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Article: Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers

TitleImmediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers
Authors
KeywordsHealth care workers
Hong Kong
Outbreak
Severe acute respiratory syndrome
Stress
Issue Date2007
PublisherCanadian Psychiatric Association. The Journal's web site is located at http://www.cpa-apc.org/Publications/cjpHome.asp
Citation
Canadian Journal Of Psychiatry, 2007, v. 52 n. 4, p. 241-247 How to Cite?
Abstract
Objective: To assess the immediate and sustained psychological health of health care workers who were at high risk of exposure during the severe acute respiratory syndrome (SARS) outbreak. Methods: At the peak of the 2003 SARS outbreak, we assessed health care workers in 2 acute care Hong Kong general hospitals with the Perceived Stress Scale (PSS-10). One year later, we reassessed these health care workers with the PSS-10, the 21-Item Depression and Anxiety Scale (DASS-21), and the Impact of Events Scale-Revised (IES-R). We recruited high-risk health care workers who practised respiratory medicine and compared them with nonrespiratory medicine workers, who formed the low-risk health care worker control group. Results: In 2003, high-risk health care workers had elevated stress levels (PSS-10 score = 17.0) that were not significantly different from levels in low-risk health care worker control subjects (PSS-10 score = 15.9). More high-risk health care workers reported fatigue, poor sleep, worry about health, and fear of social contact, despite their confidence in infection-control measures. By 2004, however, stress levels in the high-risk group were not only higher (PSS-10 score = 18.6) but also significantly higher than scores among low-risk health care worker control subjects (PSS-10 score = 14.8, P < 0.05). In 2004, the perceived stress levels in the high-risk group were associated with higher depression, anxiety, and posttraumatic stress scores (P < 0.001). Posttraumatic stress scores were a partial mediator of the relation between the high risk of exposure to SARS and higher perceived stress. Conclusions: Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.
Persistent Identifierhttp://hdl.handle.net/10722/81512
ISSN
2013 Impact Factor: 2.406
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMcAlonan, GMen_HK
dc.contributor.authorLee, AMen_HK
dc.contributor.authorCheung, Ven_HK
dc.contributor.authorCheung, Cen_HK
dc.contributor.authorTsang, KWTen_HK
dc.contributor.authorSham, PCen_HK
dc.contributor.authorChua, SEen_HK
dc.contributor.authorWong, JGWSen_HK
dc.date.accessioned2010-09-06T08:18:40Z-
dc.date.available2010-09-06T08:18:40Z-
dc.date.issued2007en_HK
dc.identifier.citationCanadian Journal Of Psychiatry, 2007, v. 52 n. 4, p. 241-247en_HK
dc.identifier.issn0706-7437en_HK
dc.identifier.urihttp://hdl.handle.net/10722/81512-
dc.description.abstractObjective: To assess the immediate and sustained psychological health of health care workers who were at high risk of exposure during the severe acute respiratory syndrome (SARS) outbreak. Methods: At the peak of the 2003 SARS outbreak, we assessed health care workers in 2 acute care Hong Kong general hospitals with the Perceived Stress Scale (PSS-10). One year later, we reassessed these health care workers with the PSS-10, the 21-Item Depression and Anxiety Scale (DASS-21), and the Impact of Events Scale-Revised (IES-R). We recruited high-risk health care workers who practised respiratory medicine and compared them with nonrespiratory medicine workers, who formed the low-risk health care worker control group. Results: In 2003, high-risk health care workers had elevated stress levels (PSS-10 score = 17.0) that were not significantly different from levels in low-risk health care worker control subjects (PSS-10 score = 15.9). More high-risk health care workers reported fatigue, poor sleep, worry about health, and fear of social contact, despite their confidence in infection-control measures. By 2004, however, stress levels in the high-risk group were not only higher (PSS-10 score = 18.6) but also significantly higher than scores among low-risk health care worker control subjects (PSS-10 score = 14.8, P < 0.05). In 2004, the perceived stress levels in the high-risk group were associated with higher depression, anxiety, and posttraumatic stress scores (P < 0.001). Posttraumatic stress scores were a partial mediator of the relation between the high risk of exposure to SARS and higher perceived stress. Conclusions: Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.en_HK
dc.languageengen_HK
dc.publisherCanadian Psychiatric Association. The Journal's web site is located at http://www.cpa-apc.org/Publications/cjpHome.aspen_HK
dc.relation.ispartofCanadian Journal of Psychiatryen_HK
dc.subjectHealth care workersen_HK
dc.subjectHong Kongen_HK
dc.subjectOutbreaken_HK
dc.subjectSevere acute respiratory syndromeen_HK
dc.subjectStressen_HK
dc.subject.meshDisease Outbreaks-
dc.subject.meshHealth Personnel - psychology-
dc.subject.meshSevere Acute Respiratory Syndrome - epidemiology - psychology-
dc.subject.meshSickness Impact Profile-
dc.subject.meshStress Disorders, Post-Traumatic - diagnosis - epidemiology - etiology-
dc.titleImmediate and sustained psychological impact of an emerging infectious disease outbreak on health care workersen_HK
dc.typeArticleen_HK
dc.identifier.emailMcAlonan, GM: mcalonan@hkucc.hku.hken_HK
dc.identifier.emailLee, AM: amlee@hku.hken_HK
dc.identifier.emailCheung, C: charlton@hkucc.hku.hken_HK
dc.identifier.emailSham, PC: pcsham@hku.hken_HK
dc.identifier.emailChua, SE: sechua@hku.hken_HK
dc.identifier.authorityMcAlonan, GM=rp00475en_HK
dc.identifier.authorityLee, AM=rp00483en_HK
dc.identifier.authorityCheung, C=rp01574en_HK
dc.identifier.authoritySham, PC=rp00459en_HK
dc.identifier.authorityChua, SE=rp00438en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid17500305en_HK
dc.identifier.scopuseid_2-s2.0-34248360776en_HK
dc.identifier.hkuros162793en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34248360776&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume52en_HK
dc.identifier.issue4en_HK
dc.identifier.spage241en_HK
dc.identifier.epage247en_HK
dc.identifier.isiWOS:000246061600006-
dc.publisher.placeCanadaen_HK
dc.identifier.scopusauthoridMcAlonan, GM=6603123011en_HK
dc.identifier.scopusauthoridLee, AM=7405629831en_HK
dc.identifier.scopusauthoridCheung, V=7005439024en_HK
dc.identifier.scopusauthoridCheung, C=7202061845en_HK
dc.identifier.scopusauthoridTsang, KWT=7201555024en_HK
dc.identifier.scopusauthoridSham, PC=34573429300en_HK
dc.identifier.scopusauthoridChua, SE=7201550427en_HK
dc.identifier.scopusauthoridWong, JGWS=7404435750en_HK

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