Psychological Effects of the SARS Outbreak in Hong Kong on High-Risk Health Care Workers

被引：300

作者：

Chua, Siew E. ^{[1
]}

Cheung, Vinci ^{[1
]}

Cheung, Charlton ^{[1
]}

McAlonan, Grainne M. ^{[1
]}

Wong, Josephine W. S. ^{[1
]}

Cheung, Erik P. T. ^{[1
]}

Chan, Marco T. Y. ^{[1
]}

Wong, Michael M. C. ^{[1
]}

Tang, Siu W. ^{[1
]}

Choy, Khai M. ^{[2
]}

Wong, Meng K. ^{[3
]}

Chu, Chung M. ^{[4
]}

Tsang, Kenneth W. T. ^{[5
]}

机构：

[1] Univ Hong Kong, Dept Psychiat, Queen Mary Hosp, Hong Kong, Hong Kong, Peoples R China

[2] Hosp Author, Kowloon, Hong Kong, Peoples R China

[3] United Christian Hosp, Dept Psychiat, Kowloon, Hong Kong, Peoples R China

[4] United Christian Hosp, Dept Med, Kowloon, Hong Kong, Peoples R China

[5] Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Hong Kong, Peoples R China

来源：

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2004年 / 49卷 / 06期

关键词：

severe acute respiratory syndrome; SARS; outbreak; health care workers; stress; Hong Kong;

D O I：

10.1177/070674370404900609

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To quantify stress and the psychological impact of severe acute respiratory syndrome (SARS) on high-risk health care workers (HCWs). Method: We evaluated 271 HCWs from SARS units and 342 healthy control subjects, using the Perceived Stress Scale (PSS) to assess stress levels and a structured list of putative psychological effects of SARS to assess its psychological effects. Healthy control subjects were balanced for age, sex, education, parenthood, living circumstances, and lack of health care experience. Results: Stress levels were raised in both groups (PSS = 18) but were not relatively increased in the HCWs. HCWs reported significantly more positive (94%, n = 256) and more negative psychological effects (89%, n = 241) from SARS than did control subjects. HCWs declared confidence in infection-control measures. Conclusions: In HCWs, adaptive responses to stress and the positive effects of infection control training may be protective in future outbreaks. Elevated stress in the population may be an important indicator of future psychiatric morbidity.

引用

页码：391 / 393

页数：3

共 12 条

[1]

[Anonymous], LAT FIG 2003 SEV AC

[2]

[Anonymous], 1988, PERCEIVED STRESS PRO

[3] Clinical features and short-term outcomes of 144 patients with SARS in the greater Toronto area [J].

Booth, CM ;

Matukas, LM ;

Tomlinson, GA ;

Rachlis, AR ;

Rose, DB ;

Dwosh, HA ;

Walmsley, SL ;

Mazzulli, T ;

Avendano, M ;

Derkach, P ;

Ephtimios, IE ;

Kitai, I ;

Mederski, BD ;

Shadowitz, SB ;

Gold, WL ;

Hawryluck, LA ;

Rea, E ;

Chenkin, JS ;

Cescon, DW ;

Poutanen, SM ;

Detsky, AS .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (21) :2801-2809

[4]

Centers for Disease Control and Prevention (CDC), 2003, MMWR Morb Mortal Wkly Rep, V52, P461

[5]

Clinical Trials Center The University of Hong Kong, 2003, HONG KONG SARS UPD

[6] A GLOBAL MEASURE OF PERCEIVED STRESS [J].

COHEN, S ;

KAMARCK, T ;

MERMELSTEIN, R .

JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1983, 24 (04) :385-396

[7] Interventions to improve physicians' well-being and patient care [J].

Firth-Cozens, J .

SOCIAL SCIENCE & MEDICINE, 2001, 52 (02) :215-222

[8]

Maunder R, 2003, CAN MED ASSOC J, V168, P1245

[9]

Motulsky H., 1990, INSTAT VERSION 2

[10] Coronavirus as a possible cause of severe acute respiratory syndrome [J].

Peiris, JSM ;

Lai, ST ;

Poon, LLM ;

Guan, Y ;

Yam, LYC ;

Lim, W ;

Nicholls, J ;

Yee, WKS ;

Yan, WW ;

Cheung, MT ;

Cheng, VCC ;

Chan, KH ;

Tsang, DNC ;

Yung, RWH ;

Ng, TK ;

Yuen, KY .

LANCET, 2003, 361 (9366) :1319-1325

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