The COVID-19 pandemic, social isolation, consequences on mental health and coping strategies: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4548

Keywords:

Adaptation strategy; Quarantine; SARS-CoV-2; Mental health.

Abstract

Objective: to carry out an analysis of the consequences for mental health arising from the period of social isolation during the COVID-19 pandemic and to foreshadow coping strategies to minimize them. Methodology: this is an integrative literature review, carried out based on the search for scientific publications indexed in the databases: MEDLINE via PubMed, Europe PMC, Lilacs and SciELO. The following descriptors were used: COVID-19, social isolation, pandemics and mental health. At the end of the searches, 49 publications met the eligibility criteria and were selected to compose the study. Results: in view of the findings extracted from the selected studies, it was noticed that individuals subjected to social isolation are more susceptible to presenting mental health disorders, due to deprivation and social restraint, with symptoms of psychological distress, especially related to stress, anxiety and depression. Conclusion: this study allowed us to reflect on the need to ensure clear and informative communication on strategies to reduce these symptoms of psychological distress, in addition to providing fundamental psychological and social support for these vulnerable individuals.

Author Biographies

Mara Dantas Pereira, Tiradentes University - UNIT

Graduated in Psychology at Tiradentes University - UNIT (2019). He is currently a Senior Member of the Tiradentes Psychoanalysis League - LIPT/UNIT; Collaborator and Member of the Human Motricity Biosciences Laboratory League - LABIMH / UNIT and Member of the Education, Technologies and Contemporary Research Group - GPETEC/UNIT

Leonita Chagas de Oliveira, Graduated in Psychology at Tiradentes University - UNIT, Aracaju/SE, Brazil. Master's student in Psychology at the Federal University of Alagoas - UFAL, Maceió/AL, Brazil.

Federal University of Alagoas - UFAL

Cleberson Franclin Tavares Costa, Tiradentes University - UNIT

Master and Doctor by the Postgraduate Program in Health and Environment - PSA, from Tiradentes University - UNIT, Aracaju/SE, Brazil.

Professor in the Department of Psychology at Universidade Tiradentes - UNIT, Aracaju/SE, Brazil.

Collaborator and Member of the Human Motricity Biosciences Laboratory - LABIMH, Tiradentes University - UNIT, Aracaju/SE, Brazil.

Claudia Mara de Oliveira Bezerra, Tiradentes University - UNIT

Master in Psychology from the Federal University of Sergipe - UFS, Aracaju/SE, Brazil.

Professor and Perceptor in the Department of Psychology at Universidade Tiradentes - UNIT, Aracaju/SE, Brazil.

Míria Dantas Pereira, Tiradentes University - UNIT

Graduated in Pharmacy from Universidade Tiradentes - UNIT (2019). She is currently Collaborator and Member of the Laboratory of Biosciences of Human Motricity Laboratory - LABIMH/UNIT.

Cristiane Kelly Aquino dos Santos, Tiradentes University - UNIT

Master and PhD student at the Postgraduate Program in Health and Environment - PSA, from Tiradentes University - UNIT, Aracaju/SE, Brazil.

Collaborator and Member of the Laboratory of Biosciences of Human Motricity - LABIMH, Tiradentes University - UNIT, Aracaju/SE, Brazil.

Estélio Henrique Martin Dantas, Tiradentes University - UNIT/Federal University of the State of Rio de Janeiro - UNIRIO

Master in Education from the State University of Rio de Janeiro (1986); PhD in Physical Education by the State University of Rio de Janeiro (1988) and post-doctorate in Psychophysiology at the University Gama Filho (1998).

Professor in the Post-Graduate Program in Health and Environmental Sciences - PSA, at Tiradentes University - UNIT, Aracaju/SE, Brazil.

Professor in the Strict Sensitive Postgraduate Program in Nursing and Biosciences - PPgEnfBio, at the Federal University of the State of Rio de Janeiro - UNIRIO, Rio de Janeiro/RJ, Brazil.

Leading Researcher at the Human Motricity Biosciences Laboratory - LABIMH, Tiradentes University - UNIT, Aracaju/SE, Brazil.

