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Mass quarantine and mental health during COVID-19: A meta-analysis

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Jin, Yuchang, Sun, Tengwei, Zheng, Peixuan, An, Junxiu·2021·Journal of Affective Disorders

Abstract

To reveal the complex relationships between quarantine and mental health during COVID-19, a meta-analysis was conducted involving 34 articles and a total sample size of 134,061. As the relationship between quarantine and mental health was found to be affected by the sampling objects and national factors, a random-effects model was applied for the meta-analysis. First, a heterogeneity test and sensitivity analysis were conducted to determine whether there was heterogeneity in the samples, after which a funnel chart, Rosenthal's Classic Fail-safe N test and Egger's test were applied to further determine whether there was publication bias in the included samples. Finally, a sub-group test was used to explore whether the sampling group and the country of origin had a moderating effect on the relationship between quarantine and mental health, which revealed that the relationship between quarantine and mental health was regulated and influenced by the sampled objects but was not affected by the country categories. The results indicated that: COVID-19 quarantine had varying impacts on individual anxiety, depression, and psychological stress; different groups had different regulatory effects on the relationship between quarantine and mental health; and country of origin had no moderating effect on quarantine and psychology. Background COVID-19 is the most important topic in 2020, and mass quarantine is the measures for pandemic prevention and control around the world since 2020. To explore the relationships between mass quarantine and mental health during COVID-19, a meta-analysis was conducted involving 28 articles and a total sample size of 134,061. Method As the relationship between mass quarantine and mental health was found to be affected by the sampling objects and national factors, a random-effects model was applied for the meta-analysis. First, a heterogeneity test and sensitivity analysis were conducted to determine whether there was heterogeneity in the samples, after which a funnel chart, Rosenthal's Classic Fail-safe N test and Egger's test were applied to further determine whether there was publication bias in the included samples. Finally, a sub-group test was used to explore whether the sampling group and the country of origin had a moderating effect on the relationship between mass quarantine and mental health. Results COVID-19 quarantine had varying impacts on individual anxiety, depression, and psychological stress; different groups had different regulatory effects on the relationship between quarantine and mental health; and country of origin had no moderating effect on quarantine and mental health. Conclusions This study employed a meta-analysis to examine the relationships between the COVID-19 pandemic mass quarantine measures and mental health factors such as anxiety, depression and stress, from which it was found that influence of quarantine on anxiety was stronger, the relationship between quarantine and mental health was affected by the sampled object, and there was no significant relationship between quarantine and country of origin in the sample population.

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  • Behavioral activation may be especially crucial during pandemic times because engagement with typical mood-boosting reinforcers dwindles to preserve social distancing and cope with quarantining.

    “Further, we argue that behavioral activation may be especially crucial during pandemic times, as engagement with typical mood-boosting reinforcers (e.g., social interaction) dwindles to preserve social distancing and cope with quarantining (Benke et al., 2020;Jin et al., 2021).”

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Authors
Jin, Y., Sun, T., Zheng, P., & An, J.
Affiliations
  • Sichuan Normal University (CN)
  • University of Alabama (US)
  • Chengdu University of Information Technology (CN)
Corresponding author
  • Sun, Tengwei
  • An, Junxiu
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2021-12
Volume
295
Pages
1335-1346
ISSN
0165-0327 (ISSN-L)
OpenAlex
W3196535734
Cited by
135
References
25
Citations by year
2026: 4 · 2025: 20 · 2024: 23 · 2023: 55 · 2022: 33
FWCI
3.69
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Sichuan Normal University (2021-SZPY-04)
  • Humanities and Social Science Fund of Ministry of Education of China (20YJA880023)
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 › Communication › Communication and COVID-19 Impact
Keywords
COVID-19 pandemic, mental health, anxiety, depression, psychological stress
MeSH terms
COVID-19, SARS-CoV-2, Anxiety, Depression, Humans, Mental Health, Quarantine, Pandemics

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