The psychological effect of severe acute respiratory syndrome on emergency department staff
Identifieur interne : 000A51 ( Istex/Corpus ); précédent : 000A50; suivant : 000A52The psychological effect of severe acute respiratory syndrome on emergency department staff
Auteurs : C-Y Lin ; Y-C Peng ; Y-H Wu ; J. Chang ; C-H Chan ; D-Y YangSource :
- Emergency Medicine Journal [ 1472-0205 ] ; 2007-01.
English descriptors
- KwdEn :
- Teeft :
- Average score, Chinese version, Davidson trauma scale, Davidson trauma version, Demographic data, Emergency department, Emergency department staff, Exact test, Family members, Healthcare, Healthcare workers, Hong kong, Marital status, Medical staff, Morbidity, Outbreak, Psychiatric, Psychiatric morbidity, Psychiatric ward, Psychiatric ward staff, Psychological effect, Psychological status, Ptsd, Ptsd symptoms, Public health, Respiratory syndrome, Sars, Sars outbreak, Significant difference, Staff members, Stress disorder, Symptom, Syndrome, Taichung, Taichung veterans, Trauma, Traumatic, Traumatic experience, Work load, World health organization.
Abstract
Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department. Aim: : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department. Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak. Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward. Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.
Url:
DOI: 10.1136/emj.2006.035089
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ISTEX:712C31FFD55B25E576E2A74A24010E11D3FD76FCLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The psychological effect of severe acute respiratory syndrome on emergency department staff</title><author><name sortKey="Lin, C Y" sort="Lin, C Y" uniqKey="Lin C" first="C-Y" last="Lin">C-Y Lin</name><affiliation><mods:affiliation>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Peng, Y C" sort="Peng, Y C" uniqKey="Peng Y" first="Y-C" last="Peng">Y-C Peng</name><affiliation><mods:affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Wu, Y H" sort="Wu, Y H" uniqKey="Wu Y" first="Y-H" last="Wu">Y-H Wu</name><affiliation><mods:affiliation>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chang, J" sort="Chang, J" uniqKey="Chang J" first="J" last="Chang">J. Chang</name><affiliation><mods:affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Chan, C H" sort="Chan, C H" uniqKey="Chan C" first="C-H" last="Chan">C-H Chan</name><affiliation><mods:affiliation>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Yang, D Y" sort="Yang, D Y" uniqKey="Yang D" first="D-Y" last="Yang">D-Y Yang</name><affiliation><mods:affiliation>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:712C31FFD55B25E576E2A74A24010E11D3FD76FC</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1136/emj.2006.035089</idno><idno type="url">https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000A51</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000A51</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The psychological effect of severe acute respiratory syndrome on emergency department staff</title><author><name sortKey="Lin, C Y" sort="Lin, C Y" uniqKey="Lin C" first="C-Y" last="Lin">C-Y Lin</name><affiliation><mods:affiliation>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Peng, Y C" sort="Peng, Y C" uniqKey="Peng Y" first="Y-C" last="Peng">Y-C Peng</name><affiliation><mods:affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Wu, Y H" sort="Wu, Y H" uniqKey="Wu Y" first="Y-H" last="Wu">Y-H Wu</name><affiliation><mods:affiliation>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chang, J" sort="Chang, J" uniqKey="Chang J" first="J" last="Chang">J. Chang</name><affiliation><mods:affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Chan, C H" sort="Chan, C H" uniqKey="Chan C" first="C-H" last="Chan">C-H Chan</name><affiliation><mods:affiliation>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</mods:affiliation></affiliation></author><author><name sortKey="Yang, D Y" sort="Yang, D Y" uniqKey="Yang D" first="D-Y" last="Yang">D-Y Yang</name><affiliation><mods:affiliation>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Emergency Medicine Journal</title><title level="j" type="abbrev">Emerg Med J</title><idno type="ISSN">1472-0205</idno><idno type="eISSN">1472-0213</idno><imprint><publisher>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><date type="published" when="2007-01">2007-01</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="12">12</biblScope></imprint><idno type="ISSN">1472-0205</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1472-0205</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>CHQ-12, Chinese Health Questionnaire-12</term><term>DTS-C, Davidson Trauma Scale-Chinese version</term><term>PTSD, post-traumatic stress disorder</term><term>SARS, severe acute respiratory syndrome</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Average score</term><term>Chinese version</term><term>Davidson trauma scale</term><term>Davidson trauma version</term><term>Demographic data</term><term>Emergency department</term><term>Emergency department staff</term><term>Exact test</term><term>Family members</term><term>Healthcare</term><term>Healthcare workers</term><term>Hong kong</term><term>Marital status</term><term>Medical staff</term><term>Morbidity</term><term>Outbreak</term><term>Psychiatric</term><term>Psychiatric morbidity</term><term>Psychiatric ward</term><term>Psychiatric ward staff</term><term>Psychological effect</term><term>Psychological status</term><term>Ptsd</term><term>Ptsd symptoms</term><term>Public health</term><term>Respiratory syndrome</term><term>Sars</term><term>Sars outbreak</term><term>Significant difference</term><term>Staff members</term><term>Stress disorder</term><term>Symptom</term><term>Syndrome</term><term>Taichung</term><term>Taichung veterans</term><term>Trauma</term><term>Traumatic</term><term>Traumatic experience</term><term>Work load</term><term>World health organization</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department. Aim: : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department. Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak. Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward. Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>sars</json:string><json:string>healthcare</json:string><json:string>emergency department</json:string><json:string>ptsd</json:string><json:string>emergency department staff</json:string><json:string>sars outbreak</json:string><json:string>healthcare workers</json:string><json:string>psychiatric ward</json:string><json:string>taichung</json:string><json:string>trauma</json:string><json:string>staff members</json:string><json:string>respiratory syndrome</json:string><json:string>medical staff</json:string><json:string>psychological effect</json:string><json:string>morbidity</json:string><json:string>ptsd symptoms</json:string><json:string>taichung veterans</json:string><json:string>outbreak</json:string><json:string>psychiatric ward staff</json:string><json:string>marital status</json:string><json:string>family members</json:string><json:string>traumatic experience</json:string><json:string>chinese version</json:string><json:string>psychiatric morbidity</json:string><json:string>psychological status</json:string><json:string>stress disorder</json:string><json:string>traumatic</json:string><json:string>symptom</json:string><json:string>psychiatric</json:string><json:string>exact test</json:string><json:string>public health</json:string><json:string>davidson trauma scale</json:string><json:string>significant difference</json:string><json:string>hong kong</json:string><json:string>work load</json:string><json:string>demographic data</json:string><json:string>davidson trauma version</json:string><json:string>average score</json:string><json:string>world health organization</json:string><json:string>syndrome</json:string></teeft></keywords><author><json:item><name>C-Y Lin</name><affiliations><json:string>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</json:string></affiliations></json:item><json:item><name>Y-C Peng</name><affiliations><json:string>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</json:string></affiliations></json:item><json:item><name>Y-H Wu</name><affiliations><json:string>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</json:string></affiliations></json:item><json:item><name>J Chang</name><affiliations><json:string>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</json:string></affiliations></json:item><json:item><name>C-H Chan</name><affiliations><json:string>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</json:string></affiliations></json:item><json:item><name>D-Y Yang</name><affiliations><json:string>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>CHQ-12, Chinese Health Questionnaire-12</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>DTS-C, Davidson Trauma Scale-Chinese version</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>PTSD, post-traumatic stress disorder</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>SARS, severe acute respiratory syndrome</value></json:item></subject><arkIstex>ark:/67375/NVC-05RP2H54-Q</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department. Aim: : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department. Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak. Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward. Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</abstract><qualityIndicators><score>8.791</score><pdfWordCount>4007</pdfWordCount><pdfCharCount>26698</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>612 x 792 pts (letter)</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>232</abstractWordCount><abstractCharCount>1568</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>The psychological effect of severe acute respiratory syndrome on emergency department staff</title><pmid><json:string>17183035</json:string></pmid><genre><json:string>research-article</json:string></genre><host><title>Emergency Medicine Journal</title><language><json:string>unknown</json:string></language><issn><json:string>1472-0205</json:string></issn><eissn><json:string>1472-0213</json:string></eissn><volume>24</volume><issue>1</issue><pages><first>12</first></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Anxiety disorders (including OCD and PTSD)</value></json:item></subject></host><namedEntities><unitex><date><json:string>8422</json:string><json:string>from 30 April to 5 July</json:string><json:string>2003</json:string><json:string>2006-12-20</json:string></date><geogName></geogName><orgName><json:string>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</json:string><json:string>Taiwan Competing</json:string><json:string>Division of Dermatology</json:string><json:string>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</json:string><json:string>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC Y</json:string><json:string>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</json:string><json:string>Chung Shan Medical University</json:string><json:string>World Health Organization, Taiwan</json:string><json:string>Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan</json:string><json:string>Taiwan, ROC</json:string><json:string>ROC</json:string><json:string>Biostatistics Task Force of Taichung Veterans General Hospital</json:string><json:string>Taiwan</json:string><json:string>Taichung</json:string></orgName><orgName_funder><json:string>ROC</json:string><json:string>Biostatistics Task Force of Taichung Veterans General Hospital</json:string><json:string>Taiwan</json:string><json:string>Taichung</json:string></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Canada</json:string><json:string>Taiwan</json:string><json:string>To</json:string><json:string>I. Group</json:string></persName><placeName><json:string>Hong