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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 4 Issue 4, June 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD31141 | Volume – 4 | Issue – 4 | May-June 2020 Page 686
A Review on Psychological Impact of Coronavirus Disease 2019
Aamir Mohsin, Rakhi Ahuja, Sreekiran CV
School of Allied Health Sciences, Delhi Pharmaceutical Sciences and Research University, New Delhi, India
ABSTRACT
Introduction: The rise of Covid-19 had acquired a noteworthy change the
normal life of the common people. Largely individuals were limited within
their home in a state of quarantine. The situation where people limitedtostay
in idle stage added with fear of Covid-19 induced major psychological effects
in the population.
Evidence Acquisition: This paper intends to reviewthepsychological impact
of COVID-19 and its relationship with uneasiness, anxiety and depression
were examined. For this paper more than 10different studies have been
reviewed using electronic data base, i.e., Google Scholar, PubMed, Medline,
Elsevier, and Science Direct.
Result: Detailed review of studies pointed Covid-19 and other outbreak
impacted the psychological health of population adversely. The psychological
effects of anxiety, depression insomnia arefoundindiverseclassofpopulation
along with mortalities of Covid-19.
Conclusion- Along with major morbidity and mortalities of the Covid-19 and
other epidemic outbreak situations, psychological issues also need to be
addressed with major concern through any proper psychological healing
procedures including various traditional medicinal systems.
KEYWORDS: Covid-19, Psychological affects, Corona Virus, Pandemic
How to cite this paper: Aamir Mohsin |
Rakhi Ahuja | Sreekiran CV "A Review on
Psychological Impact of Coronavirus
Disease 2019"
Published in
International Journal
of Trend in Scientific
Research and
Development
(ijtsrd), ISSN: 2456-
6470, Volume-4 |
Issue-4, June 2020, pp.686-688, URL:
www.ijtsrd.com/papers/ijtsrd31141.pdf
Copyright © 2020 by author(s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by
/4.0)
1. INTRODUCTION
The rise of a novel form of coronavirus in Wuhan, China, is
making a confounded andquicklyadvancingcircumstancein
everywhere throughout the world [1]. The World Health
Organization has announced a few kinds of viral
contaminations, and an enormous number of people are in
peril for these diseases in various ways around the globe.
Due to which most of the country are taking measurable
precautions to reduce the burdenofnovel coronavirus,2019
[2].COVID-19 is developing irresistible malady previously
distinguished in Wuhan; Corona virus (COVID-19) was at
first detailed by China in late 2019 and spread to 13 nations
by January 24, 2020. [3].its belongings have not yet been
settled, as the recognitions and testing results are
developing rapidly, and leading to high mortality rate.
Among normal manifestations of this disease are cough,
fever, brevity of breath and at some point the diarrhoea can
be referenced, Bats or snake are thought to be the natural
host of COVID-19 [4]. COVID-19 forces irreversible mental
effects on human social orders. Which incorporates total
isolate and correspondence limitationsthatkeepindividuals
from going out, dread of suffering from the disease, dread of
getting tainted from the infection, uneasiness about losing
friends and family, depression due to losing loved ones area
portion of the issues individuals should manage. The world
has seen a several boundless episodes of acute respiratory
ailments. For instance, SARS as a transmittable irresistible
disease spread in 2003; at the same time, it was to a great
extent oversaw by isolate measures, isolate is conceivable
measure to break the disease pattern of COVID-19 however
it's influencing mentally. [5]. COVID-19 creates fear and
anxiety among people especially among affected countries
and people are living in fear. The vast majority of the
individuals are experiencing gloom and mentally influenced
on the grounds that they can't go outside forwork andlosing
correspondence to other people [6]. During this pandemic
most of the media are showing some depressivecontent and
highlighting the long impacts of this disease that is actually
causing anxiety and depression among people during
lockdown and increasing concern among people [1].Inmost
of the country’s social stabilityhasbeenseriouslyaffected by
corona virus, 2019. Social stability refers to the range of life
structure and reliable routine that is protective against
situational hazards and due to which people are
psychologically affected by COVID-19 [7].Therateofanxiety
and distress are higher among healthcare workers in
comparison to general populationbecausetheyareathigher
risk to get infected, this condition causing anxiety,
depression and lack of presence in work and hitting them
psychologically [8]. Health professional and front line
workers are vulnerable to both high risk of infection and
mental health problem. They are also suffering fromthefear
of this novel COVID-19 to losing their families, friends and
colleagues [9].The consequences and effect of COVID-19 is
affecting all aspects of human lives and causing distress.
