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Effects of centralized isolation vs. home isolation on psychological distress in patients with COVID-19.
Ju, Yumeng; Chen, Wentao; Liu, Jin; Yang, Aiping; Shu, Kongliang; Zhou, Yun; Wang, Mi; Huang, Mei; Liao, Mei; Liu, Jiyang; Liu, Bangshan; Zhang, Yan.
  • Ju Y; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Chen W; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Liu J; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Yang A; Department of Obstetrics & Gynecology, The First Hospital of Changsha, Changsha, Hunan, China.
  • Shu K; Department of Neurology, The First Hospital of Changsha, Changsha, Hunan, China.
  • Zhou Y; Department of Orthopedics, The First Hospital of Changsha, Changsha, Hunan, China.
  • Wang M; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Huang M; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Liao M; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Liu J; Administrative Office, The First Hospital of Changsha, Changsha, Hunan, China. Electronic address: csphq@163.com.
  • Liu B; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
  • Zhang Y; Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Techno
J Psychosom Res ; 143: 110365, 2021 04.
Article in English | MEDLINE | ID: covidwho-1036448
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Psychological Distress PROCESS_OF Patients
Subject
Psychological Distress
Predicate
PROCESS_OF
Object
Patients
3. Hospitals LOCATION_OF Baseline Survey
Subject
Hospitals
Predicate
LOCATION_OF
Object
Baseline Survey
4. Home Isolation compared_with Isolation procedure
Subject
Home Isolation
Predicate
compared_with
Object
Isolation procedure
5. Home Isolation higher_than Isolation procedure
Subject
Home Isolation
Predicate
higher_than
Object
Isolation procedure
6. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
7. Psychological Distress PROCESS_OF Patients
Subject
Psychological Distress
Predicate
PROCESS_OF
Object
Patients
8. Hospitals LOCATION_OF Baseline Survey
Subject
Hospitals
Predicate
LOCATION_OF
Object
Baseline Survey
9. Home Isolation compared_with Isolation procedure
Subject
Home Isolation
Predicate
compared_with
Object
Isolation procedure
10. Home Isolation higher_than Isolation procedure
Subject
Home Isolation
Predicate
higher_than
Object
Isolation procedure
ABSTRACT

OBJECTIVE:

This study aimed to evaluate the impact of isolation form on the recovery of psychological distress in patients with coronavirus disease 2019 (COVID-19) after being discharged from hospital.

METHODS:

Baseline survey was conducted from February 10, 2020 to February 25, 2020 in patients with COVID-19 in a designated hospital on the discharge day. After discharge, patients were free to choose whether isolate in a centralized isolation site (i.e. designated hotel) or their own home for another two weeks. A follow-up survey was conducted at the end of the 2-week post-discharge isolation. Depression, anxiety as well as self-rated health were assessed at both time points using the 9-item patient health questionnaire, 7-item generalized anxiety disorder scale and self-rated health scores, respectively.

RESULTS:

Fifty centrally isolated and 45 home isolated patients completed both the baseline and the follow-up assessments. Significant effects of time and time by isolation form were found on depression and anxiety levels, with a significant decrease in depression and anxiety shown in home isolated but not in centrally isolated patients. Besides, a significant time effect was identified on self-rated health with significant improvement found in home isolated but not in centrally isolated patients.

CONCLUSIONS:

Home isolation is superior to centralized isolation in the recovery of COVID-19-associated depression, anxiety as well as self-rated health. More attention needs to be paid to the psychological well-being of centrally isolated patients. A sustained and integrated rehabilitation plan is warranted for patients with COVID-19 to achieve both physical and psychological recovery.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Patient Discharge / Patient Isolation / Depression / Psychological Distress / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Patient Discharge / Patient Isolation / Depression / Psychological Distress / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article