Published

2021-04-01

Efeitos do isolamento social na pandemia da covid-19 na saúde mental da população

Effects of social isolation during the COVID-19 pandemic on people’s mental health

Efectos del aislamiento social durante la pandemia por COVID-19 en la salud mental de la población

Keywords:

Saúde Mental, COVID-19, Isolamento social, Pandemias, Quarentena. (pt)
Salud mental, COVID-19, Aislamiento social, Pandemias, Cuarentena. (es)
Mental health. COVID-19. Social isolation. Pandemics. Quarantine. (en)

Authors

Objetivo: analisar as consequências do distanciamento social para a contenção da covid-19 na saúde mental na população.

Síntese de conteúdo: revisão integrativa da literatura conduzida em janeiro de 2021 nas bases de dados eletrônicas Web of Science, Scopus e
MEDLINE/PubMed. Evidenciou-se a ampliação de sentimentos relacionados à ansiedade e à depressão, à redução da qualidade do sono e às preocupações com a vida, a saúde, a morte e a família, ao passo que se observou a redução da satisfação com a vida, da felicidade e do interesse por lazer e encontros.

Conclusão: as consequências do distanciamento social na pandemia da covid-19 na saúde mental
demandam estratégias assistenciais inovadoras para o enfrentamento. Recomendam-se intervenções públicas sobre a disseminação de informações inverídicas acerca da pandemia, além do desenvolvimento de mais pesquisas sobre a temática.

Objective: To study the effects of social isolation measures implemented to contain COVID-19 on people’s mental health.

Content synthesis: Integrative literature review conducted in January 2021 in the electronic databases Web of Science, Scopus, and MEDLINE/PubMed. An increase in feelings related to anxiety and depression, reduced quality of sleep, and concerns about life, health, death and family were observed, coupled with a reduction in satisfaction with life, happiness, and interest in leisure and personal encounters.

Conclusion: The implications for mental health associated with social distancing due to the COVID-19
pandemic demand innovative assistance strategies. Public interventions on the dissemination of untrue
information about the pandemic are recommended, in addition to the development of more research studies on the topic.

Objetivo: analizar los efectos en la salud mental de la población asociados con el distanciamiento social para contener el avance de la Covid-19.

Síntesis de contenido: revisión bibliográfica integral realizada en enero de 2021 en las bases de datos Web of Science, Scopus y MEDLINE/PubMed. Se observa un incremento en las emociones relacionados con la ansiedad y la depresión, una disminución en la calidad del sueño y mayores preocupaciones sobre la vida, la salud, la muerte y la familia. Además, se observa una reducción en la satisfacción con la vida, la felicidad y el interés por el ocio y los encuentros personales.

Conclusión: implicaciones para la salud mental asociadas con el distanciamiento social debido a la pandemia de Covid-19 demandan estrategias innovadoras de asistencia para hacer frente a la situación. Se recomienda la ejecución de intervenciones públicas acerca de la difusión de información falsa sobre la pandemia, junto con el desarrollo de más investigaciones sobre el tema.

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References

(1) Croda J; Oliveira WK; Frutoso RL; Mandetta LH; Baia-da-Silva DC; Brito-Sousa J et al. COVID-19 in Brazil: Advantages of a socialized unified health system and preparation to contain cases. Rev Soc Bras Med Trop. 2020;53:e20200167. http://doi.org/10.1590/0037-8682-0167-2020

(2) Chen N; Zhou M; Dong X; Qu J; Gong F; Han Y et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. The Lancet. 2020;395(10223):507-513. https://doi.org/10.1016/S0140-6736(20)30211-7

(3) Zhonghua L; Xing B; Xue ZZ. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Chin J Epidemiol. 2020;41(2):145-151. https://doi.org/10.3760/cma.j.issn.0254-6450.2020.02.003

(4) Ministério da Saúde do Brasil. Secretaria de Vigilância em Saúde. Boletim epidemiológico especial —semana epidemiológica 51. Brasília; 2020. https://bit.ly/3aLZ1iq

(5) Rafael RMR; Neto M; Carvalho MMB; David HMSL; Acioli S; Faria MGA. Epidemiologia, políticas públicas e pandemia de covid-19: o que esperar no Brasil? Rev Enferm UERJ. 2020;28: e49570. https://doi.org/10.12957/reuerj.2020.49570

(6) Duan L; Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-302. https://doi.org/10.1016/S2215-0366(20)30073-0

(7) Canady VA. COVID-19 outbreak represents a new way of mental health servisse delivery. Metal Health Weekly. 2020;30(12):1-4. https://doi.org/10.1002/mhw.32282

(8) Brooks SK; Webster RK; Smith LE; Woodland L; Wessely S; Greenberg N et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidance. The Lancet. 2020;395(10227):912-920. https://doi.org/10.1016/S0140-6736(20)30460-8

