Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong
Identifieur interne : 001074 ( Pmc/Checkpoint ); précédent : 001073; suivant : 001075Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong
Auteurs : Dominic T. S. Lee [République populaire de Chine, États-Unis] ; Daljit Sahota [République populaire de Chine] ; Tse N. Leung [République populaire de Chine] ; Alexander S. K. Yip [République populaire de Chine] ; Fiona F. Y. Lee [République populaire de Chine] ; Tony K. H. Chung [République populaire de Chine]Source :
- Journal of Psychosomatic Research [ 0022-3999 ] ; 2006.
Abstract
The aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong.
Ethnographic interviews were first conducted to identify the common psychological and behavioral responses to the outbreak. This was followed by a case-control study of 235 consecutive pregnant women recruited during the SARS epidemic, and a historical cohort of 939 pregnant women recruited a year before the outbreak. Both cohorts completed standardized rating scales on depression, anxiety, and social support.
Women in the SARS cohort adopted behavioral strategies to mitigate their risk of contracting infection. However, pregnant women tended to overestimate the risk of contracting SARS and nearly a third of the women were homebound. The anxiety level of the SARS cohort was slightly higher than that of the pre-SARS control. No statistical difference was found between the depression levels of the two cohorts.
The improved social support experienced by pregnant women during SARS might have buffered the stress associated with an outbreak. However, clinicians should monitor for overestimation of infectious risk among pregnant women.
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DOI: 10.1016/j.jpsychores.2006.08.005
PubMed: 17084150
PubMed Central: 7094779
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Lee</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Social Medicine, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Sahota, Daljit" sort="Sahota, Daljit" uniqKey="Sahota D" first="Daljit" last="Sahota">Daljit Sahota</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Leung, Tse N" sort="Leung, Tse N" uniqKey="Leung T" first="Tse N." last="Leung">Tse N. Leung</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Yip, Alexander S K" sort="Yip, Alexander S K" uniqKey="Yip A" first="Alexander S. K." last="Yip">Alexander S. K. Yip</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Lee, Fiona F Y" sort="Lee, Fiona F Y" uniqKey="Lee F" first="Fiona F. Y." last="Lee">Fiona F. Y. Lee</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chung, Tony K H" sort="Chung, Tony K H" uniqKey="Chung T" first="Tony K. H." last="Chung">Tony K. H. Chung</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">17084150</idno><idno type="pmc">7094779</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094779</idno><idno type="RBID">PMC:7094779</idno><idno type="doi">10.1016/j.jpsychores.2006.08.005</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">001212</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001212</idno><idno type="wicri:Area/Pmc/Curation">001212</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001212</idno><idno type="wicri:Area/Pmc/Checkpoint">001074</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001074</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong</title><author><name sortKey="Lee, Dominic T S" sort="Lee, Dominic T S" uniqKey="Lee D" first="Dominic T. S." last="Lee">Dominic T. S. Lee</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Social Medicine, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Sahota, Daljit" sort="Sahota, Daljit" uniqKey="Sahota D" first="Daljit" last="Sahota">Daljit Sahota</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Leung, Tse N" sort="Leung, Tse N" uniqKey="Leung T" first="Tse N." last="Leung">Tse N. Leung</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Yip, Alexander S K" sort="Yip, Alexander S K" uniqKey="Yip A" first="Alexander S. K." last="Yip">Alexander S. K. Yip</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Lee, Fiona F Y" sort="Lee, Fiona F Y" uniqKey="Lee F" first="Fiona F. Y." last="Lee">Fiona F. Y. Lee</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chung, Tony K H" sort="Chung, Tony K H" uniqKey="Chung T" first="Tony K. H." last="Chung">Tony K. H. Chung</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of Psychosomatic Research</title><idno type="ISSN">0022-3999</idno><idno type="eISSN">1879-1360</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>The aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong.</p></sec><sec><title>Methods</title><p>Ethnographic interviews were first conducted to identify the common psychological and behavioral responses to the outbreak. This was followed by a case-control study of 235 consecutive pregnant women recruited during the SARS epidemic, and a historical cohort of 939 pregnant women recruited a year before the outbreak. Both cohorts completed standardized rating scales on depression, anxiety, and social support.</p></sec><sec><title>Results</title><p>Women in the SARS cohort adopted behavioral strategies to mitigate their risk of contracting infection. However, pregnant women tended to overestimate the risk of contracting SARS and nearly a third of the women were homebound. The anxiety level of the SARS cohort was slightly higher than that of the pre-SARS control. No statistical difference was found between the depression levels of the two cohorts.