Alcohol Abuse/Dependence Symptoms Among Hospital Employees Exposed to a SARS Outbreak
Identifieur interne : 001D45 ( Ncbi/Merge ); précédent : 001D44; suivant : 001D46Alcohol Abuse/Dependence Symptoms Among Hospital Employees Exposed to a SARS Outbreak
Auteurs : Ping Wu ; Xinhua Liu [États-Unis] ; Yunyun Fang [République populaire de Chine] ; Bin Fan [États-Unis] ; Cordelia J. Fuller [États-Unis] ; Zhiqiang Guan [République populaire de Chine] ; Zhongling Yao [République populaire de Chine] ; Junhui Kong [République populaire de Chine] ; Jin Lu [République populaire de Chine] ; Iva J. Litvak [États-Unis]Source :
- Alcohol and Alcoholism (Oxford, Oxfordshire) [ 0735-0414 ] ; 2008.
Abstract
Url:
DOI: 10.1093/alcalc/agn073
PubMed: 18790829
PubMed Central: 2720767
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PMC:2720767Le document en format XML
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<author><name sortKey="Liu, Xinhua" sort="Liu, Xinhua" uniqKey="Liu X" first="Xinhua" last="Liu">Xinhua Liu</name>
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,<addr-line>NY</addr-line>
,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Fang, Yunyun" sort="Fang, Yunyun" uniqKey="Fang Y" first="Yunyun" last="Fang">Yunyun Fang</name>
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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Yao, Zhongling" sort="Yao, Zhongling" uniqKey="Yao Z" first="Zhongling" last="Yao">Zhongling Yao</name>
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,<country>China</country>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Kong, Junhui" sort="Kong, Junhui" uniqKey="Kong J" first="Junhui" last="Kong">Junhui Kong</name>
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,<addr-line>Beijing</addr-line>
,<country>China</country>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Lu, Jin" sort="Lu, Jin" uniqKey="Lu J" first="Jin" last="Lu">Jin Lu</name>
<affiliation wicri:level="1"><nlm:aff id="af6"><institution>Peking University First School of Clinical Medicine</institution>
,<addr-line>Beijing</addr-line>
,<country>China</country>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Litvak, Iva J" sort="Litvak, Iva J" uniqKey="Litvak I" first="Iva J." last="Litvak">Iva J. Litvak</name>
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,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<series><title level="j">Alcohol and Alcoholism (Oxford, Oxfordshire)</title>
<idno type="ISSN">0735-0414</idno>
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<front><div type="abstract" xml:lang="en"><p><bold>Aims:</bold>
The aim of this study was to examine alcohol abuse/dependence symptoms among hospital employees exposed to a severe acute respiratory syndrome (SARS) outbreak, and the relationship between types of exposure to the SARS outbreak and subsequent alcohol abuse/dependence symptoms. <bold>Methods:</bold>
A survey was conducted among 549 randomly selected hospital employees in Beijing, China, concerning the psychological impact of the 2003 SARS outbreak. Subjects were assessed on sociodemographic factors and types of exposure to the outbreak, and on symptoms of post-traumatic stress (PTS), alcohol abuse/dependence and depression. <bold>Results:</bold>
Current alcohol abuse/dependence symptom counts 3 years after the outbreak were positively associated with having been quarantined, or worked in high-risk locations such as SARS wards, during the outbreak. However, having had family members or friends contract, SARS was not related to alcohol abuse/dependence symptom count. Symptoms of PTS and of depression, and having used drinking as a coping method, were also significantly associated with increased alcohol abuse/dependence symptoms. The relationship between outbreak exposure and alcohol abuse/dependence symptom count remained significant even when sociodemographic and other factors were controlled for. When the intrusion, avoidance and hyperarousal PTS symptom clusters were entered into the model, hyperarousal was found to be significantly associated with alcohol abuse/dependence symptoms. <bold>Conclusions:</bold>
