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Cited by 203COVID-19 and Mental HealthMaternal Mental Health During Pregnancy and PostpartumMigration, Health and Trauma

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Conséquences psychopathologiques du confinement

Open access
Mengin, A., Allé, M.C., Rolling, J., Ligier, F., Schroder, C., Lalanne, L., Berna, F., Jardri, R., Vaiva, G., Geoffroy, P.A., Brunault, P., Thibaut, F., Chevance, A., Giersch, A.·2020·L Encéphale
DOI 10.1016/j.encep.2020.04.007PMC PMC7174176
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Abstract

Les effets psychologiques de l’isolement ont déjà été décrits dans la littérature (expéditions polaires, sous-marins, prison). Néanmoins, l’échelle du confinement mis en œuvre à l’occasion de la pandémie à COVID-19 est inédite. Il nous faut non seulement relire les études publiées, mais aussi anticiper les problèmes psychologiques qui pourraient survenir pendant ou à distance du confinement. Nous avons fait le choix d’aller au-delà de la littérature COVID-19 pour examiner les implications des conséquences connues du confinement : l’ennui, l’isolement social, le stress, le manque de sommeil. L’anxiété, le trouble de stress post-traumatique, la dépression et les conduites suicidaires, les conduites addictives, les violences domestiques sont des effets décrits du confinement, mais les mécanismes d’émergence de ces troubles et leurs interrelations restent à étudier. Par exemple, quels sont les mécanismes d’émergence du trouble de stress post-traumatique dans le cadre du confinement ? Nous rappelons aussi les points de vigilance à garder sur des conséquences telles que les troubles des conduites alimentaires, les hallucinations, curieusement ignorées dans la littérature sur le confinement, alors qu’une vaste littérature fait le lien entre isolement social et hallucinations. Du fait de conséquences psychopathologiques larges, il nous faut partir à la recherche des différents symptômes pour permettre leur prise en charge. Nous résumons rapidement les approches diagnostiques et thérapeutiques déjà mises en place, comme la télémédecine, qui connaît un développement rapide à l’occasion de la crise du COVID-19. The psychological effects of isolation have already been described in the literature (polar expeditions, submarines, prison). Nevertheless, the scale of confinement implemented during the COVID-19 pandemic is unprecedented. In addition to reviewing the published studies, we need to anticipate the psychological problems that could arise during or at a distance from confinement. We have gone beyond the COVID-19 literature in order to examine the implications of the known consequences of confinement, like boredom, social isolation, stress, or sleep deprivation. Anxiety, post-traumatic stress disorder, depression, suicidal or addictive behaviours, domestic violence are described effects of confinement, but the mechanisms of emergence of these disorders and their interrelationships remain to be studied. For example, what are the mechanisms of emergence of post-traumatic stress disorders in the context of confinement? We also remind the reader of points of vigilance to be kept in mind with regard to eating disorders and hallucinations. Hallucinations are curiously ignored in the literature on confinement, whereas a vast literature links social isolation and hallucinations. Due to the broad psychopathological consequences, we have to look for these various symptoms to manage them. We quickly summarize the diagnostic and therapeutic approaches already in place, such as telemedicine, which is undergoing rapid development during the COVID-19 crisis.

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Research works printed but not linked: 6

  1. Rupp, 1997, The role of boredom proneness in self-reported anger and aggression, J Soc Behav Pers, 12, 925
  2. Brodsky, 1988, Inmates in protective custody: first data on emotional effects, Forensic Rep, 1, 267
  3. Korn, 1988, The effects of confinement in the high security unit at Lexington, Soc Justice, 15, 8
  4. Korn, 1988, Follow-up report on the effects of confinement in the high security unit at Lexington, Soc Justice, 15, 20
  5. Li, 2020, The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo Users, Int J Environ Res Public Health, 17, 2032, 10.3390/ijerph17062032 · DOI · Paper page
  6. Gill, 2012, The role of loneliness and self-control in predicting problem gambling behaviour. Gambling research, J Natl Assoc Gambling Stud (Australia), 24, 18

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Metadata

Authors
Mengin, A., Allé, M. C., Rolling, J., Ligier, F., Schroder, C., Lalanne, L., Berna, F., Jardri, R., Vaiva, G., Geoffroy, P. A., Brunault, P., Thibaut, F., Chevance, A., & Giersch, A.
Affiliations
  • Inserm (FR)
  • Centre National de la Recherche Scientifique (FR)
  • Interdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes – Région Est (FR)
  • Université de Tours (FR)
Corresponding author
Giersch, A.
ORCID
Venue
L Encéphale
Publisher
Elsevier BV
Published
2020-06
Volume
46
Issue
3
Pages
S43-S52
ISSN
0013-7006 (ISSN-L)
DOI
10.1016/j.encep.2020.04.007
PMC
PMC7174176
OpenAlex
W3020658509
Cited by
203
References
129
Citations by year
2026: 3 · 2025: 10 · 2024: 16 · 2023: 30 · 2022: 49 · 2021: 57 · 2020: 38
FWCI
17.36
Type
journal article
Language
fr
Open access
Licence
Locations
  • L Encéphale (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
confinement, COVID-19 pandemic, psychological impact, social isolation, boredom, stress, sleep deprivation, anxiety, post-traumatic stress disorder, depression, suicidal behavior, addictive behavior, domestic violence, eating disorders, hallucinations, telemedicine, mental health services, telecare
MeSH terms
Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Anxiety Disorders, Feeding and Eating Disorders, Boredom, Child, Child Abuse, Delivery of Health Care, Depression, France, Hallucinations, Health Services Accessibility, Humans, Mental Health Services, Patient Isolation, Pneumonia, Viral, Sleep Wake Disorders, Social Isolation, Stress Disorders, Post-Traumatic, Suicide, Behavior, Addictive, Telemedicine, Domestic Violence, Coronavirus Infections, Pandemics

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