Common people are psychologically affected of this
pandemic because they unable to do what they normally do
in their life and these self-quarantine situation are actually
causing anxiety, depression among them. The current
pandemic of COVID-19 is seriousresultingina global burden
[10]. The outbreak of COVID-19 is provoking the
implementation of control measure whichismadetocontrol
the outbreak of COVID -19 such as quarantine and other
IJTSRD31141
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD31141 | Volume – 4 | Issue – 4 | May-June 2020 Page 687
possible measures, but these possible measures are actually
causing anxiety and affecting psychologically [11].
HISTORY OF PANDEMICS:
Antonine Plague was the first pandemic, which took place in
165-180 and nearly killed five million people. One of the
serious diseases was plague which affects many people
around the globe at different timeline. Among all types of
flu's Spanish flu was the deadliest and it nearly killed 50
million people. HIV/AIDS is one such pandemic, where the
first cases were witnessed in the year 1981 and still there is
no cure. Though various pandemicstook place,butmortality
was reduced significantly due to improvementofhealthcare
infrastructure [12].
2. EVIDENCE ACQUISITION:
This paper intends to review the psychological impact of
COVID-19 and its relationship with uneasiness, anxiety and
depression were examined and how infectious disease
outbreak are affecting psychologically to all human beings.
Information used in this review was mainly obtained from
scientific electronic academic journal database. For this
paper more than 10 studies have been reviewed using
electronic data base, i.e., Google Scholar, PubMed, Medline,
Elsevier, and Science Direct.
RESULT:
In China, the cross-sectional study conducted by Wang et al.
delineated, the Covid-19 pandemic had impacted
psychologically for 53.8 % of total respondents. Among the
population spent their time in their own home due to
pandemic situation 75.2% of the population were worried
about their family members. The level of anxiety, stress and
depression appeared maximum in the population group of
students and females [13]. During the outbreak of the
infectious diseases, educated studying category also
succumbed before Psychological issues. Al-Rabiaah et al.
study of medical students in Saudi Arabia during the MERS
outbreak reported 174 oftotal 174respondedstudentswere
undergoing various levels of anxiety. None were reported
with severe anxiety, however, 134 (77%) students of total
respondents were having minimal, 32 (18.4%) were having
mild and 8 (4.6%) were having moderate anxiety. The study
pointed knowledgescoreonMERS-COVasnotsignificant [6].
A study by V.tucci et al. enquires into the various infectious
disease of Ebola, ZIKA, and other infectious diseases, there
communicated various mental health’s in the study group.
[14]. The cross-sectional a study by the Al Najjar NS et al. to
assess psycho behavioural response among 358 individuals
during MERS, 57.7% of total respondents were expressed
moderate anxiety [15]. Studies point among the patients of
Covid-19 anxiety and fear were very common. Anxiety, fear
and other psychological issues intensified higher chances of
mortality. And thus Covid-19 patients undertreatmentwere
conducted with continuous dynamic assessments for
reducing Psychological impact [16]. The cross-sectional
study was conducted of 180 medical staff with exposure to
Covid-19 patients during January and February months in
Wuhan by Han Xiao et al. Study figured out medical staffs
possess stress and anxiety in a large level. [17].The study by
Lee SM et al. analysed the effect of MERS outbreak among
health workers and quarantine patients also pointed high
post-traumatic stress disorder symptoms among health
workers. Study of Psychological impact of quarantine on
patients of other diseases,amongstudiedpatients11% were
expressed of anxiety and 15.1% were expressed depression
[18]. In a study by Jianbo Lai et al. among the population
involved in health intervention like nurses,physicians,other
health care workers, 50.4% of respondents reported
depression. Other psychological issues like anxiety,
insomnia, and distress were also present among health care
workers. Anxiety was reported by 44.6% responded
population, insomnia and distress were present in 34% and
71.5 % respectively [19]. The psychological traumatization
was determined maximum in general public followed by
non-front line workers and then in front line workers in the
study conducted by Zhenyu Li et al. in china, where 214
general public, 234 front line workersand292 non-frontline
workers were responded [20]. Large scale survey of 52,370
Chinese populations amid an outbreak of Covid-19
conducted by the JianyinQiu et al. from 36 provinces,35% of
total respondents experienced psychological distress. Also,
5.14% of 35% population were having severe distress [21].
CONCLUSION:
The unprecedented situation created by the surge of Covid-
19 had compelled a larger portion of the population in the
idle state of quarantine and isolation. Along with situation
jeopardy of Covid-19severity and mortality a large number
of other psychological issues have been reported globally
based on various studies. Among the reported issues,
includes many psychological issues like anxiety, depression,
insomnia etc.
