The effect of nationwide quarantine on anxiety levels during the COVID-19 outbreak in China

Background In the recent outbreak of COVID-19, many countries have enacted various kinds of quarantine measures to slow down the explosive spread of COVID-19. Although these measures were proven to be successful in stopping the outbreak in China, the potential adverse effects of countrywide quarantine have not been thoroughly investigated. Methods In this study, we performed an online survey to evaluate the psychological effects of quarantine using the Zung Self-rating Anxiety Scale in February 2020 when the outbreak had nearly peaked in China. Along with the anxiety scores, limited personal information, such as age, gender, region, education, occupation, and specifically, the type and duration of quarantine, was collected for analysis. Results From a total of 992 valid questionnaires from 23 provinces in China, clinically significant anxiety symptoms were observed in 9.58% of respondents according to clinical diagnostic standards in China. The specific groups of people showing higher levels of anxiety were (a) adolescents (<18 years); (b) respondents with education lower than junior high school; (c) people with chronic diseases; and (d) frontline medical personnel. Other characteristics, such as gender, marital status, region, and acquaintance with suspected or confirmed cases of COVID-19, did not affect anxiety levels significantly. Respondents who experienced different forms of quarantine showed different anxiety levels. People undergoing centralized quarantine have higher levels of anxiety. Unexpectedly, longer durations of quarantine did not lead to a significant increase in anxiety level. Conclusions Our results suggest a rather mild psychological influence caused by the countrywide quarantine during the COVID-19 outbreak in China and provide a reference for other countries and regions battling COVID-19.

Automated summary

Our study found that 9.58% of respondents in China showed clinically significant anxiety symptoms. Adolescents, those with lower education levels, individuals with chronic illnesses, and frontline medical personnel exhibited higher levels of anxiety.