Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan
Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan
复制标题
DOI：
10.1111/j.1440-1819.2006.01522.x
复制
发表时间：
2006-08-01
影响因子：
11.9
通讯作者：
Yang, Ming-Jen
中科院分区：
文献类型：
--
作者：
Ko, Chih-Hung;Yen, Cheng-Fang;Yang, Ming-Jen
在2003年爆发期间，严重急性呼吸系统综合症（SARS）蔓延到30多个国家。它不仅造成了严重的健康问题，而且对公众造成了巨大的心理影响。SARS于2003年4月在台湾爆发。本研究旨在探讨SARS疫情在台湾刚被控制时，对抑郁症的心理社会影响及相关因素。从电话簿中随机抽取1552名受访者参与研究。采用电话访谈的方法，调查人口学资料、SARS经历、自感健康状况、邻里关系和抑郁情绪。根据受访者或他们的朋友和家人是否被隔离或怀疑被感染，他们被分为“受影响组”和“非受影响组”。比较两组患者的心理社会影响及相关因素。“受影响组”的抑郁水平更高，邻里关系更差，自我感觉更差，比“非受影响组”的经济影响更大。自我感觉健康和经济影响因素较差与抑郁相关。邻里关系因素与抑郁症的“影响组”，但不为“非影响组”。“受影响群体”的心理社会影响更大，可能是由于SARS的影响、经济衰退、自我感觉的健康状况不佳以及社会支持系统减少。适当的心理健康干预，以改善自我感知的健康状况，为“受影响的群体”提供工具和心理支持，并减少公众的污名化和歧视，可以缓冲这次流行病灾难的心理影响。
During the 2003 outbreak, severe acute respiratory syndrome (SARS) spread to more than 30 countries. Not only did it cause severe health problems but it also imposed a great psychological impact on the public. SARS emerged in Taiwan during April 2003. This study investigates the psychosocial impact and the associated factors of depression of the SARS epidemic in Taiwan when the epidemic had just been controlled. A total of 1552 respondents were recruited in the study by random selection from the telephone book. Demographic data, SARS experience, self-perceived health state, neighborhood relationships, and depression were surveyed by telephone interviewing. Respondents were grouped as 'impacted group' and 'non-impacted group' according to whether they or their friends and family had been quarantined, or suspected of being infected. The psychosocial impact and associated factors were compared between the two groups. The 'impacted group' had higher depressive levels, poorer neighborhood relationships, poorer self-perceived health, and a higher economic impact than the 'non-impacted group'. The poorer self-perceived health and economic impact factors were associated with depression. The neighborhood relationship factor was negatively associated with depression for the 'impacted group', but not for the 'non-impacted group'. The 'impacted group' had experienced greater psychosocial impact possibly due to the SARS impact, the economic downturn, poor self-perceived health conditions, and decreased social support systems. An appropriate mental health intervention to improve the self-perceived health condition, to provide instrumental and psychological support for the 'impacted group', and to decrease the stigmatization and discrimination from the public could have buffered the psychological impact from this epidemic disaster.