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Depression after Exposure to Stressful Events: Lessons Learned from the SARS Epidemic

Identifieur interne : 000385 ( Pmc/Corpus ); précédent : 000384; suivant : 000386

Depression after Exposure to Stressful Events: Lessons Learned from the SARS Epidemic

Auteurs : Xinhua Liu ; Meghana Kakade ; Cordelia J. Fuller ; Bin Fan ; Yunyun Fang ; Junhui Kong ; Zhiqiang Guan ; Ping Wu

Source :

RBID : PMC:3176950

Abstract

Aim

To examine, among hospital employees exposed to an outbreak of severe acute respiratory syndrome (SARS), post-outbreak levels of depressive symptoms, and the relationship between those depressive symptom levels and the types of outbreak event exposures experienced.

Methods

In 2006, randomly selected employees (n = 549) of a hospital in Beijing were surveyed concerning their exposures to the city’s 2003 SARS outbreak, and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of post-traumatic stress disorder (PTSD) and depression.

Results

The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events prior to SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms three years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.

Conclusions

Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.


Url:
DOI: 10.1016/j.comppsych.2011.02.003
PubMed: 21489421
PubMed Central: 3176950

Links to Exploration step

PMC:3176950

Le document en format XML

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<title>Aim</title>
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<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">In 2006, randomly selected employees (
<italic>n</italic>
= 549) of a hospital in Beijing were surveyed concerning their exposures to the city’s 2003 SARS outbreak, and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of post-traumatic stress disorder (PTSD) and depression.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events prior to SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms three years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.</p>
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<surname>Fan</surname>
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<surname>Guan</surname>
<given-names>Zhiqiang</given-names>
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<name>
<surname>Wu</surname>
<given-names>Ping</given-names>
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<xref ref-type="aff" rid="A2">b</xref>
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Mailman School of Public Health, Columbia University</aff>
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New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, U.S.A.</aff>
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Beijing University of Chinese Medicine</aff>
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National Institute for Social Insurance, Beijing, China</aff>
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College of Physicians and Surgeons, Columbia University</aff>
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Please address all correspondence to: Ping Wu, Ph.D., Columbia University-NYSPI, 1051 Riverside Dr., Unit 43, New York, NY 10032. 212-543-5190; FAX: 212-781-6050;
<email>pw11@columbia.edu</email>
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<copyright-statement>© 2011 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Aim</title>
<p id="P1">To examine, among hospital employees exposed to an outbreak of severe acute respiratory syndrome (SARS), post-outbreak levels of depressive symptoms, and the relationship between those depressive symptom levels and the types of outbreak event exposures experienced.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">In 2006, randomly selected employees (
<italic>n</italic>
= 549) of a hospital in Beijing were surveyed concerning their exposures to the city’s 2003 SARS outbreak, and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of post-traumatic stress disorder (PTSD) and depression.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events prior to SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms three years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.</p>
</sec>
</abstract>
<funding-group>
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<funding-source country="United States">National Institute on Drug Abuse : NIDA</funding-source>
<award-id>R01 DA016894-02S1 || DA</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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