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Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic

Identifieur interne : 002325 ( Ncbi/Merge ); précédent : 002324; suivant : 002326

Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic

Auteurs : Xinhua Liu [États-Unis] ; Meghana Kakade [États-Unis] ; Cordelia J. Fuller [États-Unis] ; Bin Fan [États-Unis] ; Yunyun Fang [République populaire de Chine] ; Junhui Kong [République populaire de Chine] ; Zhiqiang Guan [République populaire de Chine] ; Ping Wu [États-Unis]

Source :

RBID : PMC:3176950

Abstract

Aim

The aim of the study was to examine, among hospital employees exposed to an outbreak of severe acute respiratory syndrome (SARS), post-outbreak levels of depressive symptoms and the relationship between those depressive symptom levels and the types of outbreak event exposures experienced.

Methods

In 2006, randomly selected employees (N = 549) of a hospital in Beijing were surveyed concerning their exposures to the city's 2003 SARS outbreak and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of posttraumatic stress disorder and depression.

Results

The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events before SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms 3 years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.

Conclusions

Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.


Url:
DOI: 10.1016/j.comppsych.2011.02.003
PubMed: 21489421
PubMed Central: 3176950

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PMC:3176950

Le document en format XML

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<title>Methods</title>
<p>In 2006, randomly selected employees (N = 549) of a hospital in Beijing were surveyed concerning their exposures to the city's 2003 SARS outbreak and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of posttraumatic stress disorder and depression.</p>
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<p>The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events before SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms 3 years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.</p>
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<p>Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<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>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">21489421</article-id>
<article-id pub-id-type="pmc">3176950</article-id>
<article-id pub-id-type="publisher-id">S0010-440X(11)00021-6</article-id>
<article-id pub-id-type="doi">10.1016/j.comppsych.2011.02.003</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Xinhua</given-names>
</name>
<xref rid="af0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kakade</surname>
<given-names>Meghana</given-names>
</name>
<xref rid="af0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fuller</surname>
<given-names>Cordelia J.</given-names>
</name>
<xref rid="af0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fan</surname>
<given-names>Bin</given-names>
</name>
<xref rid="af0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fang</surname>
<given-names>Yunyun</given-names>
</name>
<xref rid="af0015" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kong</surname>
<given-names>Junhui</given-names>
</name>
<xref rid="af0015" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guan</surname>
<given-names>Zhiqiang</given-names>
</name>
<xref rid="af0020" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Ping</given-names>
</name>
<email>pw11@columbia.edu</email>
<xref rid="af0005" ref-type="aff">a</xref>
<xref rid="af0010" ref-type="aff">b</xref>
<xref rid="af0025" ref-type="aff">e</xref>
<xref rid="cr0005" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="af0005">
<label>a</label>
Mailman School of Public Health, Columbia University, New York, NY</aff>
<aff id="af0010">
<label>b</label>
New York State Psychiatric Institute, New York, NY</aff>
<aff id="af0015">
<label>c</label>
Beijing University of Chinese Medicine, Beijing, China</aff>
<aff id="af0020">
<label>d</label>
National Institute for Social Insurance, Beijing, China</aff>
<aff id="af0025">
<label>e</label>
College of Physicians and Surgeons, Columbia University, New York, NY</aff>
<author-notes>
<corresp id="cr0005">
<label></label>
Corresponding author. Columbia University-NYSPI, 1051 Riverside Dr, Unit 43, New York, NY 10032. Tel.: +1 212 543 5190; fax: +1 212 781 6050.
<email>pw11@columbia.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>12</day>
<month>4</month>
<year>2011</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>1</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>4</month>
<year>2011</year>
</pub-date>
<volume>53</volume>
<issue>1</issue>
<fpage>15</fpage>
<lpage>23</lpage>
<permissions>
<copyright-statement>Copyright © 2012 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2012</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>
<sec>
<title>Aim</title>
<p>The aim of the study was to examine, among hospital employees exposed to an outbreak of severe acute respiratory syndrome (SARS), post-outbreak levels of depressive symptoms and the relationship between those depressive symptom levels and the types of outbreak event exposures experienced.</p>
</sec>
<sec>
<title>Methods</title>
<p>In 2006, randomly selected employees (N = 549) of a hospital in Beijing were surveyed concerning their exposures to the city's 2003 SARS outbreak and the ways in which the outbreak had affected their mental health. Subjects were assessed on sociodemographic factors, on types of exposure to the outbreak, and on symptoms of posttraumatic stress disorder and depression.</p>
</sec>
<sec>
<title>Results</title>
<p>The results of multinomial regression analyses showed that, with other relevant factors controlled for, being single, having been quarantined during the outbreak, having been exposed to other traumatic events before SARS, and perceived SARS-related risk level during the outbreak were found to increase the odds of having a high level of depressive symptoms 3 years later. Altruistic acceptance of risk during the outbreak was found to decrease the odds of high post-outbreak depressive symptom levels.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Policy makers and mental health professionals working to prepare for potential disease outbreaks should be aware that the experience of being quarantined can, in some cases, lead to long-term adverse mental health consequences.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>État de New York</li>
</region>
<settlement>
<li>Pékin</li>
</settlement>
</list>
<tree>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Liu, Xinhua" sort="Liu, Xinhua" uniqKey="Liu X" first="Xinhua" last="Liu">Xinhua Liu</name>
</region>
<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="Kakade, Meghana" sort="Kakade, Meghana" uniqKey="Kakade M" first="Meghana" last="Kakade">Meghana Kakade</name>
<name sortKey="Wu, Ping" sort="Wu, Ping" uniqKey="Wu P" first="Ping" last="Wu">Ping Wu</name>
<name sortKey="Wu, Ping" sort="Wu, Ping" uniqKey="Wu P" first="Ping" last="Wu">Ping Wu</name>
<name sortKey="Wu, Ping" sort="Wu, Ping" uniqKey="Wu P" first="Ping" last="Wu">Ping Wu</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>
</country>
</tree>
</affiliations>
</record>

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