To a limit, these psychological issues are contributed by the
news of the global critical situation of the pandemic Covid-
19. For some other in the quarantine, many are well worried
about the other family members also. The psychological
issues were largely reported in various studies, irrespective
of their education and profession. Psychological effects due
to situation were predominantly present in the common
population, the medical workforceof bothfrontlineworkers
involved in direct intervention and not. Significantly
psychological changes like insomnia, depression was
reported in the front line workers. In a situation where the
entire world is still in the race for developing a vaccine and
an accurate treatment protocol for the Covid-19 and still
uncertainty exists in the world. Hence, these psychological
disorders of population also need to be addressed
appropriately along with other major discussed morbidities
of Covid-19. To counter psychological issues pushed
complication of thepopulationquarantinedinstitutionallyor
in their residence, and others totally involved in health
intervention including physicians, nurses, and other health
workers need to be provided withanadequatepsychological
healing scientifically.
Many methods which reaching to the larger population,
which include many traditional treatment methods can
psychologically boost their morale and can prevent the rise
of a parallel psychological disordersduringcurrentsituation
of Covid-19.
REFERENCES:
[1] Rubin GJ, Wessely S. The psychological effects of
quarantining a city. Bmj; m313.
[2] Fardin MA. COVID-19 and Anxiety: A Review of
Psychological Impacts of Infectious Disease
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International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD31141 | Volume – 4 | Issue – 4 | May-June 2020 Page 688
Diseases 2020; 15. Epub ahead of printFebruary2020.
DOI: 10.5812/archcid.102779.
[3] Nishiura H, Jung S-M, Linton NM, et al. The Extent of
Transmission of Novel Coronavirus in Wuhan, China,
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[4] Paules CI, Marston HD, Fauci AS. Coronavirus
Infections—More Than Just the Common Cold. Jama;
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[5] Hawryluck L, Gold WL, Robinson S, et al. SARS Control
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[6] Al-Rabiaah A, Temsah M-H, Al-Eyadhy AA, et al.Middle
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[7] Chen C, Zhang XR, Ju ZY, He WF. [Advances in the
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immunotherapies.
[8] Maunder RG, Lancee WJ, Rourke S, et al. Factors
Associated With the Psychological Impact of Severe
Acute Respiratory Syndrome on Nurses and Other
Hospital WorkersinToronto. PsychosomaticMedicine;
66: 938–942.
[9] Yu-Tao Xiang, Yuan Yang, Wen Li, Ling Zhang, et al.
Timely mental health care for the 2019 novel
coronavirus outbreak is urgently needed. The
lancet.com/psychiatry; 7: 228-229.
[10] Makamure M, Makamure M, Mendiola W, et al. A
Review of Critical Care Nursing and Disease Outbreak
Preparedness. Dimensions of Critical CareNursing;32:
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[11] Sarbjit S Johal. Psychosocial impacts of quarantine
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Medical Association. 2009; 122(1296): 53-58.
[12] Nicholas Lepan. Visualizing the history of pandemics;
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[13] Wang C, Pan R, Wan X, et al. Immediate Psychological
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[14] Tucci V, Moukaddam N, Meadows J, et al. The forgotten
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emerging infectious diseases. Journal of Global
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[15] Alnajjar N, Attar L, Farahat F, et al. Psychobehavioural
responses to the 2014 Middle East respiratory
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[16] Xu K, Cai H, Shen Y, Ni Q, Chen Y, Hu S, et al.