</p></sec><sec><title>Conclusion</title><p>The improved social support experienced by pregnant women during SARS might have buffered the stress associated with an outbreak. 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Swain</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haines, Cj" uniqKey="Haines C">CJ Haines</name></author><author><name sortKey="Chu, Wy" uniqKey="Chu W">WY Chu</name></author><author><name sortKey="Chung, Tkh" uniqKey="Chung T">TKH Chung</name></author></analytic></biblStruct></listBibl></div1></back></TEI><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>Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17084150</article-id><article-id pub-id-type="pmc">7094779</article-id><article-id pub-id-type="publisher-id">S0022-3999(06)00399-0</article-id><article-id pub-id-type="doi">10.1016/j.jpsychores.2006.08.005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Dominic T.S.</given-names></name><email>dominic.lee@mac.com</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">c</xref><xref rid="cor1" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Sahota</surname><given-names>Daljit</given-names></name><xref rid="aff3" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Leung</surname><given-names>Tse N.</given-names></name><xref rid="aff3" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Yip</surname><given-names>Alexander S.K.</given-names></name><xref rid="aff3" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Fiona F.Y.</given-names></name><xref rid="aff1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Chung</surname><given-names>Tony K.H.</given-names></name><xref rid="aff3" ref-type="aff">b</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</aff><aff id="aff3"><label>b</label>Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China</aff><aff id="aff2"><label>c</label>Department of Social Medicine, Harvard Medical School, Boston, MA, USA</aff><author-notes><corresp id="cor1"><label>⁎</label>Corresponding author. Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong. Tel.: +852 9300 2169. <email>dominic.lee@mac.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>1</day><month>11</month><year>2006</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>11</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>1</day><month>11</month><year>2006</year></pub-date><volume>61</volume><issue>5</issue><fpage>707</fpage><lpage>713</lpage><history><date date-type="received"><day>5</day><month>12</month><year>2005</year></date></history><permissions><copyright-statement>Copyright © 2006 Published by Elsevier Inc.</copyright-statement><copyright-year>2006</copyright-year><copyright-holder></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 aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong.</p></sec><sec><title>Methods</title><p>Ethnographic interviews were first conducted to identify the common psychological and behavioral responses to the outbreak. This was followed by a case-control study of 235 consecutive pregnant women recruited during the SARS epidemic, and a historical cohort of 939 pregnant women recruited a year before the outbreak. Both cohorts completed standardized rating scales on depression, anxiety, and social support.</p></sec><sec><title>Results</title><p>Women in the SARS cohort adopted behavioral strategies to mitigate their risk of contracting infection. However, pregnant women tended to overestimate the risk of contracting SARS and nearly a third of the women were homebound. The anxiety level of the SARS cohort was slightly higher than that of the pre-SARS control. No statistical difference was found between the depression levels of the two cohorts.</p></sec><sec><title>Conclusion</title><p>The improved social support experienced by pregnant women during SARS might have buffered the stress associated with an outbreak. However, clinicians should monitor for overestimation of infectious risk among pregnant women.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Anxiety</kwd><kwd>Depression</kwd><kwd>Infectious outbreak</kwd><kwd>Natural disaster</kwd><kwd>Pregnancy</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Massachusetts</li></region><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Lee, Dominic T S" sort="Lee, Dominic T S" uniqKey="Lee D" first="Dominic T. S." last="Lee">Dominic T. S. Lee</name></noRegion><name sortKey="Chung, Tony K H" sort="Chung, Tony K H" uniqKey="Chung T" first="Tony K. H." last="Chung">Tony K. H. Chung</name><name sortKey="Lee, Fiona F Y" sort="Lee, Fiona F Y" uniqKey="Lee F" first="Fiona F. Y." last="Lee">Fiona F. Y. Lee</name><name sortKey="Leung, Tse N" sort="Leung, Tse N" uniqKey="Leung T" first="Tse N." last="Leung">Tse N. Leung</name><name sortKey="Sahota, Daljit" sort="Sahota, Daljit" uniqKey="Sahota D" first="Daljit" last="Sahota">Daljit Sahota</name><name sortKey="Yip, Alexander S K" sort="Yip, Alexander S K" uniqKey="Yip A" first="Alexander S. K." last="Yip">Alexander S. K. Yip</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Lee, Dominic T S" sort="Lee, Dominic T S" uniqKey="Lee D" first="Dominic T. S." last="Lee">Dominic T. S. Lee</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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