Psychological Effects of the SARS Outbreak in Hong Kong on High-Risk Health Care Workers
Abstract
Abstract
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.
Résumé
Objectif:
Quantifier le stress et les répercussions psychologiques du syndrome respiratoire aigu sévère (SRAS) sur les fournisseurs de soins de santé (FSS) à risque élevé.
Méthode:
Nous avons évalué 271 FSS d'unités de SRAS et 342 sujets témoins en santé à l'aide de l'échelle de stress perçu (PSS) pour estimer les niveaux de stress et dresser une liste structurée des effets psychologiques présumés du SRAS, pour en évaluer les effets psychologiques. Les sujets témoins en santé étaient assortis selon l'âge, le sexe, le niveau d'instruction, la parentalité, les conditions de vie et l'absence d'expérience des soins de santé.
Résultats:
Les niveaux de stress étaient élevés dans les deux groupes (PSS = 18) mais n'étaient relativement pas accrus chez les FSS. Les FSS déclaraient un nombre significativement plus élevé d'effets psychologiques positifs (94 %, n = 256) et négatifs (89 %, n = 241) du SRAS que les sujets témoins. Les FSS disaient avoir confiance dans les mesures de prévention des infections.
Conclusions:
Chez les FSS, les réactions adaptatives au stress et les effets positifs de la formation en matière de prévention des infections peuvent avoir un effet protecteur lors de futures épidémies. Le stress élevé dans la population peut être un indicateur important d'une future morbidité psychiatrique.
References
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Published In
Article first published: June 2004
Issue published: June 2004
Keywords
History
Manuscript received: September 2003
Revision received: September 2003
Manuscript accepted: November 2003
Published online: June 1, 2004
Issue published: June 2004
PubMed: 15283534
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This article was published in The Canadian Journal of Psychiatry.
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