Long-term psychiatric morbidities among SARS survivors
Identifieur interne : 000D04 ( Pmc/Checkpoint ); précédent : 000D03; suivant : 000D05Long-term psychiatric morbidities among SARS survivors
Auteurs : Ivan Wing Chit Mak [Hong Kong] ; Chung Ming Chu [Hong Kong] ; Pey Chyou Pan [Hong Kong] ; Michael Gar Chung Yiu [Hong Kong] ; Veronica Lee Chan [Hong Kong]Source :
- General Hospital Psychiatry [ 0163-8343 ] ; 2009.
Abstract
Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will be the last. This study aimed to evaluate the long-term psychiatric morbidities in survivors of SARS.
This is a cohort study designed to investigate psychiatric complications among SARS survivors treated in the United Christian Hospital 30 months after the SARS outbreak. Psychiatric morbidities were assessed by the Structured Clinical Interview for DSM-IV, the Impact of Events Scale–Revised and the Hospital Anxiety and Depression Scale. Functional outcomes were assessed by the Medical Outcomes Study 36-Item Short-Form Health Survey.
Ninety subjects were recruited, yielding a response rate of 96.8%. Post-SARS cumulative incidence of
The outbreak of SARS can be regarded as a mental health catastrophe. PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders. Our results highlight the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks.
Url:
DOI: 10.1016/j.genhosppsych.2009.03.001
PubMed: 19555791
PubMed Central: 7112501
Affiliations:
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<author><name sortKey="Chu, Chung Ming" sort="Chu, Chung Ming" uniqKey="Chu C" first="Chung Ming" last="Chu">Chung Ming Chu</name>
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<author><name sortKey="Chan, Veronica Lee" sort="Chan, Veronica Lee" uniqKey="Chan V" first="Veronica Lee" last="Chan">Veronica Lee Chan</name>
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<series><title level="j">General Hospital Psychiatry</title>
<idno type="ISSN">0163-8343</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will be the last. This study aimed to evaluate the long-term psychiatric morbidities in survivors of SARS.</p>
</sec>
<sec><title>Method</title>
<p>This is a cohort study designed to investigate psychiatric complications among SARS survivors treated in the United Christian Hospital 30 months after the SARS outbreak. Psychiatric morbidities were assessed by the Structured Clinical Interview for DSM-IV, the Impact of Events Scale–Revised and the Hospital Anxiety and Depression Scale. Functional outcomes were assessed by the Medical Outcomes Study 36-Item Short-Form Health Survey.</p>
</sec>
<sec><title>Results</title>
<p>Ninety subjects were recruited, yielding a response rate of 96.8%. Post-SARS cumulative incidence of <italic>DSM-IV</italic>
psychiatric disorders was 58.9%. Current prevalence for any psychiatric disorder at 30 months post-SARS was 33.3%. One-fourth of the patients had post-traumatic stress disorder (PTSD), and 15.6% had depressive disorders.</p>
</sec>
<sec><title>Conclusion</title>
<p>The outbreak of SARS can be regarded as a mental health catastrophe. PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders. Our results highlight the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks.</p>
</sec>
</div>
</front>
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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">Gen Hosp Psychiatry</journal-id>
<journal-id journal-id-type="iso-abbrev">Gen Hosp Psychiatry</journal-id>
<journal-title-group><journal-title>General Hospital Psychiatry</journal-title>
</journal-title-group>
<issn pub-type="ppub">0163-8343</issn>
<issn pub-type="epub">1873-7714</issn>
<publisher><publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19555791</article-id>
<article-id pub-id-type="pmc">7112501</article-id>
<article-id pub-id-type="publisher-id">S0163-8343(09)00047-4</article-id>
<article-id pub-id-type="doi">10.1016/j.genhosppsych.2009.03.001</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Long-term psychiatric morbidities among SARS survivors</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mak</surname>
<given-names>Ivan Wing Chit</given-names>
</name>
<degrees>F.H.K.C.Psych., F.H.K.A.M. (psychiatry), M.R.C.Psych. (UK), D.C.Psyc. R.C.P. & S. (Irel), M.Sc. Epidemiology and Biostatistics (CUHK)</degrees>
<email>ucmakwc1@ha.org.hk</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
<xref rid="cor1" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chu</surname>
<given-names>Chung Ming</given-names>
</name>
