In the eye of a quiet storm: A critical incident study on the quarantine experience during the coronavirus pandemic

PLoS One. 2021 Feb 17;16(2):e0247121. doi: 10.1371/journal.pone.0247121. eCollection 2021.

Abstract

Objective: In 2020, the COVID-19 appeared in Italy with an exponential transmission capacity and serious consequences for the whole population. To counter the spread of the virus, the Italian government has adopted an extensive lockdown, forcing citizens to stay at home and avoid social contact. The COVID-19 quarantine represents a unique phenomenon in the recent centuries, and its long-term consequences on people's lives and mental health are still to be understood. This study aimed to explore significant experiences of people who did not contract the virus, yet experienced the quarantine as a potentially stressful condition.

Methods: Italians who did not contract the COVID-19 were invited to participate in semi-structured interviews employing the Critical Incident Technique. Interviews were designed to capture the significant experiences related to the lockdown period in Italy. Participants were asked to describe the most significant (1) negative and (2) positive critical events that they personally experienced during the ongoing quarantine. Such events were meant to provide information on their experience of the quarantine as a whole. The audio-taped interviews were transcribed verbatim and analyzed following Critical Incident Technique's indications.

Results: Twenty two participants described a total of 43 critical events, including 22 negative episodes and 21 positive events experienced during the COVID-19 quarantine. Three categories emerged from the negative episodes and four categories emerged from the positive events described by the participants. Relevant themes both positive and negative concerned mostly relationships (with partners, family, and friends), and the alteration of everyday activities, Also a specific "sensation of emergency" that the participants felt during the pandemic emerged, as an emotionally-charged response to quarantine-related external stimuli.

Conclusions: To our knowledge this is the first in-depth qualitative study investigating the significant negative and positive events that people experienced during the COVID-19 quarantine. Future research could employ analogous event recollection methods but focus on other populations (e.g., fragile subjects or on other national contests), in order to extend the information on the quarantine experience and its possible long-lasting effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • COVID-19 / epidemiology
  • COVID-19 / immunology
  • COVID-19 / psychology*
  • COVID-19 / transmission
  • Communicable Disease Control / methods
  • Coronavirus Infections / epidemiology
  • Female
  • Humans
  • Italy / epidemiology
  • Longitudinal Studies
  • Male
  • Mental Health / trends
  • Pandemics
  • Physical Distancing
  • Qualitative Research
  • Quarantine / psychology*
  • Quarantine / trends
  • SARS-CoV-2 / immunology
  • SARS-CoV-2 / pathogenicity

Grants and funding

The authors received no specific funding for this work. However, ID was supported by Fondazione Umberto Veronesi. LS is a PhD Student within the European School of Molecular Medicine (SEMM). ST and GP were supported by MIUR –Italian Ministry of University and Research (Departments of Excellence Italian Law n.232, 11th December 2016) for University of Milan.