Kong</json:string><json:string>Taiwan</json:string><json:string>Canada</json:string><json:string>Helsinki</json:string><json:string>Taichung</json:string></placeName><ref_url></ref_url><ref_bibl></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/NVC-05RP2H54-Q</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - emergency medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - emergency & critical care medicine</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Critical Care and Intensive Care Medicine</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - General Medicine</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Emergency Medicine</json:string></scopus><inist><json:string>1 - sciences humaines et sociales</json:string><json:string>2 - art et archeologie</json:string></inist></categories><publicationDate>2007</publicationDate><copyrightDate>2007</copyrightDate><doi><json:string>10.1136/emj.2006.035089</json:string></doi><id>712C31FFD55B25E576E2A74A24010E11D3FD76FC</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">The psychological effect of severe acute respiratory syndrome on emergency department staff</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><availability><licence><p>Copyright 2007 by the Emergency Medicine Journal</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</p></availability><date>2006-12-20</date></publicationStmt><notesStmt><note type="research-article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note><note>Correspondence to:
Y-C Peng
Department of Emergency, Taichung Veterans General Hospital, Number 160, Sector 3, Chung-Kang Road, Taichung, Taiwan, ROC 407; pychun@vghtc.gov.tw</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The psychological effect of severe acute respiratory syndrome on emergency department staff</title><author xml:id="author-0000"><persName><forename type="first">C-Y</forename><surname>Lin</surname></persName><affiliation>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Y-C</forename><surname>Peng</surname></persName><affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Y-H</forename><surname>Wu</surname></persName><affiliation>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</affiliation></author><author xml:id="author-0003"><persName><forename type="first">J</forename><surname>Chang</surname></persName><affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation></author><author xml:id="author-0004"><persName><forename type="first">C-H</forename><surname>Chan</surname></persName><affiliation>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation></author><author xml:id="author-0005"><persName><forename type="first">D-Y</forename><surname>Yang</surname></persName><affiliation>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</affiliation></author><idno type="istex">712C31FFD55B25E576E2A74A24010E11D3FD76FC</idno><idno type="ark">ark:/67375/NVC-05RP2H54-Q</idno><idno type="DOI">10.1136/emj.2006.035089</idno><idno type="href">emermed-24-12.pdf</idno><idno type="PMID">17183035</idno><idno type="local">0240012</idno></analytic><monogr><title level="j">Emergency Medicine Journal</title><title level="j" type="abbrev">Emerg Med J</title><idno type="pISSN">1472-0205</idno><idno type="eISSN">1472-0213</idno><idno type="PublisherID-hwp">emermed</idno><idno type="PublisherID-nlm-ta">Emerg Med J</idno><imprint><publisher>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><date type="published" when="2007-01"></date><biblScope unit="volume">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="12">12</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2006-12-20</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department. Aim: : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department. Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak. Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward. Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>ABR</head><item><term>CHQ-12, Chinese Health Questionnaire-12</term></item><item><term>DTS-C, Davidson Trauma Scale-Chinese version</term></item><item><term>PTSD, post-traumatic stress disorder</term></item><item><term>SARS, severe acute respiratory syndrome</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Anxiety disorders (including OCD and PTSD)</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2006-12-20">Created</change><change when="2007-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article xml:lang="en" article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">emermed</journal-id><journal-id journal-id-type="nlm-ta">Emerg Med J</journal-id><journal-title>Emergency Medicine Journal</journal-title><abbrev-journal-title abbrev-type="publisher">Emerg Med J</abbrev-journal-title><issn pub-type="ppub">1472-0205</issn><issn pub-type="epub">1472-0213</issn><publisher><publisher-name>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="other">0240012</article-id><article-id pub-id-type="doi">10.1136/emj.2006.035089</article-id><article-id pub-id-type="other">emermed;24/1/12</article-id><article-id pub-id-type="pmid">17183035</article-id><article-id pub-id-type="other">12</article-id><article-id pub-id-type="other">emj.2006.035089</article-id><article-categories><subj-group subj-group-type="heading"><subject content-type="original">Original articles</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Anxiety disorders (including OCD and PTSD)</subject></subj-group></article-categories><title-group><article-title>The psychological effect of severe acute respiratory syndrome on emergency department staff</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Lin</surname><given-names>C-Y</given-names></name><xref rid="AFF1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Peng</surname><given-names>Y-C</given-names></name><xref rid="AFF3">3</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Wu</surname><given-names>Y-H</given-names></name><xref rid="AFF5">5</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Chang</surname><given-names>J</given-names></name><xref rid="AFF3">3</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Chan</surname><given-names>C-H</given-names></name><xref rid="AFF2">2</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Yang</surname><given-names>D-Y</given-names></name><xref rid="AFF4">4</xref></contrib><aff id="AFF1"><label>1</label>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</aff><aff id="AFF2"><label>2</label>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</aff><aff id="AFF3"><label>3</label>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</aff><aff id="AFF4"><label>4</label>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</aff><aff id="AFF5"><label>5</label>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</aff></contrib-group><author-notes><corresp>Correspondence to:
Y-C Peng
Department of Emergency, Taichung Veterans General Hospital, Number 160, Sector 3, Chung-Kang Road, Taichung, Taiwan, ROC 407; <ext-link xlink:href="pychun@vghtc.gov.tw" ext-link-type="email" xlink:type="simple">pychun@vghtc.gov.tw</ext-link></corresp></author-notes><pub-date pub-type="ppub"><month>1</month><year>2007</year></pub-date><pub-date pub-type="epub"><day>20</day><month>12</month><year>2006</year></pub-date><volume>24</volume><volume-id pub-id-type="other">24</volume-id><volume-id pub-id-type="other">24</volume-id><issue>1</issue><issue-id pub-id-type="other">emermed;24/1</issue-id><issue-id pub-id-type="other">1</issue-id><issue-id pub-id-type="other">24/1</issue-id><fpage>12</fpage><history><date date-type="accepted"><day>02</day><month>10</month><year>2006</year></date></history><permissions><copyright-statement>Copyright 2007 by the Emergency Medicine Journal</copyright-statement><copyright-year>2007</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="emermed-24-12.pdf"></self-uri><abstract xml:lang="en"><p><bold>Background:</bold> The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department.</p><p><bold>Aim:</bold> : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department.</p><p><bold>Methods:</bold> To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak.</p><p><bold>Results:</bold> 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</p><p><bold>Conclusion:</bold> SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</p></abstract><kwd-group kwd-group-type="ABR" xml:lang="en"><kwd>CHQ-12, Chinese Health Questionnaire-12</kwd><kwd>DTS-C, Davidson Trauma Scale-Chinese version</kwd><kwd>PTSD, post-traumatic stress disorder</kwd><kwd>SARS, severe acute respiratory syndrome</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The psychological effect of severe acute respiratory syndrome on emergency department staff</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>The psychological effect of severe acute respiratory syndrome on emergency department staff</title></titleInfo><name type="personal"><namePart type="given">C-Y</namePart><namePart type="family">Lin</namePart><affiliation>Department of Psychiatry, Chang Hwa Hospital, Department of Health, Chang Hwa, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Y-C</namePart><namePart type="family">Peng</namePart><affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Y-H</namePart><namePart type="family">Wu</namePart><affiliation>Division of Dermatology, Department of Health, Fong Yuan Hospital, Fong Yuan, Taiwan; Chung Shan Medical University, Taichung, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Chang</namePart><affiliation>Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C-H</namePart><namePart type="family">Chan</namePart><affiliation>Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D-Y</namePart><namePart type="family">Yang</namePart><affiliation>Department of Neurosurgery, Show Chwan Memorial Hospital, Chang Bin, Chang Hwa, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><dateIssued encoding="w3cdtf">2007-01</dateIssued><dateCreated encoding="w3cdtf">2006-12-20</dateCreated><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department. Aim: : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department. Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the high-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak. Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different (p = 0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward. Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.</abstract><note type="author-notes">Correspondence to:
Y-C Peng
Department of Emergency, Taichung Veterans General Hospital, Number 160, Sector 3, Chung-Kang Road, Taichung, Taiwan, ROC 407; pychun@vghtc.gov.tw</note><subject lang="en"><genre>ABR</genre><topic>CHQ-12, Chinese Health Questionnaire-12</topic><topic>DTS-C, Davidson Trauma Scale-Chinese version</topic><topic>PTSD, post-traumatic stress disorder</topic><topic>SARS, severe acute respiratory syndrome</topic></subject><relatedItem type="host"><titleInfo><title>Emergency Medicine Journal</title></titleInfo><titleInfo type="abbreviated"><title>Emerg Med J</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>hwp-journal-coll</genre><topic>Anxiety disorders (including OCD and PTSD)</topic></subject><identifier type="ISSN">1472-0205</identifier><identifier type="eISSN">1472-0213</identifier><identifier type="PublisherID-hwp">emermed</identifier><identifier type="PublisherID-nlm-ta">Emerg Med J</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>12</start></extent></part></relatedItem><identifier type="istex">712C31FFD55B25E576E2A74A24010E11D3FD76FC</identifier><identifier type="ark">ark:/67375/NVC-05RP2H54-Q</identifier><identifier type="DOI">10.1136/emj.2006.035089</identifier><identifier type="href">emermed-24-12.pdf</identifier><identifier type="PMID">17183035</identifier><identifier type="local">0240012</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright 2007 by the Emergency Medicine Journal</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</recordContentSource><recordOrigin>Copyright 2007 by the Emergency Medicine Journal</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-05RP2H54-Q/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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