[Management of corona virus disease-19 (COVID-19):
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Xue Ban. 2020; 49(1)
[17] Han Xiao, Yan Zhang, et al. The Effects of Social Support
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[18] Lee SM, Kang WS, Cho A-R, et al. Psychological impact
of the 2015 MERS outbreak on hospital workers and
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[19] Lai J, Ma S, Wang Y, et al. Factors Associated With
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[20] Li Z, Ge J, Yang M, et al. Vicarious traumatization in the
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A Review on Psychological Impact of Coronavirus Disease 2019

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 4 Issue 4, June 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD31141 | Volume – 4 | Issue – 4 | May-June 2020 Page 686 A Review on Psychological Impact of Coronavirus Disease 2019 Aamir Mohsin, Rakhi Ahuja, Sreekiran CV School of Allied Health Sciences, Delhi Pharmaceutical Sciences and Research University, New Delhi, India ABSTRACT Introduction: The rise of Covid-19 had acquired a noteworthy change the normal life of the common people. Largely individuals were limited within their home in a state of quarantine. The situation where people limitedtostay in idle stage added with fear of Covid-19 induced major psychological effects in the population. Evidence Acquisition: This paper intends to reviewthepsychological impact of COVID-19 and its relationship with uneasiness, anxiety and depression were examined. For this paper more than 10different studies have been reviewed using electronic data base, i.e., Google Scholar, PubMed, Medline, Elsevier, and Science Direct. Result: Detailed review of studies pointed Covid-19 and other outbreak impacted the psychological health of population adversely. The psychological effects of anxiety, depression insomnia arefoundindiverseclassofpopulation along with mortalities of Covid-19. Conclusion- Along with major morbidity and mortalities of the Covid-19 and other epidemic outbreak situations, psychological issues also need to be addressed with major concern through any proper psychological healing procedures including various traditional medicinal systems. KEYWORDS: Covid-19, Psychological affects, Corona Virus, Pandemic How to cite this paper: Aamir Mohsin | Rakhi Ahuja | Sreekiran CV "A Review on Psychological Impact of Coronavirus Disease 2019" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-4 | Issue-4, June 2020, pp.686-688, URL: www.ijtsrd.com/papers/ijtsrd31141.pdf Copyright © 2020 by author(s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by /4.0) 1. INTRODUCTION The rise of a novel form of coronavirus in Wuhan, China, is making a confounded andquicklyadvancingcircumstancein everywhere throughout the world [1]. The World Health Organization has announced a few kinds of viral contaminations, and an enormous number of people are in peril for these diseases in various ways around the globe. Due to which most of the country are taking measurable precautions to reduce the burdenofnovel coronavirus,2019 [2].COVID-19 is developing irresistible malady previously distinguished in Wuhan; Corona virus (COVID-19) was at first detailed by China in late 2019 and spread to 13 nations by January 24, 2020. [3].its belongings have not yet been settled, as the recognitions and testing results are developing rapidly, and leading to high mortality rate. Among normal manifestations of this disease are cough, fever, brevity of breath and at some point the diarrhoea can be referenced, Bats or snake are thought to be the natural host of COVID-19 [4]. COVID-19 forces irreversible mental effects on human social orders. Which incorporates total isolate and correspondence limitationsthatkeepindividuals from going out, dread of suffering from the disease, dread of getting tainted from the infection, uneasiness about losing friends and family, depression due to losing loved ones area portion of the issues individuals should manage. The world has seen a several boundless episodes of acute respiratory ailments. For instance, SARS as a transmittable irresistible disease spread in 2003; at the same time, it was to a great extent oversaw by isolate measures, isolate is conceivable measure to break the disease pattern of COVID-19 however it's influencing mentally. [5]. COVID-19 creates fear and anxiety among people especially among affected countries and people are living in fear. The vast majority of the individuals are experiencing gloom and mentally influenced on the grounds that they can't go outside forwork andlosing correspondence to other people [6]. During this pandemic most of the media are showing some depressivecontent and highlighting the long impacts of this disease that is actually causing anxiety and depression among people during lockdown and increasing concern among people [1].Inmost of the country’s social stabilityhasbeenseriouslyaffected by corona virus, 2019. Social stability refers to the range of life structure and reliable routine that is protective against situational hazards and due to which people are psychologically affected by COVID-19 [7].Therateofanxiety and distress are higher among healthcare workers in comparison to general populationbecausetheyareathigher risk to get infected, this condition causing anxiety, depression and lack of presence in work and hitting them psychologically [8]. Health professional and front line workers are vulnerable to both high risk of infection and mental health problem. They are also suffering fromthefear of this novel COVID-19 to losing their families, friends and colleagues [9].The consequences and effect of COVID-19 is affecting all aspects of human lives and causing distress. Common people are psychologically affected of this pandemic because they unable to do what they normally do in their life and these self-quarantine situation are actually causing anxiety, depression among them. The current pandemic of COVID-19 is seriousresultingina global burden [10]. The outbreak of COVID-19 is provoking the implementation of control measure whichismadetocontrol the outbreak of COVID -19 such as quarantine and other IJTSRD31141