References

Almeida, I., Santos, D., & Flor Do Nascimento, W. (2014). As medidas de quarentena humana na saúde pública: aspectos bioéticos. Bioethikos, 8(2), 174–185. doi: https://doi.org/10.15343/1981-8254.20140802174185

Aquino, E., Silveira, I. H., Pescarini, J., Aquino, R., & Souza-Filho, J. A. (2020). Medidas de distanciamento social no controle da pandemia de COVID-19: Potenciais impactos e desafios no Brasil. Ciênc. Saúde Coletiva Preprints. Disponível em: http://www.cienciaesaudecoletiva.com.br/artigos/medidas-de-distanciamento-social-no-controle-da-pandemia-de-covid19-potenciais-impactos-e-desafios-no-brasil/17550

Araujo, L. F. S. C., & Machado, D. B. (2020). Impact of COVID-19 on mental health in a Low and Middle-Income Country (LMIC). Ciênc. Saúde Coletiva Preprints. Disponível em: http://www.cienciaesaudecoletiva.com.br/artigos/impact-of-covid19-on-mental-health-in-a-low-and-middleincome-country-lmic/17557

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet Infect Dis, 395(10227), 912–920. doi: https://doi.org/10.1016/S0140-6736(20)30460-8

Cetron, M., & Simone, P. (2004). Battling 21st-century scourges with a 14th-century toolbox. Emerging Infectious Diseases, 10(11), 2053–2054. doi: https://doi.org/10.3201/eid1011.040797_12

CFESS, Conselho Federal de Serviço Social. (2020). Normativas sobre a COVID-19 (Coronavírus). Disponível em: http://www.cfess.org.br/arquivos/OrientacaoNormat32020.pdf

CRP-GO, Conselho Regional de Psicologia de Goiás (2020, March 20). Nova Resolução do CFP orienta categoria sobre atendimento on-line durante pandemia da Covid-19. Disponível em: http://www.crp09.org.br/portal/noticia/2511-nova-resolucao-do-cfp-orienta-categoria-sobre-atendimento-on-line-durante-pandemia-da-covid-19

CRP-PR, Conselho Regional de Psicologia do Paraná. (2020). COVID-19: Atendimento online poderá ser feito sem confirmação de cadastro no e-Psi. Disponível em: https://crppr.org.br/covid19-e-psi/

CRP-SP, Conselho Regional de Psicologia de São Paulo. (2020). Comunicado do CRP SP sobre a Portaria 639/2020 do Ministério da Saúde. Disponível em: https://www.crpsp.org/noticia/view/2474/comunicado-do-crp-sp-sobre-a-portaria-6392020-do-ministerio-da-saude

Cyranoski, D. (2020). What China’s coronavirus response can teach the rest of the world. In Nature, 579 (7800), 479–480. doi: https://doi.org/10.1038/d41586-020-00741-x

Dong, L., & Bouey, J. (2020). Public Mental Health Crisis During COVID-19 Pandemic, China. Emerg. Infect. Dis. Preprints. doi: https://pubmed.ncbi.nlm.nih.gov/32202993/

DOU, Diário Oficial da União do Brasil. (2020). Portaria No 340, de 30 de março de 2020. Disponível em: http://www.in.gov.br/en/web/dou/-/portaria-n-340-de-30-de-marco-de-2020-250405535

Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. In The Lancet Psychiatry, 7(4), 300–302. doi: https://doi.org/10.1016/S2215-0366(20)30073-0

Enumo, S. R. F., Weide, J. N., Vicentini, E. C. C., Araujo, M. F., & Machado, W. L. (2020). Coping with stress in pandemic times: A booklet proposal. SciELO Preprints, 1–35. doi: https://doi.org/10.1590/SCIELOPREPRINTS.100

FIOCRUZ, Fundação Oswaldo Cruz. (2020a). Cartilha Saúde Mental e Atenção Psicossocial - Informações Gerais. Disponível em: https://portal.fiocruz.br/documento/cartilha-saude-mental-e-atencao-psicossocial-na-pandemia-covid-19

FIOCRUZ, Fundação Oswaldo Cruz. (2020b). Cartilha Saúde Mental e Atenção Psicossocial - Recomendações para Gestores. Disponível em: https://portal.fiocruz.br/documento/saude-mental-e-atencao-psicossocial-na-pandemia-covid-19-recomendacoes-para-gestores

Gagliato, M. (2020). Guia Preliminar como lidar com os aspectos Psicossociais e de Saúde mental referente ao surto de COVID – 19. Versão 1.5. Disponível em: https://interagencystandingcommittee.org/system/files/2020-03/IASC Interim Briefing Note on COVID-19 Outbreak Readiness and Response Operations - MHPSS %28Portuguese%29.pdf

Galderisi, S., Heinz, A., Kastrup, M., Beezhold, J., & Sartorius, N. (2015). Toward a new definition of mental health. In World Psychiatry, 14(2), 231–233. doi: https://doi.org/10.1002/wps.20231

