Mental Health Problems of Individuals Under the Stay-Home Policy

Article information

Psychiatry Investig. 2020;17(7):712-713
Publication date (electronic) : 2020 July 14
doi : https://doi.org/10.30773/pi.2020.0219
1Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2John Radcliffe Hospital, University of Oxford, Oxford, UK
3Radcliffe Department of Medicine, University of Oxford, Oxford, UK
Correspondence: Xiaojun Wang, MD, PhD Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 of Shuaifuyuan, District Dongcheng, Beijing 100730, China Tel: +86-10-69158640, Fax: +86-10-69158640, E-mail: pumchwxj@yahoo.com
*

These authors contributed equally to this work.

Received 2020 June 8; Revised 2020 June 12; Accepted 2020 June 18.

With the pandemic of COVID-19, governments have successively adopted measures of asking people to reduce social activities, or staying at home entirely, which are indeed beneficial to the protection of susceptible people [1]. However, at the same time, the mental health problems of the home-staying population have also increased. We conducted an online survey approved by the institutional ethics committee (S-K1173) investigating 2,392 home-staying Chinese individuals in the UK and China who were without a previous history of mental illness. All the participants were voluntarily involved. The results showed, during staying at home period, 60.11% experienced depression, 53.09% experienced sleep disturbance, 46.91% with irritability, and 48.2% with decreased libido. 76.12% of the individuals in the survey had sleep and circadian disorders. Nearly 80% of the people had indoor activities less than 30 minutes per day and 82.02% didn’t do outdoor activities at all. 30% of people stayed single alone, lacking social support. The average time of the participants last left home was 5.47 days ago. From the promulgation of the stay-home policy to the present, the longest indoor stay time of the participants was 14.60 days on average, among whom, the maximum time of an individual staying indoors was 67 days. We also preliminarily noticed that the frequency and severity of these symptoms seem to be closely related to the time of staying indoors.

Many reasons may lead to mental health problems, among which it may be related to the panic of the disease or income reduction, but we excluded these individuals by the setting questions in the survey. Other reasons, like sleep and circadian disorders, lack of social support, and reduced physical activity, should be considered related to mental health problems, which we will try to discuss the specific mechanism by further studies.

Mental health problems affect individual health, such as the increased risk of metabolic diseases and reduced immunity, increasing the risk of COVID-19 infection [2]. It may also affect family relations, as reported there has been a surge of divorce in China after locking down [3], leading to social problems. Mental health problems will have potentially negative feedback on the feelings of people on stay-home policy, decreasing their support for the epidemic prevention policies of governments, as well as the political and social stability. Under the current circumstances of lacking effective treatment and vaccines, stay-home policy or other policies that restrict social activities may be reserved longer in some countries. If so, governments or scientists should seek to countermeasure to minimize the impact of the mental health of individuals.

Acknowledgements

None.

Notes

The authors have no potential conflicts of interest to disclose.

Author contribution

Conceptualization: Hayson Chenyu Wang, Xiaojun Wang. Data curation: Hayson Chenyu Wang, Wenyun Ting. Formal analysis: Zhijin Li. Investigation: Elliot Tianyu Sun. Software: Zhijin Li, Elliot Tianyu Sun. Supervision: Xiaojun Wang. Writing—original draft: Hayson Chenyu Wang, Wenyun Ting. Writing—review & editing: Xiaojun Wang.

References

1. Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis (Berl) 2020;7:85–90.
2. Morey JN, Boggero IA, Scott AB, Segerstrom SC. Current directions in stress and human immune function. Curr Opin Psychol 2015;5:13–17.
3. Strain of life under lockdown sparks divorce surge in China. Financial Times. Available at: https://www.ft.com/content/11990ff0-c8f5-4f60-9b0a-be06324a4ddb. Accessed April 3, 2020.

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