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Article: Stress and psychological distress among SARS survivors 1 year after the outbreak

TitleStress and psychological distress among SARS survivors 1 year after the outbreak
Authors
KeywordsAnxiety
Depression
Health care workers
Hong Kong
Infectious disease outbreak
Long-term psychological distress
Posttraumatic symptoms
SARS
Severe acute respiratory syndrome
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. 233-240 How to Cite?
Abstract
Objective: Our study examined the stress level and psychological distress of severe acute respiratory syndrome (SARS) survivors 1 year after the outbreak. Method: During the SARS outbreak in 2003, we used the 10-item Perceived Stress Scale (PSS-10) to assess SARS survivors treated in 2 major hospitals (non-health care workers, n = 49; health care workers, n = 30). We invited SARS survivors from the same hospitals (non-health care workers, n = 63; health care workers, n = 33) to complete the PSS-10 again in 2004. At that time, they were also asked to complete the General Health Questionnaire (GHQ-12) and measures of depression, anxiety, and posttraumatic symptoms. PSS-10 scores were also obtained from matched community control subjects during the outbreak (n = 145) and again in 2004 (n = 112). Results: SARS survivors had higher stress levels during the outbreak, compared with control subjects (PSS-10 scores =19.8 and 17.9, respectively; P < 0.01), and this persisted 1 year later (PSS-10 scores =19.9 and 17.3, respectively; P < 0.01) without signs of decrease. In 2004, SARS survivors also showed worrying levels of depression, anxiety, and posttraumatic symptoms. An alarming proportion (64%) scored above the GHQ-12 cut-off that suggests psychiatric morbidity. During the outbreak, health care worker SARS survivors had stress levels similar to those of non-health care workers, but health care workers showed significantly higher stress levels in 2004 (PSS-10 score = 22.8, compared with PSS-10 score = 18.4; P < 0.05) and had higher depression, anxiety, posttraumatic symptoms, and GHQ-12 scores. Conclusions: One year after the outbreak, SARS survivors still had elevated stress levels and worrying levels of psychological distress. The situation of health care worker SARS survivors is particularly worrying. The long-term psychological implications of infectious diseases should not be ignored. Mental health services could play an important role in rehabilitation.
Persistent Identifierhttp://hdl.handle.net/10722/81584
ISSN
2013 Impact Factor: 2.406
ISI Accession Number ID
References

 

Author Affiliations
  1. The University of Hong Kong
  2. United Christian Hospital Hong Kong
  3. Grantham Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorLee, AMen_HK
dc.contributor.authorWong, JGWSen_HK
dc.contributor.authorMcAlonan, GMen_HK
dc.contributor.authorCheung, Ven_HK
dc.contributor.authorCheung, Cen_HK
dc.contributor.authorSham, PCen_HK
dc.contributor.authorChu, NMen_HK
dc.contributor.authorWong, PCen_HK
dc.contributor.authorTsang, KWTen_HK
dc.contributor.authorChua, SEen_HK
dc.date.accessioned2010-09-06T08:19:33Z-
dc.date.available2010-09-06T08:19:33Z-
dc.date.issued2007en_HK
dc.identifier.citationCanadian Journal Of Psychiatry, 2007, v. 52 n. 4, p. 233-240en_HK
dc.identifier.issn0706-7437en_HK
dc.identifier.urihttp://hdl.handle.net/10722/81584-
dc.description.abstractObjective: Our study examined the stress level and psychological distress of severe acute respiratory syndrome (SARS) survivors 1 year after the outbreak. Method: During the SARS outbreak in 2003, we used the 10-item Perceived Stress Scale (PSS-10) to assess SARS survivors treated in 2 major hospitals (non-health care workers, n = 49; health care workers, n = 30). We invited SARS survivors from the same hospitals (non-health care workers, n = 63; health care workers, n = 33) to complete the PSS-10 again in 2004. At that time, they were also asked to complete the General Health Questionnaire (GHQ-12) and measures of depression, anxiety, and posttraumatic symptoms. PSS-10 scores were also obtained from matched community control subjects during the outbreak (n = 145) and again in 2004 (n = 112). Results: SARS survivors had higher stress levels during the outbreak, compared with control subjects (PSS-10 scores =19.8 and 17.9, respectively; P < 0.01), and this persisted 1 year later (PSS-10 scores =19.9 and 17.3, respectively; P < 0.01) without signs of decrease. In 2004, SARS survivors also showed worrying levels of depression, anxiety, and posttraumatic symptoms. An alarming proportion (64%) scored above the GHQ-12 cut-off that suggests psychiatric morbidity. During the outbreak, health care worker SARS survivors had stress levels similar to those of non-health care workers, but health care workers showed significantly higher stress levels in 2004 (PSS-10 score = 22.8, compared with PSS-10 score = 18.4; P < 0.05) and had higher depression, anxiety, posttraumatic symptoms, and GHQ-12 scores. Conclusions: One year after the outbreak, SARS survivors still had elevated stress levels and worrying levels of psychological distress. The situation of health care worker SARS survivors is particularly worrying. The long-term psychological implications of infectious diseases should not be ignored. Mental health services could play an important role in rehabilitation.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.subjectAnxietyen_HK
dc.subjectDepressionen_HK
dc.subjectHealth care workersen_HK
dc.subjectHong Kongen_HK
dc.subjectInfectious disease outbreaken_HK
dc.subjectLong-term psychological distressen_HK
dc.subjectPosttraumatic symptomsen_HK
dc.subjectSARSen_HK
dc.subjectSevere acute respiratory syndromeen_HK
dc.subject.meshDepressive Disorder, Major - diagnosis - epidemiology - psychology-
dc.subject.meshHealth Personnel - statistics and numerical data-
dc.subject.meshSevere Acute Respiratory Syndrome - epidemiology - psychology-
dc.subject.meshStress Disorders, Post-Traumatic - diagnosis - epidemiology - psychology-
dc.subject.meshSurvivors - psychology - statistics and numerical data-
dc.titleStress and psychological distress among SARS survivors 1 year after the outbreaken_HK
dc.typeArticleen_HK
dc.identifier.emailLee, AM: amlee@hku.hken_HK
dc.identifier.emailMcAlonan, GM: mcalonan@hkucc.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.authorityLee, AM=rp00483en_HK
dc.identifier.authorityMcAlonan, GM=rp00475en_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.pmid17500304en_HK
dc.identifier.scopuseid_2-s2.0-34248394344en_HK
dc.identifier.hkuros162801en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34248394344&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume52en_HK
dc.identifier.issue4en_HK
dc.identifier.spage233en_HK
dc.identifier.epage240en_HK
dc.identifier.isiWOS:000246061600005-
dc.publisher.placeCanadaen_HK
dc.identifier.scopusauthoridLee, AM=7405629831en_HK
dc.identifier.scopusauthoridWong, JGWS=7404435750en_HK
dc.identifier.scopusauthoridMcAlonan, GM=6603123011en_HK
dc.identifier.scopusauthoridCheung, V=7005439024en_HK
dc.identifier.scopusauthoridCheung, C=7202061845en_HK
dc.identifier.scopusauthoridSham, PC=34573429300en_HK
dc.identifier.scopusauthoridChu, NM=18834235000en_HK
dc.identifier.scopusauthoridWong, PC=7403979916en_HK
dc.identifier.scopusauthoridTsang, KWT=7201555024en_HK
dc.identifier.scopusauthoridChua, SE=7201550427en_HK

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