Exposure to an outbreak of a severe infectious disease can, like other disaster exposures, lead not only to PTSD but also to other psychiatric conditions, such as alcohol abuse/dependence. The findings will help policy makers and health professionals to better prepare for potential outbreaks of diseases such as SARS or avian flu.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Alcohol Alcohol</journal-id>
<journal-id journal-id-type="publisher-id">alcalc</journal-id>
<journal-id journal-id-type="hwp">alcalc</journal-id>
<journal-title-group><journal-title>Alcohol and Alcoholism (Oxford, Oxfordshire)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0735-0414</issn>
<issn pub-type="epub">1464-3502</issn>
<publisher><publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">18790829</article-id>
<article-id pub-id-type="pmc">2720767</article-id>
<article-id pub-id-type="doi">10.1093/alcalc/agn073</article-id>
<article-id pub-id-type="publisher-id">agn073</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Epidemiology</subject>
</subj-group>
</article-categories>
<title-group><article-title>Alcohol Abuse/Dependence Symptoms Among Hospital Employees Exposed to a SARS Outbreak</article-title>
<alt-title alt-title-type="left-running">Wu <italic>et al.</italic>
</alt-title>
<alt-title alt-title-type="right-running">Alcohol Abuse/Dependence Symptoms After the SARS Outbreak</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Wu</surname>
<given-names>Ping</given-names>
</name>
<xref ref-type="aff" rid="af1 af2 af3">1,2,3</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Liu</surname>
<given-names>Xinhua</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fang</surname>
<given-names>Yunyun</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fan</surname>
<given-names>Bin</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fuller</surname>
<given-names>Cordelia J.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guan</surname>
<given-names>Zhiqiang</given-names>
</name>
<xref ref-type="aff" rid="af5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yao</surname>
<given-names>Zhongling</given-names>
</name>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kong</surname>
<given-names>Junhui</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lu</surname>
<given-names>Jin</given-names>
</name>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Litvak</surname>
<given-names>Iva J.</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
</contrib-group>
<aff id="af1"><label>1</label>
<addr-line>Mailman School of Public Health</addr-line>
,<institution>Columbia University</institution>
,<addr-line>NY</addr-line>
,<country>USA</country>
</aff>
<aff id="af2"><label>2</label>
<addr-line>College of Physicians and Surgeons</addr-line>
,<institution>Columbia University</institution>
,<addr-line>NY</addr-line>
,<country>USA</country>
</aff>
<aff id="af3"><label>3</label>
<addr-line>New York State Psychiatric Institute, 1051 Riverside Drive, NY 10032</addr-line>
,<country>USA</country>
</aff>
<aff id="af4"><label>4</label>
<institution>Beijing University of Chinese Medicine</institution>
,<addr-line>Beijing</addr-line>
,<country>China</country>
</aff>
<aff id="af5"><label>5</label>
<addr-line>National Institute for Social Insurance, Beijing</addr-line>
,<country>China</country>
</aff>
<aff id="af6"><label>6</label>
<institution>Peking University First School of Clinical Medicine</institution>
,<addr-line>Beijing</addr-line>
,<country>China</country>
</aff>
<author-notes><corresp id="cor1"><label>*</label>
Corresponding author: New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit 43, NY 10032, USA. Tel: <phone>+1-212-543-5190</phone>
; Fax: <fax>+1-212-781-6050</fax>
; E-mail: <email>pw11@columbia.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Nov-Dec</season>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub"><day>12</day>
<month>9</month>