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD31141 | Volume – 4 | Issue – 4 | May-June 2020 Page 687 possible measures, but these possible measures are actually causing anxiety and affecting psychologically [11]. HISTORY OF PANDEMICS: Antonine Plague was the first pandemic, which took place in 165-180 and nearly killed five million people. One of the serious diseases was plague which affects many people around the globe at different timeline. Among all types of flu's Spanish flu was the deadliest and it nearly killed 50 million people. HIV/AIDS is one such pandemic, where the first cases were witnessed in the year 1981 and still there is no cure. Though various pandemicstook place,butmortality was reduced significantly due to improvementofhealthcare infrastructure [12]. 2. EVIDENCE ACQUISITION: This paper intends to review the psychological impact of COVID-19 and its relationship with uneasiness, anxiety and depression were examined and how infectious disease outbreak are affecting psychologically to all human beings. Information used in this review was mainly obtained from scientific electronic academic journal database. For this paper more than 10 studies have been reviewed using electronic data base, i.e., Google Scholar, PubMed, Medline, Elsevier, and Science Direct. RESULT: In China, the cross-sectional study conducted by Wang et al. delineated, the Covid-19 pandemic had impacted psychologically for 53.8 % of total respondents. Among the population spent their time in their own home due to pandemic situation 75.2% of the population were worried about their family members. The level of anxiety, stress and depression appeared maximum in the population group of students and females [13]. During the outbreak of the infectious diseases, educated studying category also succumbed before Psychological issues. Al-Rabiaah et al. study of medical students in Saudi Arabia during the MERS outbreak reported 174 oftotal 174respondedstudentswere undergoing various levels of anxiety. None were reported with severe anxiety, however, 134 (77%) students of total respondents were having minimal, 32 (18.4%) were having mild and 8 (4.6%) were having moderate anxiety. The study pointed knowledgescoreonMERS-COVasnotsignificant [6]. A study by V.tucci et al. enquires into the various infectious disease of Ebola, ZIKA, and other infectious diseases, there communicated various mental health’s in the study group. [14]. The cross-sectional a study by the Al Najjar NS et al. to assess psycho behavioural response among 358 individuals during MERS, 57.7% of total respondents were expressed moderate anxiety [15]. Studies point among the patients of Covid-19 anxiety and fear were very common. Anxiety, fear and other psychological issues intensified higher chances of mortality. And thus Covid-19 patients undertreatmentwere conducted with continuous dynamic assessments for reducing Psychological impact [16]. The cross-sectional study was conducted of 180 medical staff with exposure to Covid-19 patients during January and February months in Wuhan by Han Xiao et al. Study figured out medical staffs possess stress and anxiety in a large level. [17].The study by Lee SM et al. analysed the effect of MERS outbreak among health workers and quarantine patients also pointed high post-traumatic stress disorder symptoms among health workers. Study of Psychological impact of quarantine on patients of other diseases,amongstudiedpatients11% were expressed of anxiety and 15.1% were expressed depression [18]. In a study by Jianbo Lai et al. among the population involved in health intervention like nurses,physicians,other health care workers, 50.4% of respondents reported depression. Other psychological issues like anxiety, insomnia, and distress were also present among health care workers. Anxiety was reported by 44.6% responded population, insomnia and distress were present in 34% and 71.5 % respectively [19]. The psychological traumatization was determined maximum in general public followed by non-front line workers and then in front line workers in the study conducted by Zhenyu Li et al. in china, where 214 general public, 234 front line workersand292 non-frontline workers were responded [20]. Large scale survey of 52,370 Chinese populations amid an outbreak of Covid-19 conducted by the JianyinQiu et al. from 36 provinces,35% of total respondents experienced psychological distress. Also, 5.14% of 35% population were having severe distress [21]. CONCLUSION: The unprecedented situation created by the surge of Covid- 19 had compelled a larger portion of the population in the idle state of quarantine and isolation. Along with situation jeopardy of Covid-19severity and mortality a large number of other psychological issues have been reported globally based on various studies. Among the reported issues, includes many psychological issues like anxiety, depression, insomnia etc. To a limit, these psychological issues are contributed by the news of the global critical situation of the pandemic Covid- 19. For some other in the quarantine, many are well worried about the other family members also. The psychological issues were largely reported in various studies, irrespective of their education and profession. Psychological effects due to situation were predominantly present in the common population, the medical workforceof bothfrontlineworkers involved in direct intervention and not. Significantly psychological changes like insomnia, depression was reported in the front line workers. In a situation where the entire world is still in the race for developing a vaccine and an accurate treatment protocol for the Covid-19 and still uncertainty exists in the world. Hence, these psychological disorders of population also need to be addressed appropriately along with other major discussed morbidities of Covid-19. To counter psychological issues pushed complication of thepopulationquarantinedinstitutionallyor in their residence, and others totally involved in health intervention including physicians, nurses, and other health workers need to be provided withanadequatepsychological healing scientifically. Many methods which reaching to the larger population, which include many traditional treatment methods can psychologically boost their morale and can prevent the rise of a parallel psychological disordersduringcurrentsituation of Covid-19. REFERENCES: [1] Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj; m313. [2] Fardin MA. COVID-19 and Anxiety: A Review of Psychological Impacts of Infectious Disease Outbreaks. Archives of Clinical Infectious
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