(9) Fiorillo A; Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical pratice. Eur Psychiatry. 2020;63(1):e32. https://doi.org/10.1192/j.eurpsy.2020.35

(10) Terrizzi JJA; Shook NaJ; McDaniel MA. The behavioral immune system and social conservatism: A meta-analysis. Evol Hum Behav. 2013;34(2):99-108. https://doi.org/10.1016/j.evolhumbehav.2012.10.003

(11) Kiecolt-Glaser JK; McGuire L; Robles TF; Glaser R. Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annu Rev Psychol. 2002;53:83-107. https://doi.org/10.1146/annurev.psych.53.100901.135217

(12) Mendes KDS; Silveira RCCP; Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto contexto - enferm. 2019;28:e20170204. http://doi.org/10.1590/1980-265x-tce-2017-0204

(13) Melnyk BM; Fineout-Overholt E. Evidence-based practice in nursing and health: A guide to best practice. Philadelphia: Wolters Kluwer; Lippincott Williams & Wilkins Health; 2011.

(14) Moher D; Liberati A; Tetzlaff J; Altman DG; The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097

(15) Li S; Wang Y; Xue J; Zhao N; Zhu T. The impact of the COVID-19 epidemic declaration on psychological consequences: A study on active Weibo users. Int J Environ Res Public Health. 2020;17(6): 2032. https://doi.org/10.3390/ijerph17062032

(16) Guo Y; Cheng C; Zeng Y; Li Y; Zhu M; Yang W et al. Mental health disorders and associated risk factors in quarantined adults during the COVID-19 outbreak in China: Cross-sectional study. J Med Internet Res. 2020; 22(8):e20328. https://doi.org/10.2196/20328

(17) Canet-Juric L; Andrés ML; del Valle M; López-Morales H; Poó F; Galli JI et al. A longitudinal study on the emotional impact cause by the COVID-19 pandemic quarantine on general population. Front Psychol. 2020;11:565688. https://doi.org/10.3389/fpsyg.2020.565688

(18) Bartoszek A; Walkowiak D; Bartoszek A; Kardas G. Mental well-being (depression, loneliness, insomnia, daily life fatigue) during COVID-19 related home-confinement — A study from Poland. Int J Environ Res Public Health. 2020;17(20):7417. https://doi.org/10.3390/ijerph17207417

(19) Xiao H; Zhang Y; Kong D; Li S; Yang N. Social capital and sleep quality in individuals who self-isolated for 14 days during the Coronavirus Disease 2019 (COVID-19) outbreak in January 2020 in China. Med. Sci. Monit. 2020;26:e923921. https://doi.org/10.12659/MSM.923921

(20) Rossi R; Socci V; Talevi D; Mensi S; Niolu C; Pacitti F et al. COVID-19 Pandemic and lockdown measures impact on mental health among the general population in Italy. Front Psychiatry. 2020;11:790. https://doi.org/10.3389/fpsyt.2020.00790

(21) Wang S; Zhang Y; Ding W; Meng Y; Hu H; Liu Z et al. Psychological distress and sleep problems when people are under interpersonal isolation during an epidemic: A nationwide multicenter cross-sectional study. Eur Psychiatry. 2020;63(1):e77. https://doi.org/10.1192/j.eurpsy.2020.78

(22) Roma P; Monaro M; Colasanti M; Ricci E; Biondi S; Di Domenico A et al. A 2-month follow-up study of psychological distress among Italian people during the COVID-19 lockdown. Int. J. Environ. Res. Public. Health. 2020;17(21):8180. https://doi.org/10.3390/ijerph17218180

(23) Cao W; Fang Z; Hou G; Han M; Xu X; Dong J; Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. https://doi.org/10.1016/j.psychres.2020.112934

(24) Banks J; Xu X. The mental health effects of the first two months of lockdown and social distancing during the COVID-19 pandemic in the UK. Institute for Fiscal Studies. 2020. https://doi.org/10.1920/wp.ifs.2020.1620

(25) Jacques-Aviñó C; López-Jiménez T; Medina-Perucha L; Bont J; Gonçalves AQ; Duarte-Salles T; Berenguera A. Gender-based approach on the social impact and mental health in Spain during COVID-19 lockdown: A cross-sectional study. BMJ Open. 2020;10:e044617. http://doi.org/10.1136/bmjopen-2020-044617

(26) Rossinot H; Fantin R; Venne J. Behavioral changes during COVID-19 confinement in France: A web-based study. Int J Environ Res Public Health. 2020;17(22):8444. https://doi.org/10.3390/ijerph17228444

(27) Qiu J; Shen B; Zhao M; Wang Z; Xie B; Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen Psychiatr. 2020;33:e100213. http://doi.org/10.1136/gpsych-2020-100213

(28) Schwinger M; Trautner M; Kärchner H; Otterpohl N. Psychological impact of corona lockdown in Germany: Changes in need satisfaction, well-being, anxiety, and depression. Int J Environ Res Public Health. 2020;17(23):9083. https://doi.org/10.3390/ijerph17239083

