Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan.
Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan.
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基于人群的危机后心理困扰：台湾SARS爆发的一个例子。
DOI：
10.1016/s0929-6646(10)60087-3
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发表时间：
2010-07
期刊：
影响因子：
--
通讯作者：
Lyu SY
中科院分区：
文献类型：
--
作者：
Peng EY;Lee MB;Tsai ST;Yang CC;Morisky DE;Tsai LT;Weng YL;Lyu SY
由于严重急性呼吸系统综合症（SARS）大流行，世界卫生组织于2003年5月21日至7月5日将台湾列入旅游警示名单。本研究旨在探讨SARS疫情后台湾居民的危机后心理困扰状况。目标人群包括全国范围内年龄≥ 18岁的居民代表性样本。数据收集使用计算机辅助电话访问系统分层随机抽样，根据地理区域。调查（n = 1278）进行了2003年11月，约4个月后，在台湾的SARS危机的解决。在95%置信水平下，抽样误差的最大偏差为± 2.74%。心理困扰是通过一个与受试者对生活的感知变化有关的问题，加上五项简明症状评定量表来测量的。采用多因素Logistic回归分析心理困扰的相关性。约9.2%的受访者表示，SARS危机后，他们对生活的看法变得更加悲观。精神病患病率为11.7%。SARS流行后悲观情绪水平较高的主要预测因素包括人口因素、对SARS的看法和准备、认识SARS相关歧视的人或有个人经历、个人担忧和精神疾病。5项简明症状评定量表显示，与症状性病例相关的因素包括年龄≥ 50岁、高中毕业和担心SARS复发。心理困扰与人口统计学因素和对SARS流行的看法显着相关。建议心理健康教育营销应根据年龄和文化程度进行细分，加强社区人群新发传染病的危机沟通。
As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic. The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (n = 1278) was conducted in November 2003, about 4 months after resolution of the SARS crisis in Taiwan. The maximum deviation of sampling error at the 95% confidence level was ± 2.74%. Psychological distress was measured by a question related to subject's changes in perception of life, plus the five-item Brief Symptom Rating Scale. Multivariate logistic regression was used to examine the correlation of psychological distress. About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and preparedness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS. Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.