Garrido, R. G., & Garrido, F. S. R. G. (2020). COVID-19: Um panorama com ênfase em medidas restritivas de contato interpessoal. Interfaces Científicas - Saúde e Ambiente, 8(2), 127–141. doi: https://doi.org/10.17564/2316-3798.2020V8N2P127-141

GlobalMed, Global Medicina Clínica. especialistas ao seu alcance. (2020). Psiquiatra Online: saiba tudo sobre essa novidade. Disponível em: https://www.globalmedclinica.com.br/psiquiatra-online/

Ho, C. S., Chee, C. Y., & Ho, R. C. (2020). Mental Health Strategies to Combat the Psychological Impact of COVID-19 Beyond Paranoia and Panic. Ann Acad Med Singapore, 49(3), 155–160. doi: https://pubmed.ncbi.nlm.nih.gov/32200399/

Hossain, M. M., Sultana, A., & Purohit, N. (2020). Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence. PsyArXiv Preprints, 1–27. doi: https://doi.org/10.31234/OSF.IO/DZ5V2

Johnson, M. C., Saletti-Cuesta, L., & Tumas, N. (2020). Emociones, preocupaciones y reflexiones frente a la pandemia del COVID-19 en Argentina. Ciência & Saúde Coletiva Preprints. Disponível em: http://www.cienciaesaudecoletiva.com.br/artigos/emociones-preocupaciones-y-reflexiones-frente-a-la-pandemia-del-covid19-en-argentina/17552

Kentish-Barnes, N., Chaize, M., Seegers, V., Legriel, S., Cariou, A., Jaber, S., Lefrant, J. Y., Floccard, B., Renault, A., Vinatier, I., Mathonnet, A., Reuter, D., Guisset, O., Cohen-Solal, Z., Cracco, C., Seguin, A., Durand-Gasselin, J., Éon, B., Thirion, M., Azoulay, E. (2015). Complicated grief after death of a relative in the intensive care unit. EUR RESPIR J, 45(5), 1341–1352. doi: https://doi.org/10.1183/09031936.00160014

Kraemer, M. U. G., Yang, C.-H., Gutierrez, B., Wu, C.-H., Klein, B., Pigott, D. M., Plessis, L.D., Faria, N. R., Li, R., Hanage, W. P., Brownstein, J. S., Layan, M., Vespignani, A., Tian, H., Dye, C., Pybus, O. G., & Scarpino, S. V. (2020). The effect of human mobility and control measures on the COVID-19 epidemic in China. Science Preprints, 1–10. doi: https://doi.org/10.1126/science.abb4218

Lancet. (2020). COVID-19: protecting health-care workers. In The Lancet, 395(10228), 922. doi: https://doi.org/10.1016/S0140-6736(20)30644-9

Lewnard, J. A., & Lo, N. C. (2020). Scientific and ethical basis for social-distancing interventions against COVID-19. Lancet Infect Dis, 1(1), 1–2. doi: https://doi.org/10.1016/s1473-3099(20)30190-0

Lima, C. K. T., Carvalho, P. M. M., Lima, I. A. A. S., Nunes, J. V. A. O., Saraiva, J. S., Souza, R. I., Silva, C. G. L., & Neto, M. L. R. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). In Psychiatry Research, 287(1), 1–2. doi: https://doi.org/10.1016/j.psychres.2020.112915

Lima, D. L. F. (2020). COVID-19 no Estado do Ceará: Comportamentos e crenças na chegada da pandemia. Ciênc. Saúde Coletiva Preprints. Disponível em: http://www.cienciaesaudecoletiva.com.br/artigos/covid19-no-estado-do-ceara-comportamentos-e-crencas-na-chegada-da-pandemia/17540

Lima, D. S., Alberto, J., Leite, D., Vinicius, M., Araújo, S., Aguiar, A. F., Farias, E., Xavier, F., Maia, F., Castro, M. D. V., Diniz, A. G., Cesar, G., Borges, D. O., Augusto, M., & Ribeiro, F. (2020). Recommendations for emergency surgery during the COVID-19 pandemic. CJMB, 8(1), 1–3. doi: https://doi.org/10.12662/2317-3076jhbs.v8i1.3176.p1-3.2020

McCloskey, B., Zumla, A., Ippolito, G., Blumberg, L., Arbon, P., Cicero, A., Endericks, T., Lim, P. L., & Borodina, M. (2020). Mass gathering events and reducing further global spread of COVID-19: a political and public health dilemma. Lancet Infect Dis, 395(10230), 1096–1099. doi: https://doi.org/10.1016/S0140-6736(20)30681-4

