International Journal of Community Medicine and Public Health | April 2022 | Vol 9 | Issue 4 Page 1877
International Journal of Community Medicine and Public Health
Suman A et al. Int J Community Med Public Health. 2022 Apr;9(4):1877-1883
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
The acceptability of a self-guided psychological intervention for patients
with COVID-19 in isolation and quarantine
Aarzoo Suman
1
, Anish Shouan
2
, Shubh Mohan Singh
3
*, Krishan Kumar
3
INTRODUCTION
The COVID-19 pandemic has affected millions of people
around the world. The cornerstone of management of
pandemic is based on isolation and quarantine of affected
individuals, the cornerstone of management of the
pandemic is based on the isolation and quarantine of
affected individuals.
1
Isolation is done to prevent the
spread of infection by people with confirmed infection to
unaffected individuals and quarantine aims to restrict the
movement of people who have been exposed to infection
to see if they develop the illness. The setting of isolation
and quarantine can be institutional or at home. Different
countries and regions have their own protocols depending
on various factors. In the initial stages of the pandemic in
India, quarantine and isolation were institutional in
especially designated COVID hospitals. The initial stage
of the pandemic was also characterized by misinformation
and panic in the population regarding the nature and
outcome of the illness.
2
Based on current evidence, the
psychiatric symptoms associated with acute COVID-19
are likely to be similar to other coronavirus infections. It is
expected that there would be a high prevalence of acute
psychological symptoms in patients with COVID-19 (who
do not require intensive care) and severe mental illness
ABSTRACT
Background: A significant number of patients not requiring intensive care would experience psychological symptoms
and distress. This may necessitate mental health care services which may be not be feasible given the number of patients
involved and paucity of mental health care workers. An innovative solution for such a scenario may be in the form of a
self-guided psychological intervention. The aim of the study was to test the acceptability of a brief self-guided
psychological intervention for patients in quarantine and isolation with COVID-19.
Methods: The authors developed a brief, self-guided psychological intervention handout targeted towards reducing
psychological distress and enhancing the coping of patients in quarantine and isolation due to COVID-19. This was
developed concurrently in English, Hindi and Punjabi languages. This was administered to 60 patients. Assessments
were done at baseline and at two weeks.
Results: Assessments were completed in 51 patients (21 isolated and 30 quarantined). A majority of the patients in both
groups found the intervention to be appropriate in form and content, relevant to the situation, had a positive emotional
impact on them, enhanced their understanding of the situation and was perceived as being useful overall. The
intervention was found to be highly acceptable.
Conclusions: The study demonstrates the acceptability and feasibility of using this intervention in patients in isolation
and quarantine due to COVID-19. The intervention lends itself to ease of use and can be scaled up at little cost.
Keywords: COVID-19, Self-guided psychological intervention, Psychological distress, Coping, Isolation, Quarantine
1
Department of Psychiatry, Gian Sagar Medical College and Hospital, Rajpura, Punjab, India
2
Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
3
Department of Psychiatry, Institute of Medical Education and Research, Chandigarh, Punjab, India
Received: 23 February 2022
Accepted: 15 March 2022
*Correspondence:
Dr. Shubh Mohan Singh,
E-mail: shubhmohan@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20220868