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Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease

Identifieur interne : 000C89 ( Pmc/Checkpoint ); précédent : 000C88; suivant : 000C90

Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease

Auteurs : Kang Sim [Singapour] ; Yiong Huak Chan [Singapour] ; Phui Nah Chong [Singapour] ; Hong Choon Chua [Singapour] ; Shok Wen Soon [Singapour]

Source :

RBID : PMC:7094450

Abstract

Objective

The psychological and coping responses of the noninfected community towards infectious disease outbreaks are relatively understudied. This cross-sectional study sought to determine the prevalence of severe acute respiratory syndrome (SARS)-related psychiatric and posttraumatic morbidities and associated coping styles within the general population visiting community health care services.

Methods

It was conducted on individuals attending community polyclinics in Singapore within the first week of July 2003, 16 weeks after the first national outbreak of SARS. The General Health Questionnaire-28, Impact of Event Scale-Revised, and Brief COPE were used to determine the prevalence rates of psychiatric and posttraumatic morbidities and employed coping strategies respectively.

Results

The overall response rate was 78.0%. Of the 415 community health care setting respondents, we found significant rates of SARS-related psychiatric (22.9%) and posttraumatic morbidities (25.8%). The presence of psychiatric morbidity was associated with the presence of high level of posttraumatic symptoms [adjusted odds ratio (OR) 2.26, 95% confidence interval (CI) 1.24–4.13, P=.008]. Psychiatric morbidity was further associated with being seen at fever stations (adjusted OR 1.90, 95% CI 1.08–3.34, P=.026), younger age (adjusted OR 0.97, 95% CI 0.94–0.98, P=.021), increased self blame (adjusted OR 1.67, 95% CI 1.22–2.28, P=.001), less substance use (adjusted OR 0.74, 95% CI 0.56–0.98, P=.034) and posttraumatic morbidity was associated with increased use of denial (adjusted OR 1.31, 95% CI 1.04–1.67, P=.024), and planning (adjusted OR 1.51, 95% CI 1.16–1.95, P=.002) as coping measures.

Conclusion

These findings could potentially inform the development of practical community mental health programs for future infectious disease outbreaks.


Url:
DOI: 10.1016/j.jpsychores.2009.04.004
PubMed: 20105703
PubMed Central: 7094450


Affiliations:


