Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients
Identifieur interne : 000B90 ( Pmc/Curation ); précédent : 000B89; suivant : 000B91Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients
Auteurs : Sang Min Lee [Corée du Sud] ; Won Sub Kang [Corée du Sud] ; Ah-Rang Cho [Corée du Sud] ; Tae Kim [Corée du Sud] ; Jin Kyung Park [Corée du Sud]Source :
- Comprehensive Psychiatry [ 0010-440X ] ; 2018.
Abstract
This study aimed to assess the immediate stress and psychological impact experienced by quarantined patients undergoing hemodialysis and university hospital workers who treated patients Middle East respiratory syndrome (MERS) during its outbreak.
The group of subjects consisted of 1800 hospital practitioners and 73 quarantined patients undergoing hemodialysis. The Impact of Events Scale–Revised (IES-R) was administered to the practitioners twice, once during the hospital shutdown and again one month after the shutdown. The Mini International Neuropsychiatric Interview and Hospital Anxiety and Depression Scale were administered to patients undergoing hemodialysis.
During the initial stages of the MERS outbreak, healthcare workers who performed MERS-related tasks scored significantly higher on the total IES-R and its subscales. In the second assessment of the high-risk group, the sleep and numbness subscale scores from the IES-R differed depending on the implementation of home quarantine, and the intrusion subscale scores differed depending on the performance of MERS-related tasks.
Medical staff that performed MERS-related tasks showed the highest risk for post-traumatic stress disorder symptoms even after time had elapsed. The risk increased even after home quarantine. Prompt and continuous psychiatric intervention is needed in high mortality infectious disease outbreaks.
Url:
DOI: 10.1016/j.comppsych.2018.10.003
PubMed: 30343247
PubMed Central: 7094631
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<author><name sortKey="Lee, Sang Min" sort="Lee, Sang Min" uniqKey="Lee S" first="Sang Min" last="Lee">Sang Min Lee</name>
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<wicri:regionArea>Department of Psychiatry, Konyang University Hospital, College of Medicine, Konyang University, Daejeon</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:aff id="af0010">Konyang University, Myunggok Medical Research Institute, Daejeon 35365, Republic of Korea</nlm:aff>
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<wicri:regionArea>Konyang University, Myunggok Medical Research Institute, Daejeon 35365</wicri:regionArea>
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<author><name sortKey="Kang, Won Sub" sort="Kang, Won Sub" uniqKey="Kang W" first="Won Sub" last="Kang">Won Sub Kang</name>
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<author><name sortKey="Cho, Ah Rang" sort="Cho, Ah Rang" uniqKey="Cho A" first="Ah-Rang" last="Cho">Ah-Rang Cho</name>
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<author><name sortKey="Kim, Tae" sort="Kim, Tae" uniqKey="Kim T" first="Tae" last="Kim">Tae Kim</name>
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<author><name sortKey="Park, Jin Kyung" sort="Park, Jin Kyung" uniqKey="Park J" first="Jin Kyung" last="Park">Jin Kyung Park</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>This study aimed to assess the immediate stress and psychological impact experienced by quarantined patients undergoing hemodialysis and university hospital workers who treated patients Middle East respiratory syndrome (MERS) during its outbreak.</p>
</sec>
<sec><title>Design</title>
<p>The group of subjects consisted of 1800 hospital practitioners and 73 quarantined patients undergoing hemodialysis. The Impact of Events Scale–Revised (IES-R) was administered to the practitioners twice, once during the hospital shutdown and again one month after the shutdown. The Mini International Neuropsychiatric Interview and Hospital Anxiety and Depression Scale were administered to patients undergoing hemodialysis.</p>
</sec>
<sec><title>Results</title>
<p>During the initial stages of the MERS outbreak, healthcare workers who performed MERS-related tasks scored significantly higher on the total IES-R and its subscales. In the second assessment of the high-risk group, the sleep and numbness subscale scores from the IES-R differed depending on the implementation of home quarantine, and the intrusion subscale scores differed depending on the performance of MERS-related tasks.</p>
</sec>
<sec><title>Conclusion</title>
<p>Medical staff that performed MERS-related tasks showed the highest risk for post-traumatic stress disorder symptoms even after time had elapsed. The risk increased even after home quarantine. Prompt and continuous psychiatric intervention is needed in high mortality infectious disease outbreaks.</p>
</sec>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Compr Psychiatry</journal-id>
<journal-id journal-id-type="iso-abbrev">Compr Psychiatry</journal-id>
<journal-title-group><journal-title>Comprehensive Psychiatry</journal-title>
</journal-title-group>
<issn pub-type="ppub">0010-440X</issn>
<issn pub-type="epub">1532-8384</issn>
<publisher><publisher-name>Elsevier Inc.</publisher-name>
</publisher>
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<article-meta><article-id pub-id-type="pmid">30343247</article-id>
<article-id pub-id-type="pmc">7094631</article-id>
<article-id pub-id-type="publisher-id">S0010-440X(18)30166-4</article-id>
