the proportion of the subjects at high risk for post-traumatic stress symptoms also showed a significant variation between age groups. However, there were no significant differences by age with respect to depression, anxiety, somatic symptoms, and suicidal tendencies. Conclusion During an epidemic, the mental health problems of people may increase, and the risk appears to be higher in female and young adults. Therefore, in addition to strong protection policies, a customized support system for each target group is required.

Abstract

Objectives This study aimed to propose an efficient mental health service plan to be implemented during epidemics by identifying the mental health characteristics of people who have returned from countries with large-scale coronavirus disease-2019 (COVID-19) outbreaks. Methods We analyzed the mental health evaluation scale data submitted by 504 quarantined people who had returned from countries hit by the COVID-19 pandemic from January to April 2020 through a government support project. Results The average age of the study group was 35.6±8.72 years, and males accounted for 67.1% and females 32.9% of the total subjects. The screening score for post-traumatic stress disorder was met by 12.1% of the subjects. Moderate to high level of depression and anxiety symptoms were seen in 10.7% and 7.0%, respectively. Also, 2.2% of the group complained of clinical level somatization symptoms, and 1.4% were evaluated as being at a high risk of suicide. The average scores and the proportion of subjects at high risk on all scales were significantly higher in female than in male. In a comparison by age, the average score of post-traumatic stress symptoms was significantly higher in subjects in their 20s than those in their 50s, and the proportion of the subjects at high risk for post-traumatic stress symptoms also showed a significant variation between age groups. However, there were no significant differences by age with respect to depression, anxiety, somatic symptoms, and suicidal tendencies. Conclusion During an epidemic, the mental health problems of people may increase, and the risk appears to be higher in female and young adults. Therefore, in addition to strong protection policies, a customized support system for each target group is required.

참고문헌 (42)

