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코로나바이러스감염증-19 환자와 자가격리자의 정신건강

Mental Health in Patients with Coronavirus Disease-19 and the Quarantined People

박혜윤
대한신경정신의학회 (Korean Neuropsychiatric Association)|2021.02|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제60권 제1호|pp. 11-18|DOI https://doi.org/10.4306/jknpa.2021.60.1.11

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참고문헌

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DepressionMental healthPatientQuarantineSARS-CoV-2Coronavirus disease-19Anxiety.
주제분류정신과학

초록

Coronavirus disease-19 (COVID-19) caused by a new emerging virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to a major public health crisis worldwide, including Korea in 2020. Infected people may experience a wide spectrum of COVID-19-related physical and mental symptoms and psychosocial difficulties, including abrupt isolation, being blamed by others, death of a loved one by COVID-19, and financial loss. Although the data is limited so far, a recently growing number of studies suggest that the mental health of COVID-19 patients could be negatively affected in terms of anxiety, depression, post-traumatic stress symptoms, and cognitive impairment during the treatment and even after the cure. The severity of the disease, previous psychiatric history, and perceived stigma might be risk factors, while social support might be a protective factor. Quarantined people without COVID-19 also can have mental health issues from loneliness to suicidality according to their condition and experiences during isolation. With increasing interest in COVID-19–related mental health issues, psychosocial support is an essential part of care for the infected and the quarantined. Furthermore, respect for human rights, including efforts to respect individual vulnerability and reduce stigma and discrimination, and building social trust could be potent preventive measures for mental health in the pandemic crisis. Well-designed studies will be needed to identify the short- and long-term effects of COVID-19 on mental health in those groups and develop effective strategies.

Abstract

Coronavirus disease-19 (COVID-19) caused by a new emerging virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to a major public health crisis worldwide, including Korea in 2020. Infected people may experience a wide spectrum of COVID-19-related physical and mental symptoms and psychosocial difficulties, including abrupt isolation, being blamed by others, death of a loved one by COVID-19, and financial loss. Although the data is limited so far, a recently growing number of studies suggest that the mental health of COVID-19 patients could be negatively affected in terms of anxiety, depression, post-traumatic stress symptoms, and cognitive impairment during the treatment and even after the cure. The severity of the disease, previous psychiatric history, and perceived stigma might be risk factors, while social support might be a protective factor. Quarantined people without COVID-19 also can have mental health issues from loneliness to suicidality according to their condition and experiences during isolation. With increasing interest in COVID-19–related mental health issues, psychosocial support is an essential part of care for the infected and the quarantined. Furthermore, respect for human rights, including efforts to respect individual vulnerability and reduce stigma and discrimination, and building social trust could be potent preventive measures for mental health in the pandemic crisis. Well-designed studies will be needed to identify the short- and long-term effects of COVID-19 on mental health in those groups and develop effective strategies.

참고문헌 (65)