<degrees>M.D., F.R.C.P.</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pan</surname>
<given-names>Pey Chyou</given-names>
</name>
<degrees>F.H.K.C.Psych., F.H.K.A.M. (psychiatry), M.R.C.Psych. (UK)</degrees>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yiu</surname>
<given-names>Michael Gar Chung</given-names>
</name>
<degrees>F.H.K.C.Psych., F.H.K.A.M. (psychiatry), M.R.C.Psych. (UK)</degrees>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chan</surname>
<given-names>Veronica Lee</given-names>
</name>
<degrees>F.H.K.A.M. (Medicine), M.R.C.P. (UK)</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>a</label>
Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong</aff>
<aff id="aff2"><label>b</label>
Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong</aff>
<aff id="aff3"><label>c</label>
Department of Medicine and Geriatrics, United Christian Hospital, Kowloon, Hong Kong</aff>
<author-notes><corresp id="cor1"><label>⁎</label>
Corresponding author. Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong. Fax: +852 35135505. <email>ucmakwc1@ha.org.hk</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>15</day>
<month>4</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" iso-8601-date="2009-08-01"><season>July-August</season>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub"><day>15</day>
<month>4</month>
<year>2009</year>
</pub-date>
<volume>31</volume>
<issue>4</issue>
<fpage>318</fpage>
<lpage>326</lpage>
<history><date date-type="received"><day>16</day>
<month>8</month>
<year>2008</year>
</date>
<date date-type="accepted"><day>2</day>
<month>3</month>
<year>2009</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2009 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2009</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>Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will be the last. This study aimed to evaluate the long-term psychiatric morbidities in survivors of SARS.</p>
</sec>
<sec><title>Method</title>
<p>This is a cohort study designed to investigate psychiatric complications among SARS survivors treated in the United Christian Hospital 30 months after the SARS outbreak. Psychiatric morbidities were assessed by the Structured Clinical Interview for DSM-IV, the Impact of Events Scale–Revised and the Hospital Anxiety and Depression Scale. Functional outcomes were assessed by the Medical Outcomes Study 36-Item Short-Form Health Survey.</p>
</sec>
<sec><title>Results</title>
<p>Ninety subjects were recruited, yielding a response rate of 96.8%. Post-SARS cumulative incidence of <italic>DSM-IV</italic>
psychiatric disorders was 58.9%. Current prevalence for any psychiatric disorder at 30 months post-SARS was 33.3%. One-fourth of the patients had post-traumatic stress disorder (PTSD), and 15.6% had depressive disorders.</p>
</sec>
<sec><title>Conclusion</title>
<p>The outbreak of SARS can be regarded as a mental health catastrophe. PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders. Our results highlight the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks.</p>
</sec>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Severe acute respiratory syndrome</kwd>
<kwd>SARS survivors</kwd>
<kwd>Cohort</kwd>
<kwd>Psychiatric</kwd>
<kwd>Post-traumatic stress disorder</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Hong Kong</li>
</country>
</list>
<tree><country name="Hong Kong"><noRegion><name sortKey="Mak, Ivan Wing Chit" sort="Mak, Ivan Wing Chit" uniqKey="Mak I" first="Ivan Wing Chit" last="Mak">Ivan Wing Chit Mak</name>
</noRegion>
<name sortKey="Chan, Veronica Lee" sort="Chan, Veronica Lee" uniqKey="Chan V" first="Veronica Lee" last="Chan">Veronica Lee Chan</name>
<name sortKey="Chan, Veronica Lee" sort="Chan, Veronica Lee" uniqKey="Chan V" first="Veronica Lee" last="Chan">Veronica Lee Chan</name>
<name sortKey="Chu, Chung Ming" sort="Chu, Chung Ming" uniqKey="Chu C" first="Chung Ming" last="Chu">Chung Ming Chu</name>
<name sortKey="Chu, Chung Ming" sort="Chu, Chung Ming" uniqKey="Chu C" first="Chung Ming" last="Chu">Chung Ming Chu</name>
<name sortKey="Mak, Ivan Wing Chit" sort="Mak, Ivan Wing Chit" uniqKey="Mak I" first="Ivan Wing Chit" last="Mak">Ivan Wing Chit Mak</name>
<name sortKey="Pan, Pey Chyou" sort="Pan, Pey Chyou" uniqKey="Pan P" first="Pey Chyou" last="Pan">Pey Chyou Pan</name>
<name sortKey="Yiu, Michael Gar Chung" sort="Yiu, Michael Gar Chung" uniqKey="Yiu M" first="Michael Gar Chung" last="Yiu">Michael Gar Chung Yiu</name>
</country>
</tree>
</affiliations>
</record>
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