Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong kong: A latent class approach
Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong kong: A latent class approach
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DOI：
10.1037/0278-6133.27.5.659
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发表时间：
2008-09-01
影响因子：
4.2
通讯作者：
Wong, Vivian C. W.
中科院分区：
文献类型：
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作者：
Bonanno, George A.;Ho, Samuel A. Y.;Wong, Vivian C. W.
目的：以2003年香港严重急性呼吸系统综合征（SARS）住院幸存者为样本，采用潜在类别分析法研究其心理功能轨迹。设计图：从1,331名SARS住院患者中招募了997名幸存者，在住院后6个月、12个月和18个月进行了纵向研究。主要结局指标：使用12项医学结局研究简表健康调查（SF-12）测量每个时间点的心理和身体功能。结果：四个潜在的类被确定为慢性功能障碍。延迟功能障碍、恢复和恢复力。所有组的身体健康状况都比慢性组好。复原力强的康复者社会支持更高，SARS相关担忧更少。而有韧性的人更有可能是男性。恢复组也比延迟组有更大的社会支持，比恢复组有更好的身体功能。结论：这项研究表明，在亚洲样本中的重大健康威胁事件后的纵向结果轨迹与使用西方样本的创伤研究中观察到的原型轨迹非常相似。独特的预测因素的轨迹包括在以前的研究中观察到的因素，如社会支持，以及特别相关的重大疾病爆发的因素，如SARS相关的担忧。
Objective: To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong. Design: A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization. Main Outcome Measures: Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12). Results: Four latent classes were identified-chronic dysfunction. delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry. and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group. Conclusion: This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous Studies, such as social support, as well as factors of particular relevance to a major disease outbreak, Such as SARS-related worry.