  1. Chen N, "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study", Lancet, 395, pp.507~513 (2020)
  2. "코로나바이러스감염증-19(COVID-19) 발생동향"[URL]
  3. "서울시 코로나19 대응 주요소식" (2021)[URL]
  4. Rogers JP, "Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections : a systematic review and meta-analysis with comparison to the COVID-19 pandemic", Lancet Psychiatry, 7, pp.611~627 (2020)
  5. Mukaetova-Ladinska EB, "Psychological and neuropsychiatric implications of COVID-19", Eur Arch Psychiatry Clin Neurosci, pp.1~14 (2020)
  6. 현진희, "Psychosocial Support during the COVID-19 Outbreak in Korea: Activities of Multidisciplinary Mental Health Professionals", Journal of Korean Medical Science, 35(22), pp.1~13 (2020), 대한의학회[DOI]
  7. Brooks SK, "The psychological impact of quarantine and how to reduce it : rapid review of the evidence", Lancet, 395, pp.912~920 (2020)
  8. Cava MA, "The experience of quarantine for individuals affected by SARS in Toronto", Public Health Nurs, 22, pp.398~406 (2005)
  9. Cheng SK, "Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome(SARS)", Psychol Med, 34, pp.1187~1195 (2004)
  10. Emanuel EJ, "The lessons of SARS", Ann Intern Med, 139, pp.589~591 (2003)
  11. Mak IW, "Long-term psychiatric morbidities among SARS survivors", Gen Hosp Psychiatry, 31, pp.318~326 (2009)
  12. 신지윤, "2015년 한국 메르스 사태 1년 이후 생존자들의 정신과적 문제", 신경정신의학, 58(3), pp.245~251 (2019), 대한신경정신의학회[DOI]
  13. Van Bortel T, "Psychosocial effects of an Ebola outbreak at individual, community and international levels", Bull World Health Organ, 94, pp.210~214 (2016)
  14. Meredith LS, "Prioritizing “psychological” consequences for disaster preparedness and response: a framework for addressing the emotional, behavioral, and cognitive effects of patient surge in large-scale disasters", Disaster Med Public Health Prep, 5, pp.73~80 (2011)
  15. Pandemic influenza preparedness and response : a WHO guidance document, "World Health Organization", World Health Organization, ~ (2009)
  16. Pappas G, "Psychosocial consequences of infectious diseases", Clin Microbiol Infect, 15, pp.743~747 (2009)
  17. 이동훈, "메르스(MERS) 감염에 대해 일반대중이 경험한 두려움과 정서적 디스트레스에 관한 탐색적 연구", 한국심리학회지:일반, 35(2), pp.355~383 (2016), 한국심리학회[DOI]
  18. Battin MP, "The patient as victim and vector : ethics and infectious disease" (2009), Oxford University Press
  19. 심민영, "Psychological trauma of Middle East Respiratory Syndrome victims and bereaved families", Epidemiology and Health, 38, pp.1~1 (2016), 한국역학회[DOI]
  20. Kim KH, "Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: epidemiology, characteristics and public health implications", J Hosp Infect, 95, pp.207~213 (2017)
  21. Zhang J, "The differential psychological distress of populations affected by the COVID-19 pandemic", Brain Behav Immun, 87, pp.49~50 (2020)
  22. "The third survey on the mental health of the people in COVID-19"[URL]
  23. Szcześniak D, "The SARS-CoV-2 and mental health : from biological mechanisms to social consequences", Prog Neuropsychopharmacol Biol Psychiatry, 104, pp.110046~ (2021)
  24. "인권중심 코로나19 시민백서: 코로나19시대 시민의 삶, 우리의 권리"[URL]
  25. "“망해버려라, 당장 떠나라” 끝없는 비난… 갑자기 죄인이 됐다" (2020)[URL]
  26. Almutairi AF, "“It feels like I’m the dirtiest person in the world.”: exploring the experiences of healthcare providers who survived MERS-CoV in Saudi Arabia", J Infect Public Health, 11, pp.187~191 (2018)
  27. Liguori C, "Depressive and anxiety symptoms in patients with SARSCoV2 infection", J Affect Disord, 278, pp.339~340 (2021)
  28. Hyun-Chung Kim, "Psychiatric Findings in Suspected and Confirmed Middle East Respiratory Syndrome Patients Quarantined in Hospital: A Retrospective Chart Analysis", PSYCHIATRY INVESTIGATION, 15(4), pp.355~360 (2018), 대한신경정신의학회
  29. 박혜윤, "Psychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge", Journal of Korean Medical Science, 35(47), pp.1~5 (2020), 대한의학회[DOI]
  30. Beach SR, "Delirium in COVID-19 : a case series and exploration of potential mechanisms for central nervous system involvement", Gen Hosp Psychiatry, 65, pp.47~53 (2020)
  31. Benussi A, "Clinical characteristics and outcomes of inpatients with neurologic disease and COVID-19 in Brescia, Lombardy, Italy", Neurology, 95, pp.e910~e920 (2020)
  32. Lao Y, "Focus on the depressive symptoms in COVID-19 patients : perspective based on a rapid meta-analysis", Asian J Psychiatr, 54, pp.102421~ (2020)
  33. Kang EunKyo, "The Psychological Burden of COVID-19 Stigma: Evaluation of the Mental Health of Isolated Mild Condition COVID-19 Patients", Journal of Korean Medical Science, 36(3), pp.1~13 (2021), 대한의학회[DOI]
