Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic
Open accessAbstract
Objectives To examine a cohort of children and adolescents quarantined during Coronavirus disease 2019 outbreak in India and to describe their understanding of, compliance with and the psychological impact of quarantine experience.Methods One hundred twenty one children and adolescents along with their parents were interviewed regarding their compliance and psychological distress during the quarantine period. A comparable data was also obtained from 131 children and adolescents who were not quarantined.Results Most of the children and adolescents were non-compliant as compliance with all requirements was low (7.43%), though compliance with community protective measures (17.35%) was better than compliance with household protective measures (10.71%). Quarantined children and adolescents experienced greater psychological distress than non-quarantined children and adolescents (p ˂0.001). Worry (68.59%), helplessness (66.11%) and fear (61.98%) were the most common feelings experienced under quarantine.Conclusions The low compliance with quarantine requirements as seen in this study raises a serious concern about the effectiveness of quarantine as a preventive measure of disease transmission. Compliance and mental health problems can be improved by providing adequate financial support and enhanced knowledge about pandemic planning.
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Depression and anxiety were higher among children and adolescents in other pandemics, and specifically COVID-19.
“Depression and anxiety were higher among children and adolescents in other pandemics, and specifically COVID‑19 [22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
The Results and Discussion (pp. 535–536) report greater psychological distress, including worry, fear and nervousness, among children and adolescents quarantined during COVID-19 than among those not quarantined. They do not establish that depression and anxiety specifically were higher in these children, or that both were higher among children during other pandemics; the discussion of depression in earlier quarantine studies concerns adults. (LLM, conf=0.87)
Experimental — accuracy not yet measuredLifestyle transformation such as school closure, physical distancing, quarantine, isolation, and the threat of being infected is associated with depression and anxiety disorders among children and adolescents.
“Seven studies reported that lifestyle transformation such as school closure, physical distancing, quarantine, isolation, and the threat of being infected is associated with depression and anxiety disorders among children and adolescents [18,21,24,25,29,30,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
The Results report significantly more psychological problems among quarantined children and adolescents, including fear, nervousness and anxiety-related insomnia. The Discussion also links school closure and confinement to psychological problems. The paper does not establish depression or anxiety disorders in these children, or separately assess physical distancing as a cause; its mention of depression concerns studies of quarantined adults. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDepression and anxiety disorders are associated with school closure, physical-distancing measures, and increased time online during pandemics.
“Because depression and anxiety disorders are associated with the closure of schools, physical-distancing measures, and the increased time that children and adolescents spend online during pandemics [18,21,24,25,29,30,34], delivering informative educational materials through online media will give adolescents an opportunity to utilize their online hours productively by staying well-informed.”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
The Discussion links school closure, restricted activity and confinement during lockdown to psychological problems in children and adolescents; the Results report greater distress among quarantined children. The paper does not establish an association between increased time online and depression or anxiety, and it reports psychological distress rather than diagnosed depression and anxiety disorders. The indexed passages do not specify page numbers. (LLM, conf=0.87)
Experimental — accuracy not yet measuredKeeping children and adolescents well informed will alleviate psychological distress and associated risky social and behavioral problems.
“As a result, it will alleviate the psychological distress and associated risky social and behavioral problems of children and adolescents, as we reported earlier [23,24,26,27,30,32].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
The Discussion recommends increasing children’s access to disease information to minimise psychological effects and says improved knowledge can improve quarantine compliance. It does not establish that keeping children informed alleviates associated risky social and behavioral problems more broadly; the information-related behavioral finding is limited to quarantine compliance. The indexed passages do not identify individual page numbers. (LLM, conf=0.83)
Experimental — accuracy not yet measuredThe COVID-19 pandemic has significantly affected the emotional and behavioral experience of children and adolescents.
“on the COVID‑19 pandemic reported that the current pandemic has significantly affected the emotional and behavioral experience of children and adolescents [22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
Psychological distress of fear, helplessness, worry, anxiety-related insomnia, isolation, boredom, and sadness was more common in the quarantine group.
“The psychological distress of fear, helplessness, worry, anxiety-related insomnia, isolation, boredom, and sadness was more common in the quarantine group [30].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [30]
Quarantine increased the incidence of psychological problems, such as fear, nervousness, and boredom.
“Quarantine increased the incidence of psychological problems, such as fear, nervousness, and boredom.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
Quarantine at childhood/adolescence increases the incidence of fear (61.98%; p=0.001).
“fear (61.98%; p=0.001)”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
Psychological problems, including anxiety, sadness, depression, and guilt, are direct consequences of the confinement process in children and adolescents.
“Psychological problems, including anxiety, sadness, depression, and guilt, were raised as direct consequences of the confinement process. 3 , 18”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
Quarantine at childhood/adolescence increases the incidence of helplessness (66.11%; p=0.039).
“helplessness (66.11%; p=0.039)”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
Quarantine at childhood/adolescence increases the incidence of nervousness (60.33%; p=0.001).
“nervousness (60.33%; p=0.001)”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
Quarantine at childhood/adolescence increases the incidence of worry (68.59%; p=0.069).
“Saurabh et al. 3 pointed out how the experience of a quarantine at this age increases the incidence of worry (68.59%; p=0.069)”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
The inclusion of an article carried out during the COVID-19 pandemic that analyzed its impacts on adolescent development made it impossible to have a complete view of the consequences of long-term isolation of young people.
“some limitations present in the meta-analysis should be considered, such as the inclusion of an article 3 carried out during the COVID-19 pandemic that analyzed its impacts on the development of adolescents, so it was impossible to have a complete view of the consequences in long-term isolation of young people.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [3]
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- Authors
- Saurabh, K., & Ranjan, S.
- Affiliations
- Nalanda Medical College and Hospital (IN)
- Corresponding author
- Ranjan, Shilpi
- ORCID
- Ranjan, Shilpi
- Venue
- The Indian Journal of Pediatrics
- Published
- 2020-05-29
- Volume
- 87
- Issue
- 7
- Pages
- 532-536
- ISSN
- 0019-5456 (ISSN-L)
- 0973-7693
- PMC
- PMC7257353
- OpenAlex
- W3031414601
- Cited by
- 468
- References
- 16
- Citations by year
- 2026: 4 · 2025: 20 · 2024: 51 · 2023: 91 · 2022: 125 · 2021: 142 · 2020: 35
- FWCI
- 39.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Indian Journal of Pediatrics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- COVID-19 quarantine, children and adolescents, quarantine compliance, psychological distress, worry, helplessness, fear, parental attitudes, mental health, India
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Child, Female, Humans, India, Male, Patient Compliance, Pneumonia, Viral, Quarantine, Coronavirus Infections, Pandemics
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