Psychological Impact of Quarantine on Caregivers at a Children's Hospital for Contact with Case of COVID-19

J Korean Med Sci. 2020 Jul 20;35(28):e255. doi: 10.3346/jkms.2020.35.e255.

Abstract

Quarantine often provokes negative psychological consequences. Thus, we aimed to identify the psychological and behavioral responses and stressors of caregivers quarantined with young patients after a close contact to a coronavirus disease 2019 case at a children's hospital. More than 90% of the caregivers reported feelings of worry and nervousness, while some of them reported suicidal ideations (4.2%), and/or homicidal ideations (1.4%). Fear of infection of the patient (91.7%) and/or oneself (86.1%) were most frequently reported stressors. A multidisciplinary team including infection control team, pediatrician, psychiatrist, nursing staff and legal department provided supplies and services to reduce caregiver's psychological distress. Psychotropic medication was needed in five (6.9%), one of whom was admitted to the psychiatry department due to suicidality. Quarantine at a children's hospital makes notable psychological impacts on the caregivers and a multidisciplinary approach is required.

Keywords: COVID-19; Caregivers; Psychological Response; Stressor.

MeSH terms

  • Anxiety / psychology
  • COVID-19
  • Caregivers / psychology*
  • Coronavirus Infections / psychology*
  • Coronavirus Infections / transmission
  • Disease Transmission, Infectious / prevention & control
  • Hospitals, Pediatric
  • Humans
  • Pandemics
  • Pneumonia, Viral / psychology*
  • Pneumonia, Viral / transmission
  • Quarantine / psychology*
  • Stress, Psychological / psychology*