<article-id pub-id-type="doi">10.1016/j.comppsych.2018.10.003</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au0005"><name><surname>Lee</surname>
<given-names>Sang Min</given-names>
</name>
<xref rid="af0005" ref-type="aff">a</xref>
<xref rid="af0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au0010"><name><surname>Kang</surname>
<given-names>Won Sub</given-names>
</name>
<xref rid="af0015" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au0015"><name><surname>Cho</surname>
<given-names>Ah-Rang</given-names>
</name>
<xref rid="af0020" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au0020"><name><surname>Kim</surname>
<given-names>Tae</given-names>
</name>
<email>tae-kim@gist.ac.kr</email>
<xref rid="af0025" ref-type="aff">e</xref>
<xref rid="cr0005" ref-type="corresp">⁎</xref>
<xref rid="fn0005" ref-type="fn">1</xref>
</contrib>
<contrib contrib-type="author" id="au0025"><name><surname>Park</surname>
<given-names>Jin Kyung</given-names>
</name>
<email>parkdawit@naver.com</email>
<xref rid="af0020" ref-type="aff">d</xref>
<xref rid="cr0010" ref-type="corresp">⁎⁎</xref>
<xref rid="fn0005" ref-type="fn">1</xref>
</contrib>
</contrib-group>
<aff id="af0005"><label>a</label>
Department of Psychiatry, Konyang University Hospital, College of Medicine, Konyang University, Daejeon, Republic of Korea</aff>
<aff id="af0010"><label>b</label>
Konyang University, Myunggok Medical Research Institute, Daejeon 35365, Republic of Korea</aff>
<aff id="af0015"><label>c</label>
Department of Psychiatry, School of Medicine, Kyung Hee University, Seoul, Republic of Korea</aff>
<aff id="af0020"><label>d</label>
Department of Psychiatry, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Republic of Korea</aff>
<aff id="af0025"><label>e</label>
Department of Biomedical Science and Engineering and School of Life Sciences, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea</aff>
<author-notes><corresp id="cr0005"><label>⁎</label>
Correspondence to: T. Kim, Biomedical Science and Engineering and School of Life Sciences, Gwangju Institute of Science and Technology, 123 Cheomdangwagi-ro, Buk-gu, Gwangju 61005, Republic of Korea. <email>tae-kim@gist.ac.kr</email>
</corresp>
<corresp id="cr0010"><label>⁎⁎</label>
Correspondence to: J. K. Park, Department of Psychiatry, Kyung Hee University Hospital at Gangdong, 892, Dongnam-ro, Gangdong-gu, Seoul 05278, Republic of Korea. <email>parkdawit@naver.com</email>
</corresp>
<fn id="fn0005"><label>1</label>
<p id="np0025">These authors contributed equally to this work.</p>
</fn>
</author-notes>
<pub-date pub-type="pmc-release"><day>13</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>11</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub"><day>13</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>87</volume>
<fpage>123</fpage>
<lpage>127</lpage>
<permissions><copyright-statement>© 2018 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Elsevier Inc.</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="ab0005"><sec><title>Objectives</title>
<p>This study aimed to assess the immediate stress and psychological impact experienced by quarantined patients undergoing hemodialysis and university hospital workers who treated patients Middle East respiratory syndrome (MERS) during its outbreak.</p>
</sec>
<sec><title>Design</title>
<p>The group of subjects consisted of 1800 hospital practitioners and 73 quarantined patients undergoing hemodialysis. The Impact of Events Scale–Revised (IES-R) was administered to the practitioners twice, once during the hospital shutdown and again one month after the shutdown. The Mini International Neuropsychiatric Interview and Hospital Anxiety and Depression Scale were administered to patients undergoing hemodialysis.</p>
</sec>
<sec><title>Results</title>
<p>During the initial stages of the MERS outbreak, healthcare workers who performed MERS-related tasks scored significantly higher on the total IES-R and its subscales. In the second assessment of the high-risk group, the sleep and numbness subscale scores from the IES-R differed depending on the implementation of home quarantine, and the intrusion subscale scores differed depending on the performance of MERS-related tasks.</p>
</sec>
<sec><title>Conclusion</title>
<p>Medical staff that performed MERS-related tasks showed the highest risk for post-traumatic stress disorder symptoms even after time had elapsed. The risk increased even after home quarantine. Prompt and continuous psychiatric intervention is needed in high mortality infectious disease outbreaks.</p>
</sec>
</abstract>
<abstract abstract-type="author-highlights" id="ab0010"><title>Highlights</title>
<p><list list-type="simple" id="l0005"><list-item id="li0005"><label>•</label>
<p id="p0005">Little research on psychological impact of MERS outbreaks is available.</p>
</list-item>
<list-item id="li0010"><label>•</label>
<p id="p0010">Medical staff that performed MERS-related tasks showed the highest risk for PTSD symptoms.</p>
</list-item>
<list-item id="li0015"><label>•</label>
<p id="p0015">The risk increased even after home quarantine.</p>
</list-item>
<list-item id="li0020"><label>•</label>
<p id="p0020">Prompt and continuous psychiatric intervention is needed in infectious diseases.</p>
</list-item>
</list>
</p>
</abstract>
<kwd-group id="ks0005"><title>Keywords</title>
<kwd>Middle East respiratory syndrome coronavirus infection</kwd>
<kwd>Quarantine</kwd>
<kwd>Healthcare workers</kwd>
<kwd>Mental health</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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