(29) Robb CE; de Jager CA; Ahmadi-Abhari S; Giannakopoulou P; Udeh-Momoh C; McKeand J et al. Associations of social isolation with anxiety and depression during the early COVID-19 pandemic: A survey of older adults in London, UK. Front Psychiatry. 2020;11:591120. https://doi.org/10.3389/fpsyt.2020.591120

(30) Marroquín B; Vine V; Morgan R. Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Res. 2020;293:113419. https://doi.org/10.1016/j.psychres.2020.113419

(31) Parola A, Rossi A; Tessitore F; Troisi G; Mannarini S. Mental health through the COVID-19 quarantine: A growth curve analysis on Italian young adults. Front Psychol. 2020;11:567484. https://doi.org/10.3389/fpsyg.2020.567484

(32) Pandey D; Bansal S; Goyal S; Garg A; Sethi N; Pothiyill DI et al. Psychological impact of mass quarantine on population during pandemics — The COVID-19 Lock-Down (COLD) study. PLoS ONE. 2020;15(10):e0240501. https://doi.org/10.1371/journal.pone.0240501

(33) Lynch JW; Kaplan GA. Understanding how inequality in the distribution of income affects health. J Health Psychol. 1997;2(3):297-314. https://doi.org/10.1177/135910539700200303

(34) Hellewell J; Abbott S; Gimma A; Bosse NI; Jarvis CI; Russell TW et al. Feasibility of controlling COVID19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 2020;8(4):e488-e496. https://doi.org/10.1016/S2214-109X(20)30074-7

(35) The World Health Organization (WHO). Director General’s opening remarks at the media briefing on COVID-19 — 16 March 2020. https://bit.ly/2NqlHfC

(36) Silva LLS; Lima AFR; Polli DA; Razia PFS; Pavão LFA; Cavalcanti MAFH; Toscano CM. Medidas de distanciamento social para o enfrentamento da COVID19 no Brasil: caracterização e análise epidemiológica por estado. Cad Saúde Pública. 2020;36(9):e00185020. https://doi.org/10.1590/0102-311x00185020

(37) Shigemura J; Ursano RJ; Morganstein JC; Kurosawa M; Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281-282. https://doi.org/10.1111/pcn.12988

(38) Santos CF. Reflections about the impact of the SARS-COV-2/COVID-19 pandemic on mental health. Braz J Psychiatry. 2020;42(3):329-332. http://doi.org/10.1590/1516-4446-2020-0981

(39) Panchal N; Kamal R; Orgera K; Cox C; Garfield R; Hamel L et al. The implications of COVID-19 for mental health and substance use. The Henry J Kaiser Family Foundation. 2020. https://bit.ly/3qPmFjJ

(40) Maunder R; Hunter J; Vincent L; Bennett J; Peladeau N; Leszcz M et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-1251. https://www.cmaj.ca/content/cmaj/168/10/1245.full.pdf

(41) Xiang YT; Yang Y; Li W; Zhang L; Zhang Q; Cheung T; Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-229. https://doi.org/10.1016/S2215-0366(20)30046-8

(42) Banerjee D. The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian J Psychiatry. 2020;50:102014. https://doi.org/10.1016/J.AJP.2020.102014

(43) Jiang X; Deng L; Zhu Y; Ji H; Tao L; Liu L et al. Psychological crisis intervention during the outbreak period of new coronavirus pneumonia from experience in Shanghai. Psychiat. Res 2020;286:112903. https://doi.org/10.1016/j.psychres.2020.112903

(44) Ornell F; Schuch JB; Sordi AO; Kessler FHP. “Pandemic fear” and COVID-19: Mental health burden and strategies. Braz J Psychiatry. 2020;42(3):232-235. https://doi.org/10.1590/1516-4446-2020-0008

(45) Hawryluck L; Gold WL; Robinson S; Pogorski S; Galea S; Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10(7):1206-1212. https://doi.org/10.3201/eid1007.030703

(46) Duarte MQ; Santos MAS; Lima CP; Giordani JP; Trentini CM. Covid-19 e os impactos na saúde mental: uma amostra do Rio Grande do Sul, Brasil. Ciênc saúde coletiva. 2020;25(9):3401-3411. https://doi.org/10.1590/1413-81232020259.16472020

(47) Natividade MS; Bernardes K; Pereira M; Miranda SS; Bertoldo J; Teixeira MG et al. Distanciamento social e condições de vida na pandemia covid-19 em Salvador-Bahia, Brasil. Ciênc saúde coletiva. 2020;25(9):3385-3392. https://doi.org/10.1590/1413-81232020259.22142020

(48) Shojaei SF; Masoumi R. The importance of mental health training for psychologists in COVID19 outbreak. Middle East J Rehabil Health Stud. 2020;7(2):e102846. https://doi.org/10.5812/mejrh.102846