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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 [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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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]
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“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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In the citing paper
“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]
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“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
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Idowu, O. M., Adaramola, O. G., Aderounmu, B. S., Olugbamigbe, I. D., Dada, O. E., Osifeso, A. C., Ogunnubi, O. P., & Odukoya, O. O. (2022) · African Health Sciences · doi:10.4314/ahs.v22i1.63 · Cited by 30
Amorós-Reche, V., Belzunegui‐Pastor, À., Hurtado, G., & Espada, J. P. (2022) · Clínica y Salud · doi:10.5093/clysa2022a2 · Cited by 28
Guelmami, N., Khalifa, M. B., Chalghaf, N., Kong, J. D., Tannoubi, A., Wu, J., Azaiez, F., & Bragazzi, N. L. (2021) · JMIR Formative Research · doi:10.2196/27280 · Cited by 28
The indirect health impacts of the COVID-19 pandemic on children and adolescents: A review
Oostrom, T. G., Cullen, P., & Peters, S. A. E. (2022) · Journal of Child Health Care · doi:10.1177/13674935211059980 · Cited by 29
Faria, J. F. D., Sartori, L. R. M., Moura, C. R. D., Pinto, C. A., Teixeira, R. A., Silva, B. C. B. D., Guerreiro, P. O., Corrêa, M. B., & de Oliveira, L. J. C. (2022) · Revista da Faculdade de Odontologia de Porto Alegre · doi:10.22456/2177-0018.119070 · Cited by 26
Tardif‐Grenier, K., Archambault, I., Dupéré, V., Marks, A. K., & Olivier, É. (2021) · Psychiatric Quarterly · doi:10.1007/s11126-021-09895-x · Cited by 28
Sleep in times of crises: A scoping review in the early days of the COVID-19 crisis
Simonelli, G., Petit, D., Delage, J. P., Michaud, X., Lavoie, M. D., Morin, C. M., Godbout, R., Robillard, R., Vallières, A., Carrier, J., et al. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101545 · Cited by 26
Ulloa, R. E., Apiquián, R., de la Peña, F. R., Sánchez, R. D., Mayer, P., Palacio, J. D., Palacios‐Cruz, L., Hernández, A., García, P., & Rosetti, M. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.005 · Cited by 26
Specht, I. O., Rohde, J. F., Nielsen, A.-K., Larsen, S. C., & Heitmann, B. L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.643057 · Cited by 26
Wang, L., Chen, L., Jia, F., Shi, X., Zhang, Y., Li, F. R., Hao, Y., Hou, Y., Deng, H., Zhang, J., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.06.077 · Cited by 25
Does COVID-19 infection have an impact on children’s psychological problems?
Ahmed, G. K., Elbeh, K., Gomaa, H. M., & Soliman, S. (2021) · Middle East Current Psychiatry · doi:10.1186/s43045-021-00155-z · Cited by 25
Polizzi, C., Burgio, S., Lavanco, G., & Alesi, M. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10184170 · Cited by 25
Social network analysis of tourism data: A case study of quarantine decisions in COVID-19 pandemic
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The voices of children and young people during COVID ‐19: A critical review of methods
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A pandemia da COVID-19 na saúde da criança: Uma revisão integrativa
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Çelik, S., Tomris, G., & Tuna, D. M. (2021) · Children and Youth Services Review · doi:10.1016/j.childyouth.2021.106325 · Cited by 23
Decline in Maxillofacial Injuries during the Pandemic: The Hidden Face of COVID-19
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Lu, T., Yu, Y., Zhao, Z., & Guo, R. (2022) · Psychiatry Investigation · doi:10.30773/pi.2020.0416 · Cited by 20
Pustake, M. V., Mane, S. S., Ganiyani, M. A., Mukherjee, S., Sayed, M., Mithbavkar, V., Memon, Z., Momin, A. S., Deshmukh, K., Chordia, A., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-058609 · Cited by 19
Emotional and behavioral problems in adolescents in the context of COVID-19: a mixed method study
Peterle, C. F., Fonseca, C. L., de Freitas, B. H. B. M., Gaíva, M. A. M., Diogo, P., & Bortolini, J. (2022) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.6273.3744 · Cited by 19
Gambaran Psikologis Remaja Selama Sekolah Dari Rumah Akibat Pandemi Covid-19
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Acosta, D., Fujii, Y., Joyce‐Beaulieu, D., Jacobs, K. D., Maurelli, A. T., Nelson, E. J., & McKune, S. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168564 · Cited by 20
Covid-19 and mental health of children and adolescents: A systematic review
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Mensi, M. M., Iacopelli, M., Orlandi, M., Capone, L., Rogantini, C., Vecchio, A., Casini, E., & Borgatti, R. (2022) · Scientific Reports · doi:10.1038/s41598-022-25358-0 · Cited by 17
Tng, X., Chew, Q. H., & Sim, K. (2020) · Singapore Medical Journal · doi:10.11622/smedj.2020111 · Cited by 17
Marín‐Chollom, A. M., & Panjwani, A. A. (2022) · International Journal of Behavioral Medicine · doi:10.1007/s12529-022-10116-3 · Cited by 19
Metadata
- 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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