  34. Deng J, "The prevalence of depression, anxiety, and sleep disturbances in COVID-19patients: a meta-analysis", Ann N Y Acad Sci, 10 (2020)
  35. Varatharaj A, "Neurological and neuropsychiatric complications of COVID-19 in 153 patients : a UK-wide surveillance study", Lancet Psychiatry, 7, pp.875~882 (2020)
  36. Nalleballe K, "Spectrum of neuropsychiatric manifestations in COVID-19", Brain Behav Immun, 88, pp.71~74 (2020)
  37. Zubair AS, "Neuropathogenesis and neurologic manifestations of the coronaviruses in the age of coronavirus disease 2019 : a review", JAMA Neurol, 77, pp.1018~1027 (2020)
  38. Ellul MA, "Neurological associations of COVID-19", Lancet Neurol, 19, pp.767~783 (2020)
  39. Achar A, "COVID-19-associated neurological disorders : the potential route of CNS invasion and blood-brain relevance", Cells, 9, pp.2360~ (2020)
  40. Raony Í, "Psycho-neuroendocrine-immune interactions in COVID-19 : potential impacts on mental health", Front Immunol, 11, pp.1170~ (2020)
  41. Solomon IH, "Neuropathological features of covid-19", N Engl J Med, 383, pp.989~992 (2020)
  42. Almeria M, "Cognitive profile following COVID-19 infection : clinical predictors leading to neuropsychological impairment", Brain Behav Immun Health, 9, pp.100163~ (2020)
  43. Park HY, "Posttraumatic stress disorder and depression of survivors 12months after the outbreak of Middle East respiratory syndrome in South Korea", BMC Public Health, 20, pp.605~ (2020)
  44. So Hee Lee, "Depression as a Mediator of Chronic Fatigue and Post-Traumatic Stress Symptoms in Middle East Respiratory Syndrome Survivors", PSYCHIATRY INVESTIGATION, 16(1), pp.59~64 (2019), 대한신경정신의학회[DOI]
  45. Liu D, "Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China", Psychiatry Res, 292, pp.113297~ (2020)
  46. Huang C, "6-month consequences of COVID-19 in patients discharged from hospital : a cohort study", Lancet, 397, pp.220~232 (2021)
  47. Poyraz BÇ, "Psychiatric morbidity and protracted symptoms after COVID-19", Psychiatry Res, 295, pp.113604~ (2021)
  48. Chang MC, "Incidence of post-traumatic stress disorder after coronavirus disease", Healthcare(Basel), 8, pp.373~ (2020)
  49. Md Mahbub Hossain, "Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence", Epidemiology and Health, 42, pp.1~11 (2020), 한국역학회
  50. "제주서 코로나19 자가격리하던 20대 여성 숨진 채 발견" (2020)[URL]
  51. "자가격리 중 극단 선택 왜?…고양 주부 사연에 관심" (2020)[URL]
  52. 정현석, "Mental health status of people isolated due to Middle East Respiratory Syndrome", Epidemiology and Health, 38, pp.1~7 (2016), 한국역학회[DOI]
  53. Maunder R, "The immediate psychological and occupational impact of the 2003SARS outbreak in a teaching hospital", CMAJ, 168, pp.1245~1251 (2003)
  54. Jung SJ, "The impact of COVID-19 on psychological health in Korea: a mental health survey in community prospective cohort data" (2020)[DOI]
  55. Guidance on the provision of support for medically and socially vulnerable populations in EU, "EEA countries and the United Kingdom during the COVID-19 pandemic", European Centre for Disease Prevention and Control, 2020
  56. Chen D, "Quarantine experience of close contacts of COVID-19 patients in China : a qualitative descriptive study", Gen Hosp Psychiatry, 66, pp.81~88 (2020)
  57. Liu JJ, "Mental health considerations for children quarantined because of COVID-19", Lancet Child Adolesc Health, 4, pp.347~349 (2020)
  58. DiGiovanni C, "Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak", Biosecur Bioterror, 2, pp.265~272 (2004)
  59. Lee S, "The experience of SARS-related stigma at Amoy Gardens", Soc Sci Med, 61, pp.2038~2046 (2005)
  60. Yoon MK, "System effectiveness of detection, brief intervention and refer to treatment for the people with post-traumatic emotional distress by MERS: a case report of community-based proactive intervention in South Korea", Int J Ment Health Syst, 10, pp.51~ (2016)
  61. Jiang X, "Psychological crisis intervention during the outbreak period of new coronavirus pneumonia from experience in Shanghai", Psychiatry Res, 286, pp.112903~ (2020)
  62. Yang X, "Social support and clinical improvement in COVID-19 positive patients in China", Nurs Outlook, 68, pp.830~837 (2020)
  63. Bo HX, "Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China", Psychol Med, pp.1~2 (2020)
  64. Siu JY, "The SARS-associated stigma of SARS victims in the postSARS era of Hong Kong", Qual Health Res, 18, pp.729~738 (2008)
  65. Ungar M, "Resilience and mental health: how multisystemic processes contribute to positive outcomes", Lancet Psychiatry, 7, pp.441~448 (2020)

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