Population-based Post-crisis Psychological Distress: An Example From the SARS Outbreak in Taiwan
Identifieur interne : 002174 ( Ncbi/Merge ); précédent : 002173; suivant : 002175Population-based Post-crisis Psychological Distress: An Example From the SARS Outbreak in Taiwan
Auteurs : Eugene Yu-Chang Peng [Taïwan] ; Ming-Been Lee [Taïwan] ; Shang-Ta Tsai [Taïwan] ; Chih-Chien Yang [Taïwan] ; Donald Edward Morisky [États-Unis] ; Liang-Ting Tsai [Taïwan] ; Ya-Ling Weng [Taïwan] ; Shu-Yu Lyu [Taïwan]Source :
- Journal of the Formosan Medical Association [ 0929-6646 ] ; 2010.
Abstract
As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic.
The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (
About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and preparedness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS.
Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.
Url:
DOI: 10.1016/S0929-6646(10)60087-3
PubMed: 20654792
PubMed Central: 3106105
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<front><div type="abstract" xml:lang="en"><sec><title>Background/Purpose</title>
<p>As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic.</p>
</sec>
<sec><title>Methods</title>
<p>The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (<italic>n</italic>
= 1278) was conducted in November 2003, about 4 months after resolution of the SARS crisis in Taiwan. The maximum deviation of sampling error at the 95% confidence level was ± 2.74%. Psychological distress was measured by a question related to subject's changes in perception of life, plus the five-item Brief Symptom Rating Scale. Multivariate logistic regression was used to examine the correlation of psychological distress.</p>
</sec>
<sec><title>Results</title>
<p>About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and preparedness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS.</p>
</sec>
<sec><title>Conclusion</title>
<p>Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.</p>
</sec>
</div>
</front>
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</author>
<author><name sortKey="Morisky, De" uniqKey="Morisky D">DE Morisky</name>
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<author><name sortKey="Galea, S" uniqKey="Galea S">S Galea</name>
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<author><name sortKey="Tross, S" uniqKey="Tross S">S Tross</name>
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<biblStruct><analytic><author><name sortKey="Mak, Ww" uniqKey="Mak W">WW Mak</name>
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<author><name sortKey="Mo, Pk" uniqKey="Mo P">PK Mo</name>
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<author><name sortKey="Cheung, Ry" uniqKey="Cheung R">RY Cheung</name>
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<biblStruct><analytic><author><name sortKey="Reynolds, B" uniqKey="Reynolds B">B Reynolds</name>
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</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Formos Med Assoc</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Formos. Med. Assoc</journal-id>
<journal-title-group><journal-title>Journal of the Formosan Medical Association</journal-title>
</journal-title-group>
<issn pub-type="ppub">0929-6646</issn>
<issn pub-type="epub">0929-6646</issn>
<publisher><publisher-name>Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20654792</article-id>
<article-id pub-id-type="pmc">3106105</article-id>
<article-id pub-id-type="publisher-id">S0929-6646(10)60087-3</article-id>
<article-id pub-id-type="doi">10.1016/S0929-6646(10)60087-3</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Population-based Post-crisis Psychological Distress: An Example From the SARS Outbreak in Taiwan</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Peng</surname>
<given-names>Eugene Yu-Chang</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Ming-Been</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tsai</surname>
<given-names>Shang-Ta</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yang</surname>
<given-names>Chih-Chien</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morisky</surname>
<given-names>Donald Edward</given-names>
</name>
<xref rid="aff6" ref-type="aff">f</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tsai</surname>
<given-names>Liang-Ting</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Weng</surname>
<given-names>Ya-Ling</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lyu</surname>
<given-names>Shu-Yu</given-names>
</name>
