Social capital and loneliness among older adults in community dwellings and nursing homes in Zhejiang Province of China

Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.

Highlights • Examined impact of COVID-19 and stay-at-home orders on psychological outcomes. • Stay-at-home orders linked to health anxiety, financial worry, and loneliness. • Impact of COVID-19 on life associated with health anxiety and financial worry. • Impact of COVID-19 on life associated with less loneliness and more social support. • Results highlight importance of social connection and need for tele-mental health.