Memish, Z. A., Perlman, S., Van Kerkhove, M. D., & Zumla, A. (2020). Middle East respiratory syndrome. Lancet Infect Dis, 395(10229), 1063–1077. doi: https://doi.org/10.1016/S0140-6736(19)33221-0

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., Atkins, D., Barbour, V., Barrowman, N., Berlin, J. A., Clark, J., Clarke, M., Cook, D., D’Amico, R., Deeks, J. J., Devereaux, P. J., Dickersin, K., Egger, M., Ernst, E., Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), 1–6. doi: https://doi.org/10.1371/journal.pmed.1000097

MS-Brasil, Ministério da Saúde do Brasil. (2020). Influência da COVID-19 na Saúde Mental de Profissionais de Saúde Survey. Secretaria de Gestão Do Trabalho e Da Educação Em Saúde (SGTES) e Associação Brasileira de Psiquiatria (ABP). Disponível em: https://pt.surveymonkey.com/r/Covid-19_SaudeMental_SGTES

MS Argentina, Ministerio de Salud Argentino. (2020). COVID-19 Recomendaciones para la asistencia y continuidad de la atención ambulatoria en salud mental durante la pandemia. Disponível em: http://www.msal.gob.ar/images/stories/bes/graficos/0000001885cnt-covid-19_recomendaciones-asistencia-atencion-ambulatoria-salud-mental.pdf

Oliveira, L. D. (2020). Espaço e Economia: Novos Caminhos, Novas Tensões. Espaço e Economia, 1(17), 1–13. doi: https://doi.org/10.4000/espacoeconomia.93

OPS/OMS, Organização Pan-Americana da Saúde, Unidade de Saúde Mental e Uso de Substâncias. (2016). Protección de la salud mental y atención psicosocial en situaciones de epidemias. Disponível em: https://www.paho.org/disasters/index.php?option=com_docman&view=download&category_slug=informes-tecnicos&alias=2539-proteccion-salud-mental-atencion-psicosocial-situaciones-epidemias-2016-539&Itemid=1179&lang=en

Pimentel, A. D. S. G., & Silva, M. N. R. M. O. (2020). Psychic Health in times of Corona Virus. Research, Society and Development, 9(7), 1–13. doi: https://doi.org/10.33448/rsd-v9i7.3602

Ramírez-Ortiz, J., Castro-Quintero, D., Lerma-Córdoba, C., Yela-Ceballos, F., & Escobar-Córdoba, F. (2020). Consecuencias de la pandemia COVID-19 en la Salud Mental asociadas al aislamiento social. SciELO Preprints, 1–21. doi: https://doi.org/10.1590/SCIELOPREPRINTS.303

Reis-Filho, J. A., & Quinto, D. (2020). COVID-19, social isolation, artisanal fishery and food security: How these issues are related and how important is the sovereignty of fishing workers in the face of the dystopian scenario. SciELO Preprints, 1–26. doi: https://doi.org/10.1590/SCIELOPREPRINTS.54

Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V. (2020). Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J. Psychiatry, 51(1), 1–16. doi: https://doi.org/10.1016/j.ajp.2020.102083

Rubin, G. J., & Wessely, S. (2020). The psychological effects of quarantining a city. In The BMJ, 368(1), 368. doi: https://doi.org/10.1136/bmj.m313

Santos, C. M. D. C., Pimenta, C. A. D. M., & Nobre, M. R. C. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. In Rev. Latino-Am. Enfermagem, 15(3), 508–511. doi: https://doi.org/10.1590/S0104-11692007000300023

Schmidt, B., Crepaldi, M. A., Bolze, S. D. A., Neiva-Silva, L., & Demenech, L. M. (2020). Impactos na Saúde Mental e Intervenções Psicológicas Diante da Pandemia do Novo Coronavírus (COVID-19). SciELO Preprints, 1–26. doi: https://doi.org/10.1590/SCIELOPREPRINTS.58

Schuchmann, A. Z., Schnorrenberger, B. L., Chiquetti, M. E., Gaiki, R. S., Raimann, B. W., & Maeyama, M. A. (2020). Isolamento social vertical X Isolamento social horizontal: os dilemas sanitários e sociais no enfrentamento da pandemia de COVID-19. Brazilian Journal of Health Review, 3(2), 3556–3576. doi: https://doi.org/10.34119/bjhrv3n2-185

Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281–282. doi: https://doi.org/10.1111/pcn.12988

Sifuentes-Rodríguez, E., & Palacios-Reyes, D. (2020). Covid-19: The outbreak caused by a new coronavirus. Bol Med Hosp Infant Mex, 77(2), 47–53. doi: https://doi.org/10.24875/BMHIM.20000039

Silva, C. C., Savian, C. M., Prevedello, B. P., Zamberlan, C., Dalpian, D. M., & Santos, B. Z. dos. (2020). Access and use of dental services by pregnant women: An integrative literature review. Ciencia e Saude Coletiva, 25(3), 827–835. doi: https://doi.org/10.1590/1413-81232020253.01192018

Singhal, T. (2020). A Review of Coronavirus Disease-2019 (COVID-19). In Indian J Pediatr., 87(4), 281–286. doi: https://doi.org/10.1007/s12098-020-03263-6

Souza, M. T., Silva, M. D., & Carvalho, R.. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. doi: https://doi.org/10.1590/s1679-45082010rw1134

Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370(9603), 1960–1973. doi: https://doi.org/10.1016/S0140-6736(07)61816-9

Sun, Y., Bao, Y., & Lu, L. (2020). Addressing mental health care for bereavements during COVID-19 pandemic. Psychiatry and Clinical Neurosciences Preprints, 1–5. doi: https://doi.org/10.1111/pcn.13008

Taylor, S. (2019). The psychology of pandemics : preparing for the next global outbreak of infectious disease (1st ed., Vol. 1). Cambridge Scholars Publishing. Disponível em: https://www.cambridgescholars.com/the-psychology-of-pandemics

Tenório, F. G. (2020). A Questão Social Acrescida. NAU Social, 11(20), 105–109. Disponível em: https://cienciasmedicasbiologicas.ufba.br/index.php/nausocial/article/view/36634

Van Bortel, T., Basnayake, A., Wurie, F., Jambai, M., Koroma, A. S., Muana, A. T., Hann, K., Eaton, J., Martin, S., & Nellums, L. B. (2016). Effets psychosociaux d’une flambée de maladie à virus ebola aux échelles individuelle, communautaire et international. Bull World Health Organ, 94(3), 210–214. doi: https://doi.org/10.2471/BLT.15.158543

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health, 17(5), 1–25. doi: https://doi.org/10.3390/ijerph17051729

Wang, Y., Zhao, X., Feng, Q., Liu, L., Yao, Y., & Shi, J. (2020). Psychological assistance during the coronavirus disease 2019 outbreak in China. J Health Psychol. Preprints, 1–5. doi: https://doi.org/10.1177/1359105320919177

WHO, World Health Organization. (2020a). (COVID-19) situation reports - 115. Disponível em: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200514-covid-19-sitrep-115.pdf?sfvrsn=3fce8d3c_6

WHO, World Health Organization. (2020b). Mental health and psychosocial considerations during the COVID-19 outbreak. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/331490/WHO-2019-nCoV-MentalHealth-2020.1-eng.pdf?sequence=1&isAllowed=y

WHO, World Health Organization. (2018c). Mental health: strengthening our response. Disponível em: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response

WHO, World Health Organization. (2020d). Q&A on coronaviruses (COVID-19). Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses

Wilder-Smith, A., & Freedman, D. O. (2020). Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J. Travel Med, 27(2), 1–4. Disponível em: https://academic.oup.com/jtm/article/27/2/taaa020/5735321

Wind, T. R., Rijkeboer, M., Andersson, G., & Riper, H. (2020). The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health. Internet Interventions, 20(1), 1–6. doi: https://doi.org/10.1016/j.invent.2020.100317

Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 7(3), 228–229. doi: https://doi.org/10.1016/S2215-0366(20)30046-8

Zhang, J., Wu, W., Zhao, X., & Zhang, W. (2020). Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine, 1–6. doi: https://doi.org/10.1093/PCMEDI/PBAA006

Published

05/06/2020

How to Cite

PEREIRA, M. D.; OLIVEIRA, L. C. de; COSTA, C. F. T.; BEZERRA, C. M. de O.; PEREIRA, M. D.; SANTOS, C. K. A. dos; DANTAS, E. H. M. The COVID-19 pandemic, social isolation, consequences on mental health and coping strategies: an integrative review. Research, Society and Development, [S. l.], v. 9, n. 7, p. e652974548, 2020. DOI: 10.33448/rsd-v9i7.4548. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4548. Acesso em: 19 apr. 2024.

Issue

Section

Review Article