  1. "Coronavirus (COVID-19), Repuiblic of Korea, Occurence status"[URL]
  2. De Roo A, "Survey among survivors of the 1995 Ebola epidemic in Kikwit, Democratic Republic of Congo: their feelings and experiences", Trop Med Int Health, 3, pp.883~885 (1998)
  3. Maunder R, "The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto : lessons learned", Philos Trans R Soc Lond B Biol Sci, 359, pp.1117~1125 (2004)
  4. Hawryluck L, "SARS control and psychological effects of quarantine, Toronto, Canada", Emerg Infect Dis, 10, pp.1206~1212 (2004)
  5. 신지윤, "2015년 한국 메르스 사태 1년 이후 생존자들의 정신과적 문제", 신경정신의학, 58(3), pp.245~251 (2019), 대한신경정신의학회[DOI]
  6. Lee D, "Psychological responses among Korean middle east respiratory syndrome survivors and bereaved families", Disaster Med Public Health Prep (2021)
  7. Orgilés M, "Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain", Front Psychol, 11, pp.579038~ (2020)
  8. Casagrande M, "The enemy who sealed the world: effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population", Sleep Med, 75, pp.12~20 (2020)
  9. Gan Y, "Immediate and delayed psychological effects of province-wide lockdown and personal quarantine during the COVID-19 outbreak in China", Psychol Med, 52, pp.1321~1332 (2022)
  10. Dirkzwager AJ, "Risk factors for psychological and physical health problems after a manmade disaster", Br J Psychiatry, 189, pp.144~149 (2006)
  11. Norris FH, "60,000 disaster victims speak:part II. Summary and implications of the disaster mental health research", Psychiatry, 65, pp.240~260 (2002)
  12. Zhang J, "Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China : a model of West China Hospital", Precis Clin Med, 3, pp.3~8 (2020)
  13. Xiang YT, "Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed", Lancet Psychiatry, 7, pp.228~229 (2020)
  14. Prins A, "The primary care PTSD screen for DSM-5 (PCPTSD-5): development and evaluation within a veteran primary care sample", J Gen Intern Med, 31, pp.1206~1211 (2016)
  15. 정영은, "A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)", Journal of Korean Medical Science, 33(52), pp.1~5 (2018), 대한의학회
  16. Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
  17. Han C, "Validation of the patient health questionnaire-9 Korean version in the elderly population:the Ansan geriatric study", Compr Psychiatry, 49, pp.218~223 (2008)
  18. Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
  19. Löwe B, "Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population", Med Care, 46, pp.266~274 (2008)
  20. Seo JG, "Validation of the generalized anxiety disorder-7(GAD-7) and GAD-2 in patients with migraine", J Headache Pain, 16, pp.97~ (2015)
  21. Kroenke K, "The PHQ-15 : validity of a new measure for evaluating the severity of somatic symptoms", Psychosom Med, 64, pp.258~266 (2005)
  22. Han C, "Psychometric properties of the patient health questionnaire-15 (PHQ-15) for measuring the somatic symptoms of psychiatric outpatients", Psychosomatics, 50, pp.580~585 (2009)
  23. Dube P, "The p4 screener:evaluation of a brief measure for assessing potential suicide risk in 2randomized effectiveness trials of primary care and oncology patients", Prim Care Companion J Clin Psychiatry, 12, pp.e1~e8 (2010)
  24. Misra S, "Psychological impact of anti-Asian stigma due to the COVID-19 pandemic: a call for research, practice, and policy responses", Psychol Trauma, 12, pp.461~464 (2020)
  25. Zhong BL, "Mental health problems, needs, and service use among people living within and outside Wuhan during the COVID-19 epidemic in China", Ann Transl Med, 8, pp.1392~ (2020)
  26. Henssler J, "Mental health effects of infection containment strategies : quarantine and isolation-a systematic review and meta-analysis", Eur Arch Psychiatry Clin Neurosci, 271, pp.223~234 (2021)
  27. "COVID-19 mental health survey (Q2 of 2021)"[URL]
  28. "Community health survey 2020"[URL]
  29. Wang C, "A longitudinal study on the mental health of general population during the COVID-19 epidemic in China", Brain Behav Immun, 87, pp.40~48 (2020)
  30. Rossi R, "COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy", Front Psychiatry, 11, pp.790~ (2020)
  31. Math SB, "Disaster management : mental health perspective", Indian J Psychol Med, 37, pp.261~271 (2015)
  32. Qiu J, "A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic : implications and policy recommendations", Gen Psychiatr, 33, pp.e100213~ (2020)
  33. Solomou I, "Prevalence and predictors of anxiety and depression symptoms during the COVID-19 pandemic and compliance with precautionary measures: age and sex matter", Int J Environ Res Public Health, 17, pp.4924~ (2020)
  34. Lee HS, "Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea", Psychiatry Res, 295, pp.113570~ (2021)
  35. The family care during covid-19: conditions to balance work and life in a pandemic and tasks, "Heo MS", National Assembly Research Service, ~ (2022)
  36. Taylor MR, "Factors influencing psychological distress during a disease epidemic : data from Australia’s first outbreak of equine influenza", BMC Public Health, 8, pp.347~ (2008)
  37. Kumar A, "COVID 19 and its mental health consequences", J Ment Health, 30, pp.1~2 (2021)
  38. Daly M, "Longitudinal changes in mental health and the COVID-19 pandemic: evidence from the UK Household Longitudinal Study", Psychol Med (2020)
  39. Beam CR, "Psychological sequelae of social isolation and loneliness might be a larger problem in young adults than older adults", Psychol Trauma, 12(S1), pp.S58~S60 (2020)
  40. Kim J, "The impact of covid-19 on young adults and policy responses of the French government", Glob Soc Secur Rev, 18, pp.119~124 (2021)
  41. Kim J, "French government’s response to intimate partner violence during the lockdown amid COVID-19", Glob Soc Secur Rev, 14, pp.119~123 (2020)
  42. Son HI, "Changes in the mental health service delivery system of New York State during the COVID-19 pandemic : rapid expansion of telemental health", Glob Soc Secur Rev, 13, pp.71~86 (2020)

관련 논문AI추천

이 간행물의 다른 논문 (11건)