<email>sylyu@tmu.edu.tw</email>
<xref rid="aff2" ref-type="aff">b</xref>
<xref rid="cor1" ref-type="corresp">*</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>a</label>
Department of Community Medicine, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan</aff>
<aff id="aff2"><label>b</label>
School of Public Health, Taipei Medical University, Taipei, Taiwan</aff>
<aff id="aff3"><label>c</label>
Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan</aff>
<aff id="aff4"><label>d</label>
Division of General Surgery, Department of Surgery, Taiwan Adventist Hospital, Taipei, Taiwan</aff>
<aff id="aff5"><label>e</label>
Graduate School of Educational Measurement and Statistics, National Taichung University, Taichung, Taiwan</aff>
<aff id="aff6"><label>f</label>
Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA, USA</aff>
<author-notes><corresp id="cor1"><label>*</label>
<bold>Correspondence to:</bold>
Dr Shu-Yu Lyu, School of Public Health, Taipei Medical University, 250 Wu-Hsing Street, Taipei 11031, Taiwan <email>sylyu@tmu.edu.tw</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>23</day>
<month>7</month>
<year>2010</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>7</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub"><day>23</day>
<month>7</month>
<year>2010</year>
</pub-date>
<volume>109</volume>
<issue>7</issue>
<fpage>524</fpage>
<lpage>532</lpage>
<history><date date-type="received"><day>22</day>
<month>9</month>
<year>2009</year>
</date>
<date date-type="rev-recd"><day>22</day>
<month>12</month>
<year>2009</year>
</date>
<date date-type="accepted"><day>28</day>
<month>12</month>
<year>2009</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2010 Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd.</copyright-statement>
<copyright-year>2010</copyright-year>
<copyright-holder>Formosan Medical Association & Elsevier</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><sec><title>Background/Purpose</title>
<p>As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic.</p>
</sec>
<sec><title>Methods</title>
<p>The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (<italic>n</italic>
= 1278) was conducted in November 2003, about 4 months after resolution of the SARS crisis in Taiwan. The maximum deviation of sampling error at the 95% confidence level was ± 2.74%. Psychological distress was measured by a question related to subject's changes in perception of life, plus the five-item Brief Symptom Rating Scale. Multivariate logistic regression was used to examine the correlation of psychological distress.</p>
</sec>
<sec><title>Results</title>
<p>About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and preparedness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS.</p>
</sec>
<sec><title>Conclusion</title>
<p>Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.</p>
</sec>
</abstract>
<kwd-group><title>Key Words</title>
<kwd>post-crisis</kwd>
<kwd>psychiatric morbidity</kwd>
<kwd>psychological distress</kwd>
<kwd>severe acute respiratory syndrome</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Taïwan</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
</region>
</list>
<tree><country name="Taïwan"><noRegion><name sortKey="Peng, Eugene Yu Chang" sort="Peng, Eugene Yu Chang" uniqKey="Peng E" first="Eugene Yu-Chang" last="Peng">Eugene Yu-Chang Peng</name>
</noRegion>
<name sortKey="Lee, Ming Been" sort="Lee, Ming Been" uniqKey="Lee M" first="Ming-Been" last="Lee">Ming-Been Lee</name>
<name sortKey="Lyu, Shu Yu" sort="Lyu, Shu Yu" uniqKey="Lyu S" first="Shu-Yu" last="Lyu">Shu-Yu Lyu</name>
<name sortKey="Peng, Eugene Yu Chang" sort="Peng, Eugene Yu Chang" uniqKey="Peng E" first="Eugene Yu-Chang" last="Peng">Eugene Yu-Chang Peng</name>
<name sortKey="Tsai, Liang Ting" sort="Tsai, Liang Ting" uniqKey="Tsai L" first="Liang-Ting" last="Tsai">Liang-Ting Tsai</name>
<name sortKey="Tsai, Shang Ta" sort="Tsai, Shang Ta" uniqKey="Tsai S" first="Shang-Ta" last="Tsai">Shang-Ta Tsai</name>
<name sortKey="Weng, Ya Ling" sort="Weng, Ya Ling" uniqKey="Weng Y" first="Ya-Ling" last="Weng">Ya-Ling Weng</name>
<name sortKey="Yang, Chih Chien" sort="Yang, Chih Chien" uniqKey="Yang C" first="Chih-Chien" last="Yang">Chih-Chien Yang</name>
</country>
<country name="États-Unis"><region name="Californie"><name sortKey="Morisky, Donald Edward" sort="Morisky, Donald Edward" uniqKey="Morisky D" first="Donald Edward" last="Morisky">Donald Edward Morisky</name>
</region>
</country>
</tree>
</affiliations>
</record>
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