<year>2008</year>
</pub-date>
<volume>43</volume>
<issue>6</issue>
<fpage>706</fpage>
<lpage>712</lpage>
<history><date date-type="received"><day>10</day>
<month>1</month>
<year>2008</year>
</date>
<date date-type="rev-request"><day>9</day>
<month>5</month>
<year>2008</year>
</date>
<date date-type="rev-recd"><day>16</day>
<month>7</month>
<year>2008</year>
</date>
<date date-type="accepted"><day>12</day>
<month>8</month>
<year>2008</year>
</date>
</history>
<permissions><copyright-statement>© Published by Oxford University Press on behalf of the Medical Council on Alcohol. 2008.</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder>Oxford University Press</copyright-holder>
</permissions>
<abstract><p><bold>Aims:</bold>
The aim of this study was to examine alcohol abuse/dependence symptoms among hospital employees exposed to a severe acute respiratory syndrome (SARS) outbreak, and the relationship between types of exposure to the SARS outbreak and subsequent alcohol abuse/dependence symptoms. <bold>Methods:</bold>
A survey was conducted among 549 randomly selected hospital employees in Beijing, China, concerning the psychological impact of the 2003 SARS outbreak. Subjects were assessed on sociodemographic factors and types of exposure to the outbreak, and on symptoms of post-traumatic stress (PTS), alcohol abuse/dependence and depression. <bold>Results:</bold>
Current alcohol abuse/dependence symptom counts 3 years after the outbreak were positively associated with having been quarantined, or worked in high-risk locations such as SARS wards, during the outbreak. However, having had family members or friends contract, SARS was not related to alcohol abuse/dependence symptom count. Symptoms of PTS and of depression, and having used drinking as a coping method, were also significantly associated with increased alcohol abuse/dependence symptoms. The relationship between outbreak exposure and alcohol abuse/dependence symptom count remained significant even when sociodemographic and other factors were controlled for. When the intrusion, avoidance and hyperarousal PTS symptom clusters were entered into the model, hyperarousal was found to be significantly associated with alcohol abuse/dependence symptoms. <bold>Conclusions:</bold>
Exposure to an outbreak of a severe infectious disease can, like other disaster exposures, lead not only to PTSD but also to other psychiatric conditions, such as alcohol abuse/dependence. The findings will help policy makers and health professionals to better prepare for potential outbreaks of diseases such as SARS or avian flu.</p>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
</list>
<tree><noCountry><name sortKey="Wu, Ping" sort="Wu, Ping" uniqKey="Wu P" first="Ping" last="Wu">Ping Wu</name>
</noCountry>
<country name="États-Unis"><noRegion><name sortKey="Liu, Xinhua" sort="Liu, Xinhua" uniqKey="Liu X" first="Xinhua" last="Liu">Xinhua Liu</name>
</noRegion>
<name sortKey="Fan, Bin" sort="Fan, Bin" uniqKey="Fan B" first="Bin" last="Fan">Bin Fan</name>
<name sortKey="Fuller, Cordelia J" sort="Fuller, Cordelia J" uniqKey="Fuller C" first="Cordelia J." last="Fuller">Cordelia J. Fuller</name>
<name sortKey="Litvak, Iva J" sort="Litvak, Iva J" uniqKey="Litvak I" first="Iva J." last="Litvak">Iva J. Litvak</name>
</country>
<country name="République populaire de Chine"><noRegion><name sortKey="Fang, Yunyun" sort="Fang, Yunyun" uniqKey="Fang Y" first="Yunyun" last="Fang">Yunyun Fang</name>
</noRegion>
<name sortKey="Guan, Zhiqiang" sort="Guan, Zhiqiang" uniqKey="Guan Z" first="Zhiqiang" last="Guan">Zhiqiang Guan</name>
<name sortKey="Kong, Junhui" sort="Kong, Junhui" uniqKey="Kong J" first="Junhui" last="Kong">Junhui Kong</name>
<name sortKey="Lu, Jin" sort="Lu, Jin" uniqKey="Lu J" first="Jin" last="Lu">Jin Lu</name>
<name sortKey="Yao, Zhongling" sort="Yao, Zhongling" uniqKey="Yao Z" first="Zhongling" last="Yao">Zhongling Yao</name>
</country>
</tree>
</affiliations>
</record>
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