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 : 000770 ( PascalFrancis/Corpus ); précédent : 000769; suivant : 000771Severe 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 ; PHUI NAH CHONG ; YIONG HUAK CHAN ; Winnie Shok Wen SoonSource :
- The Journal of clinical psychiatry [ 0160-6689 ] ; 2004.
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.
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.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 04-0582755 INIST |
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ET : | Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore |
AU : | KANG SIM; PHUI NAH CHONG; YIONG HUAK CHAN; SHOK WEN SOON (Winnie) |
AF : | Department of Adult Psychiatry, Woodbridge Hospital/Institute of Mental Health/Singapour (1 aut.); Medical Affairs, Headquarters, National Healthcare Group Polyclinics/Singapour (2 aut.); Department of Biostatistics, Clinical Trials and Epidemiology Research Unit, Ministry of Health/Singapour (3 aut.); Ang Mo Kio Polyclinic, National Healthcare Group Polyclinics/Singapour (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | The Journal of clinical psychiatry; ISSN 0160-6689; Etats-Unis; Da. 2004; Vol. 65; No. 8; Pp. 1120-1127; Bibl. 61 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B18H04; 235 |
FD : | 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 |
FG : | Virose; Infection; Coronaviridae; Nidovirales; Virus; Asie; Appareil respiratoire pathologie; Poumon pathologie; Risque infectieux; Epidémie; Médecin; Infirmier; Personnel sanitaire; Trouble anxieux; Stress; Age; Statut conjugal; Religion |
ED : | Pneumonia; Severe acute respiratory syndrome; Coronavirus; Treatment; Primary health care; Prevalence; Health care staff; Mental disorder; Posttraumatic syndrome; Comparative study; Exposure; Sociodemographic factor; Coping; Attitude; Cross sectional study; Human; Public health; Mental health; Social environment; Singapore |
EG : | Viral disease; Infection; Coronaviridae; Nidovirales; Virus; Asia; Respiratory disease; Lung disease; Infectious risk; Epidemic; Physician; Nurse; Health staff; Anxiety disorder; Stress; Age; Marital status; Religion |
SD : | Neumonía; Síndrome respiratorio agudo severo; Coronavirus; Tratamiento; Cuidados salud primaria; Prevalencia; Equipo de salud; Trastorno psiquiátrico; Posttraumatismo síndrome; Estudio comparativo; Exposición; Factor sociodemográfico; Coronación; Actitud; Estudio transversal; Hombre; Salud pública; Salud mental; Contexto social; Singapur |
LO : | INIST-9069.354000113996080150 |
ID : | 04-0582755 |
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Pascal:04-0582755Le 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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<fC03 i1="16" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE"><s0>Santé publique</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG"><s0>Public health</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA"><s0>Salud pública</s0>
<s5>22</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE"><s0>Santé mentale</s0>
<s5>23</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG"><s0>Mental health</s0>
<s5>23</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA"><s0>Salud mental</s0>
<s5>23</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE"><s0>Environnement social</s0>
<s5>24</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG"><s0>Social environment</s0>
<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>
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<server><NO>PASCAL 04-0582755 INIST</NO>
<ET>Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore</ET>
<AU>KANG SIM; PHUI NAH CHONG; YIONG HUAK CHAN; SHOK WEN SOON (Winnie)</AU>
<AF>Department of Adult Psychiatry, Woodbridge Hospital/Institute of Mental Health/Singapour (1 aut.); Medical Affairs, Headquarters, National Healthcare Group Polyclinics/Singapour (2 aut.); Department of Biostatistics, Clinical Trials and Epidemiology Research Unit, Ministry of Health/Singapour (3 aut.); Ang Mo Kio Polyclinic, National Healthcare Group Polyclinics/Singapour (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of clinical psychiatry; ISSN 0160-6689; Etats-Unis; Da. 2004; Vol. 65; No. 8; Pp. 1120-1127; Bibl. 61 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B18H04; 235</CC>
<FD>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</FD>
<FG>Virose; Infection; Coronaviridae; Nidovirales; Virus; Asie; Appareil respiratoire pathologie; Poumon pathologie; Risque infectieux; Epidémie; Médecin; Infirmier; Personnel sanitaire; Trouble anxieux; Stress; Age; Statut conjugal; Religion</FG>
<ED>Pneumonia; Severe acute respiratory syndrome; Coronavirus; Treatment; Primary health care; Prevalence; Health care staff; Mental disorder; Posttraumatic syndrome; Comparative study; Exposure; Sociodemographic factor; Coping; Attitude; Cross sectional study; Human; Public health; Mental health; Social environment; Singapore</ED>
<EG>Viral disease; Infection; Coronaviridae; Nidovirales; Virus; Asia; Respiratory disease; Lung disease; Infectious risk; Epidemic; Physician; Nurse; Health staff; Anxiety disorder; Stress; Age; Marital status; Religion</EG>
<SD>Neumonía; Síndrome respiratorio agudo severo; Coronavirus; Tratamiento; Cuidados salud primaria; Prevalencia; Equipo de salud; Trastorno psiquiátrico; Posttraumatismo síndrome; Estudio comparativo; Exposición; Factor sociodemográfico; Coronación; Actitud; Estudio transversal; Hombre; Salud pública; Salud mental; Contexto social; Singapur</SD>
<LO>INIST-9069.354000113996080150</LO>
<ID>04-0582755</ID>
</server>
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