Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS)
Identifieur interne : 000223 ( Istex/Curation ); précédent : 000222; suivant : 000224Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS)
Auteurs : S. K. W. Cheng [Hong Kong] ; C. W. Wong [Hong Kong] ; J. Tsang [Hong Kong] ; K. C. Wong [Hong Kong]Source :
- Psychological Medicine [ 0033-2917 ] ; 2004-10.
Abstract
Background. Severe acute respiratory syndrome (SARS) is a novel disease. The authors have limited knowledge of its impact on mental health. The present study aimed to examine the level and extent of psychological distress of SARS survivors following 1-month recovery, to explore patients' negative appraisals of the impact of SARS, and to evaluate the associations between psychological distress and negative appraisals. Method. The Beck Anxiety Inventory, the Beck Depression Inventory, and a newly developed measure, the SARS Impact Scale (SIS), were mailed to 453 Hong Kong Chinese SARS survivors discharged from hospital for 4 weeks or more. Results. A total of 425 patients received the questionnaires and 180 (mean age 36·9 years; 120 women) gave valid replies. The response rate was 42·4%. The participants also represented 13·6% of all adult survivors in Hong Kong. About 35% of respondents reported ‘moderate to severe’ or ‘severe’ ranges of anxiety and/or depressive symptoms. It was found that those working as healthcare workers or having family members killed by SARS were more prone to develop subsequent high levels of distress. Factor analyses extracted three meaningful factors of the SIS, namely ‘survival threat’, ‘physical impact’, and ‘social impact’. Negative appraisals at the acute phase and 1-month recovery significantly accounted for substantial portions of variances for anxiety and depressive symptoms, after the effects of other psychosocial variables were controlled. Conclusions. Psychological distress of SARS survivors at 1-month recovery is real and significant. Negative appraisals may play a pivotal role in the development of psychological distress for SARS survivors, at least in the short term.
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DOI: 10.1017/S0033291704002272
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS)</title><author><name sortKey="Cheng, S K W" sort="Cheng, S K W" uniqKey="Cheng S" first="S. K. W." last="Cheng">S. K. W. Cheng</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wong, C W" sort="Wong, C W" uniqKey="Wong C" first="C. W." last="Wong">C. W. Wong</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Tsang, J" sort="Tsang, J" uniqKey="Tsang J" first="J." last="Tsang">J. Tsang</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wong, K C" sort="Wong, K C" uniqKey="Wong K" first="K. C." last="Wong">K. C. Wong</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D22D6AF530D3232F0A94BCB7955FA00954644AD6</idno><date when="2004" year="2004">2004</date><idno type="doi">10.1017/S0033291704002272</idno><idno type="url">https://api.istex.fr/ark:/67375/6GQ-62LN6198-Z/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000223</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000223</idno><idno type="wicri:Area/Istex/Curation">000223</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS)</title><author><name sortKey="Cheng, S K W" sort="Cheng, S K W" uniqKey="Cheng S" first="S. K. W." last="Cheng">S. K. W. Cheng</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wong, C W" sort="Wong, C W" uniqKey="Wong C" first="C. W." last="Wong">C. W. Wong</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Tsang, J" sort="Tsang, J" uniqKey="Tsang J" first="J." last="Tsang">J. Tsang</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wong, K C" sort="Wong, K C" uniqKey="Wong K" first="K. C." last="Wong">K. C. Wong</name><affiliation wicri:level="1"><mods:affiliation>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital, Hong Kong</mods:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Clinical Psychology Service Unit and Consultation and Liaison Psychiatry Team, Kwai Chung Hospital</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Psychological Medicine</title><idno type="ISSN">0033-2917</idno><idno type="eISSN">1469-8978</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2004-10">2004-10</date><biblScope unit="volume">34</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1187">1187</biblScope><biblScope unit="page" to="1195">1195</biblScope></imprint><idno type="ISSN">0033-2917</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0033-2917</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background. Severe acute respiratory syndrome (SARS) is a novel disease. The authors have limited knowledge of its impact on mental health. The present study aimed to examine the level and extent of psychological distress of SARS survivors following 1-month recovery, to explore patients' negative appraisals of the impact of SARS, and to evaluate the associations between psychological distress and negative appraisals. Method. The Beck Anxiety Inventory, the Beck Depression Inventory, and a newly developed measure, the SARS Impact Scale (SIS), were mailed to 453 Hong Kong Chinese SARS survivors discharged from hospital for 4 weeks or more. Results. A total of 425 patients received the questionnaires and 180 (mean age 36·9 years; 120 women) gave valid replies. The response rate was 42·4%. The participants also represented 13·6% of all adult survivors in Hong Kong. About 35% of respondents reported ‘moderate to severe’ or ‘severe’ ranges of anxiety and/or depressive symptoms. It was found that those working as healthcare workers or having family members killed by SARS were more prone to develop subsequent high levels of distress. Factor analyses extracted three meaningful factors of the SIS, namely ‘survival threat’, ‘physical impact’, and ‘social impact’. Negative appraisals at the acute phase and 1-month recovery significantly accounted for substantial portions of variances for anxiety and depressive symptoms, after the effects of other psychosocial variables were controlled. Conclusions. Psychological distress of SARS survivors at 1-month recovery is real and significant. Negative appraisals may play a pivotal role in the development of psychological distress for SARS survivors, at least in the short term.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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