Stress and psychological distress among SARS survivors 1 year after the outbreak
Stress and psychological distress among SARS survivors 1 year after the outbreak
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DOI：
10.1177/070674370705200405
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发表时间：
2007-04-01
影响因子：
4
通讯作者：
Chua, Siew E.
中科院分区：
文献类型：
--
作者：
Lee, Antoinette M.;Wong, Josephine G. W. S.;Chua, Siew E.
目的：研究严重急性呼吸综合征(SARS)患者发病1年后的压力水平和心理压力状况。方法：在2003年SARS暴发期间，我们使用10个条目的压力感知量表(PSS-10)对两家大医院收治的SARS幸存者(非医护人员49人，医护人员30人)进行测评。2004年，我们邀请同一家医院的SARS幸存者(非医护人员63人；医护人员33人)再次完成PSS-10。当时，他们还被要求完成一般健康问卷(GHQ-12)以及抑郁、焦虑和创伤后症状的测量。结果：SARS幸存者在暴发期间的PSS-10评分高于对照组(PSS-10评分分别为19.8和17.9；P<；0.01)，并在1年后持续(PSS-10评分分别为19.9和17.3；P<；0.01)，没有下降的迹象。2004年，SARS幸存者也表现出令人担忧的抑郁、焦虑和创伤后症状。一个令人震惊的比例(%)得分高于表明精神疾病发病率的GHQ-12分界点。在SARS暴发期间，医护人员的压力水平与非医护人员相似，但2004年医护人员的压力水平显著高于非医护人员(PSS-10得分=22.8，PSS-10得分=18.4；P<；0.05)，并有更高的抑郁、焦虑、创伤后症状和GHQ-12得分。结论：SARS幸存者在疫情爆发一年后仍有较高的压力水平和令人担忧的心理困扰水平。医护人员SARS幸存者的情况尤其令人担忧。传染病的长期心理影响不应被忽视。心理健康服务可以在康复中发挥重要作用。
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.