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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.

Identifieur interne : 000928 ( PubMed/Corpus ); précédent : 000927; suivant : 000929

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 ; Phui Nah Chong ; Yiong Huak Chan ; Winnie Shok Wen Soon

Source :

RBID : pubmed:15323599

English descriptors

Abstract

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.

DOI: 10.4088/jcp.v65n0815
PubMed: 15323599

Links to Exploration step

pubmed:15323599

Le document en format XML

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<title xml:lang="en">Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore.</title>
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<name sortKey="Sim, Kang" sort="Sim, Kang" uniqKey="Sim K" first="Kang" last="Sim">Kang Sim</name>
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<nlm:affiliation>Department of Adult Psychiatry, Woodbridge Hospital/Institute of Mental Health, Singapore. kang_sim@imh.com.sg</nlm:affiliation>
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<name sortKey="Chong, Phui Nah" sort="Chong, Phui Nah" uniqKey="Chong P" first="Phui Nah" last="Chong">Phui Nah Chong</name>
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<name sortKey="Chan, Yiong Huak" sort="Chan, Yiong Huak" uniqKey="Chan Y" first="Yiong Huak" last="Chan">Yiong Huak Chan</name>
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<name sortKey="Soon, Winnie Shok Wen" sort="Soon, Winnie Shok Wen" uniqKey="Soon W" first="Winnie Shok Wen" last="Soon">Winnie Shok Wen Soon</name>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Denial, Psychological</term>
<term>Disease Outbreaks (statistics & numerical data)</term>
<term>Female</term>
<term>Health Status</term>
<term>Hong Kong (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Marital Status</term>
<term>Medical Staff (statistics & numerical data)</term>
<term>Mental Disorders (epidemiology)</term>
<term>Mental Disorders (psychology)</term>
<term>Multivariate Analysis</term>
<term>Outcome Assessment, Health Care (statistics & numerical data)</term>
<term>Prevalence</term>
<term>Primary Health Care (statistics & numerical data)</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (psychology)</term>
<term>Stress Disorders, Post-Traumatic (epidemiology)</term>
<term>Stress Disorders, Post-Traumatic (psychology)</term>
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<term>Hong Kong</term>
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<term>Mental Disorders</term>
<term>Severe Acute Respiratory Syndrome</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Mental Disorders</term>
<term>Severe Acute Respiratory Syndrome</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Disease Outbreaks</term>
<term>Medical Staff</term>
<term>Outcome Assessment, Health Care</term>
<term>Primary Health Care</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Denial, Psychological</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Male</term>
<term>Marital Status</term>
<term>Multivariate Analysis</term>
<term>Prevalence</term>
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<div type="abstract" xml:lang="en">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.</div>
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<Month>09</Month>
<Day>21</Day>
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<Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
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<Volume>65</Volume>
<Issue>8</Issue>
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<Year>2004</Year>
<Month>Aug</Month>
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<Title>The Journal of clinical psychiatry</Title>
<ISOAbbreviation>J Clin Psychiatry</ISOAbbreviation>
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<ArticleTitle>Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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 post-traumatic 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).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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