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PMC:7094450

Le document en format XML

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<title>Objective</title>
<p>The psychological and coping responses of the noninfected community towards infectious disease outbreaks are relatively understudied. This cross-sectional study sought to determine the prevalence of severe acute respiratory syndrome (SARS)-related psychiatric and posttraumatic morbidities and associated coping styles within the general population visiting community health care services.</p>
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<title>Methods</title>
<p>It was conducted on individuals attending community polyclinics in Singapore within the first week of July 2003, 16 weeks after the first national outbreak of SARS. The General Health Questionnaire-28, Impact of Event Scale-Revised, and Brief COPE were used to determine the prevalence rates of psychiatric and posttraumatic morbidities and employed coping strategies respectively.</p>
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<p>The overall response rate was 78.0%. Of the 415 community health care setting respondents, we found significant rates of SARS-related psychiatric (22.9%) and posttraumatic morbidities (25.8%). The presence of psychiatric morbidity was associated with the presence of high level of posttraumatic symptoms [adjusted odds ratio (OR) 2.26, 95% confidence interval (CI) 1.24–4.13,
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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">J Psychosom Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Psychosom Res</journal-id>
<journal-title-group>
<journal-title>Journal of Psychosomatic Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">0022-3999</issn>
<issn pub-type="epub">1879-1360</issn>
<publisher>
<publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20105703</article-id>
<article-id pub-id-type="pmc">7094450</article-id>
<article-id pub-id-type="publisher-id">S0022-3999(09)00133-0</article-id>
<article-id pub-id-type="doi">10.1016/j.jpsychores.2009.04.004</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Sim</surname>
<given-names>Kang</given-names>
</name>
<email>kang_sim@imh.com.sg</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huak Chan</surname>
<given-names>Yiong</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chong</surname>
<given-names>Phui Nah</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chua</surname>
<given-names>Hong Choon</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wen Soon</surname>
<given-names>Shok</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Department of Adult Psychiatry, Woodbridge Hospital/ Institute of Mental Health, Singapore, Singapore</aff>
<aff id="aff2">
<label>b</label>
Department of Biostatistics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</aff>
<aff id="aff3">
<label>c</label>
Medical Affairs, Headquarters, National Healthcare Group Polyclinics, Singapore</aff>
<aff id="aff4">
<label>d</label>
Ang Mo Kio Polyclinic, National Healthcare Group Polyclinics, Singapore</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Department of Adult Psychiatry Woodbridge Hospital/ Institute of Mental Health, Singapore 539747, Singapore. Tel.: +65 63892000; fax: +65 63855900.
<email>kang_sim@imh.com.sg</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>17</day>
<month>5</month>
<year>2009</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>2</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>5</month>
<year>2009</year>
</pub-date>
<volume>68</volume>
<issue>2</issue>
<fpage>195</fpage>
<lpage>202</lpage>
<history>
<date date-type="received">
<day>4</day>
<month>10</month>
<year>2007</year>
</date>
<date date-type="rev-recd">
<day>26</day>
<month>12</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>4</month>
<year>2009</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2010 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2010</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>Objective</title>
<p>The psychological and coping responses of the noninfected community towards infectious disease outbreaks are relatively understudied. This cross-sectional study sought to determine the prevalence of severe acute respiratory syndrome (SARS)-related psychiatric and posttraumatic morbidities and associated coping styles within the general population visiting community health care services.</p>
</sec>
<sec>
<title>Methods</title>
<p>It was conducted on individuals attending community polyclinics in Singapore within the first week of July 2003, 16 weeks after the first national outbreak of SARS. The General Health Questionnaire-28, Impact of Event Scale-Revised, and Brief COPE were used to determine the prevalence rates of psychiatric and posttraumatic morbidities and employed coping strategies respectively.</p>
</sec>
<sec>
<title>Results</title>
<p>The overall response rate was 78.0%. Of the 415 community health care setting respondents, we found significant rates of SARS-related psychiatric (22.9%) and posttraumatic morbidities (25.8%). The presence of psychiatric morbidity was associated with the presence of high level of posttraumatic symptoms [adjusted odds ratio (OR) 2.26, 95% confidence interval (CI) 1.24–4.13,
<italic>P</italic>
=.008]. Psychiatric morbidity was further associated with being seen at fever stations (adjusted OR 1.90, 95% CI 1.08–3.34,
<italic>P</italic>
=.026), younger age (adjusted OR 0.97, 95% CI 0.94–0.98,
<italic>P</italic>
=.021), increased self blame (adjusted OR 1.67, 95% CI 1.22–2.28,
<italic>P</italic>
=.001), less substance use (adjusted OR 0.74, 95% CI 0.56–0.98,
<italic>P</italic>
=.034) and posttraumatic morbidity was associated with increased use of denial (adjusted OR 1.31, 95% CI 1.04–1.67,
<italic>P</italic>
=.024), and planning (adjusted OR 1.51, 95% CI 1.16–1.95,
<italic>P</italic>
=.002) as coping measures.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>These findings could potentially inform the development of practical community mental health programs for future infectious disease outbreaks.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Community</kwd>
<kwd>Coping</kwd>
<kwd>Infectious, Morbidity</kwd>
<kwd>Psychological</kwd>
<kwd>SARS</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Singapour</li>
</country>
<orgName>
<li>Université nationale de Singapour</li>
</orgName>
</list>
<tree>
<country name="Singapour">
<noRegion>
<name sortKey="Sim, Kang" sort="Sim, Kang" uniqKey="Sim K" first="Kang" last="Sim">Kang Sim</name>
</noRegion>
<name sortKey="Chong, Phui Nah" sort="Chong, Phui Nah" uniqKey="Chong P" first="Phui Nah" last="Chong">Phui Nah Chong</name>
<name sortKey="Chua, Hong Choon" sort="Chua, Hong Choon" uniqKey="Chua H" first="Hong Choon" last="Chua">Hong Choon Chua</name>
<name sortKey="Huak Chan, Yiong" sort="Huak Chan, Yiong" uniqKey="Huak Chan Y" first="Yiong" last="Huak Chan">Yiong Huak Chan</name>
<name sortKey="Wen Soon, Shok" sort="Wen Soon, Shok" uniqKey="Wen Soon S" first="Shok" last="Wen Soon">Shok Wen Soon</name>
</country>
</tree>
</affiliations>
</record>

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