SrasV1, PascalFrancis, Checkpoint, bibRecord, 000766

Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore

Identifieur interne : 000766 ( PascalFrancis/Checkpoint ); précédent : 000765; suivant : 000767

Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore

Auteurs : KANG SIM [Singapour] ; PHUI NAH CHONG [Singapour] ; YIONG HUAK CHAN [Singapour] ; Winnie Shok Wen Soon [Singapour]

Source :

The Journal of clinical psychiatry [ 0160-6689 ] ; 2004.

RBID : Pascal:04-0582755

Descripteurs français

Pascal (Inist)
- Pneumonie, Syndrome respiratoire aigu sévère, Coronavirus, Traitement, Soin santé primaire, Prévalence, Equipe soignante, Trouble psychiatrique, Posttraumatisme syndrome, Etude comparative, Exposition, Facteur sociodémographique, Coping, Attitude, Etude transversale, Homme, Santé publique, Santé mentale, Environnement social, Singapour.
Wicri :
- geographic : Singapour.
- topic : Homme, Santé publique, Santé mentale.

English descriptors

KwdEn :
- Attitude, Comparative study, Coping, Coronavirus, Cross sectional study, Exposure, Health care staff, Human, Mental disorder, Mental health, Pneumonia, Posttraumatic syndrome, Prevalence, Primary health care, Public health, Severe acute respiratory syndrome, Singapore, Social environment, Sociodemographic factor, Treatment.

Abstract

Background: Severe acute respiratory syndrome (SARS) is a major new infectious disease of this century that is unique in its high morbidity and concentration in health care settings. We aimed to determine the level of psychological impact and coping styles among the medical staff in a primary health care setting. Method: Using a structured questionnaire, we conducted a cross-sectional survey of the doctors and nurses working within a public, primary health care setting in mid-July 2003. The main outcome measures were rates of psychiatric morbidity, level of posttraumatic stress symptoms. and coping strategies. Results: The response rate was 92.0%. Of the 277 respondents (91 doctors and 186 nurses), psychiatric morbidity and posttraumatic morbidity were found in 20.6% and 9.4%, respectively. Both psychiatric and posttraumatic morbidities were associated with higher scores on coping efforts including self-distraction, behavioral disengagement, social support, venting, planning, and self-blame (all p <.001), but not with direct exposure factors such as contact with suspected SARS patients or working in fever rooms/ tentages. Multivariate analysis showed that psychiatric morbidity was associated with posttraumatic morbidity (p =.02) and denial (p =.03), whereas posttraumatic morbidity was associated with younger age (p =.007), being married (p =.02), psychiatric morbidity (p =.02), self-distraction (p =.02), behavioral disengagement (p =.01), religion (p =.003), less venting (p =.04), less humor (p =.04), and less acceptance (p =.02). Conclusion: SARS-related psychiatric and posttraumatic morbidities were present in the medical staff within a primary health care setting. Specific coping efforts, age, and marital status, not direct exposure factors, were associated with psychological morbidity. These findings provide possible foci for early identification and psychological support.

Affiliations:

Singapour

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Background: Severe acute respiratory syndrome (SARS) is a major new infectious disease of this century that is unique in its high morbidity and concentration in health care settings. We aimed to determine the level of psychological impact and coping styles among the medical staff in a primary health care setting. Method: Using a structured questionnaire, we conducted a cross-sectional survey of the doctors and nurses working within a public, primary health care setting in mid-July 2003. The main outcome measures were rates of psychiatric morbidity, level of posttraumatic stress symptoms. and coping strategies. Results: The response rate was 92.0%. Of the 277 respondents (91 doctors and 186 nurses), psychiatric morbidity and posttraumatic morbidity were found in 20.6% and 9.4%, respectively. Both psychiatric and posttraumatic morbidities were associated with higher scores on coping efforts including self-distraction, behavioral disengagement, social support, venting, planning, and self-blame (all p <.001), but not with direct exposure factors such as contact with suspected SARS patients or working in fever rooms/ tentages. Multivariate analysis showed that psychiatric morbidity was associated with posttraumatic morbidity (p =.02) and denial (p =.03), whereas posttraumatic morbidity was associated with younger age (p =.007), being married (p =.02), psychiatric morbidity (p =.02), self-distraction (p =.02), behavioral disengagement (p =.01), religion (p =.003), less venting (p =.04), less humor (p =.04), and less acceptance (p =.02). Conclusion: SARS-related psychiatric and posttraumatic morbidities were present in the medical staff within a primary health care setting. Specific coping efforts, age, and marital status, not direct exposure factors, were associated with psychological morbidity. These findings provide possible foci for early identification and psychological support.</div>
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<s5>24</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA"><s0>Contexto social</s0>
<s5>24</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE"><s0>Singapour</s0>
<s2>NG</s2>
<s5>35</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG"><s0>Singapore</s0>
<s2>NG</s2>
<s5>35</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA"><s0>Singapur</s0>
<s2>NG</s2>
<s5>35</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Virose</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Appareil respiratoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Poumon pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Lung disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Pulmón patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Risque infectieux</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Infectious risk</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>Riesgo infeccioso</s0>
<s5>45</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE"><s0>Epidémie</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG"><s0>Epidemic</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA"><s0>Epidemia</s0>
<s5>46</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE"><s0>Médecin</s0>
<s5>53</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG"><s0>Physician</s0>
<s5>53</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA"><s0>Médico</s0>
<s5>53</s5>
</fC07>
<fC07 i1="12" i2="X" l="FRE"><s0>Infirmier</s0>
<s5>54</s5>
</fC07>
<fC07 i1="12" i2="X" l="ENG"><s0>Nurse</s0>
<s5>54</s5>
</fC07>
<fC07 i1="12" i2="X" l="SPA"><s0>Enfermero</s0>
<s5>54</s5>
</fC07>
<fC07 i1="13" i2="X" l="FRE"><s0>Personnel sanitaire</s0>
<s5>55</s5>
</fC07>
<fC07 i1="13" i2="X" l="ENG"><s0>Health staff</s0>
<s5>55</s5>
</fC07>
<fC07 i1="13" i2="X" l="SPA"><s0>Personal sanitario</s0>
<s5>55</s5>
</fC07>
<fC07 i1="14" i2="X" l="FRE"><s0>Trouble anxieux</s0>
<s5>61</s5>
</fC07>
<fC07 i1="14" i2="X" l="ENG"><s0>Anxiety disorder</s0>
<s5>61</s5>
</fC07>
<fC07 i1="14" i2="X" l="SPA"><s0>Trastorno ansiedad</s0>
<s5>61</s5>
</fC07>
<fC07 i1="15" i2="X" l="FRE"><s0>Stress</s0>
<s5>62</s5>
</fC07>
<fC07 i1="15" i2="X" l="ENG"><s0>Stress</s0>
<s5>62</s5>
</fC07>
<fC07 i1="15" i2="X" l="SPA"><s0>Estrés</s0>
<s5>62</s5>
</fC07>
<fC07 i1="16" i2="X" l="FRE"><s0>Age</s0>
<s5>69</s5>
</fC07>
<fC07 i1="16" i2="X" l="ENG"><s0>Age</s0>
<s5>69</s5>
</fC07>
<fC07 i1="16" i2="X" l="SPA"><s0>Edad</s0>
<s5>69</s5>
</fC07>
<fC07 i1="17" i2="X" l="FRE"><s0>Statut conjugal</s0>
<s5>70</s5>
</fC07>
<fC07 i1="17" i2="X" l="ENG"><s0>Marital status</s0>
<s5>70</s5>
</fC07>
<fC07 i1="17" i2="X" l="SPA"><s0>Estatuto conyugal</s0>
<s5>70</s5>
</fC07>
<fC07 i1="18" i2="X" l="FRE"><s0>Religion</s0>
<s5>71</s5>
</fC07>
<fC07 i1="18" i2="X" l="ENG"><s0>Religion</s0>
<s5>71</s5>
</fC07>
<fC07 i1="18" i2="X" l="SPA"><s0>Religión</s0>
<s5>71</s5>
</fC07>
<fN21><s1>334</s1>
</fN21>
<fN44 i1="01"><s1>PSI</s1>
</fN44>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Singapour</li>
</country>
</list>
<tree><country name="Singapour"><noRegion><name sortKey="Kang Sim" sort="Kang Sim" uniqKey="Kang Sim" last="Kang Sim">KANG SIM</name>
</noRegion>
<name sortKey="Phui Nah Chong" sort="Phui Nah Chong" uniqKey="Phui Nah Chong" last="Phui Nah Chong">PHUI NAH CHONG</name>
<name sortKey="Shok Wen Soon, Winnie" sort="Shok Wen Soon, Winnie" uniqKey="Shok Wen Soon W" first="Winnie" last="Shok Wen Soon">Winnie Shok Wen Soon</name>
<name sortKey="Yiong Huak Chan" sort="Yiong Huak Chan" uniqKey="Yiong Huak Chan" last="Yiong Huak Chan">YIONG HUAK CHAN</name>
</country>
</tree>
</affiliations>
</record>

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   |wiki=    Sante
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   |clé=     Pascal:04-0582755
   |texte=   Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore
}}

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Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore

Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore

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