Immediate and Sustained Psychological Impact of an Emerging Infectious Disease Outbreak on Health Care Workers

McAlonan, Gráinne; Lee, Antoinette M.; Cheung, Vincent C. K.; Cheung, CW; Tsang, Kenneth W.; Sham, Pak C.; Chua, Siew E.; Wong, Jack Ho

doi:10.1177/070674370705200406

Cited by 671 publications

(705 citation statements)

References 18 publications

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“…In addition to the 10 items that are based on a quantitative scale, three free-text response items were included to gather qualitative data. The 10-item tool has been validated in many settings and cultures, with age and gender norms well established (Malarkey et al 1995;Lane et al 2007; Leon et al 2007;McAlonan et al 2007). …”

Section: Methodsmentioning

confidence: 99%

Encouraging an environment to nurture lifelong learning: An Asian experience

et al. 2013

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Section: Methodsmentioning

confidence: 99%

Encouraging an environment to nurture lifelong learning: An Asian experience

et al. 2013

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“…The higher the number the greater perceived stress in the individual's life. The PSS has established associations with physical symptoms and abnormal health parameters (Burns et al 2002;Carpenter et al 2004;Cohen et al 1993;Cruess et al 1999;Culhane et al 2001;Ebrecht et al 2004;Epel et al 2004;Holzel et al 2010;Kramer et al 2000;Leon et al 2007;Malarkey et al 1995;McAlonan et al 2007;Stone et al 1999).…”

Section: Research Instrumentsmentioning

confidence: 99%

Effect of a Faith-Based Education Program on Self-Assessed Physical, Mental and Spiritual (Religious) Health Parameters

Cronjé

Sommers²,

Faulkner³

et al. 2015

J Relig Health

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The aim of the study was to determine the effect of attending a faith-based education program (FBEP) on self-assessed physical, mental and spiritual health parameters. The study was designed as a prospective, observational, cohort study of individuals attending a 5-day FBEP. Out of 2650 sequential online registrants, those previously unexposed to the FBEP received automated invitations to complete 5 sequential Self-Assessment Questionnaire's (SAQ's) containing: (1) Duke University Religion Index (DUREL); (2) Negative Religious Coping (N-RCOPE); (3) Perceived Stress Scale (PSS); (4) Center for Epidemiology and Statistics-Depression Scale (CES-D); (5) Brief Illness Perception Questionnaire (BIPQ); and the (6) State Trait Anxiety Inventory (STAI). Pre-attendance SAQ (S1) was repeated immediately post-FBEP (S2), at 30 days (S3), 90 days (S4) and after 1 year (S5). Of 655 invited, 274 (42 %) succeeded, 242 (37 %) failed and 139 (21 %) declined to complete S1. Of the 274, 37 (14 %) were excluded at on-site interview; 26 (9 %) never attended the FBEP (i.e., controls: 5♂; 21♀; 27-76 years); and 211 (77 %) participated (i.e., cases: 105♂; 106♀; 18-84 years) and were analyzed over time: 211 (S1); 192 (S2); 99 (S3); 52 (S4); 51 (S5). IRB approval was via the Human Research Ethics Committee of Stellenbosch University. DUREL showed significant, sustained changes in Intrinsic Religiosity. N-RCOPE showed significant, lasting improvement. In others, median values dropped significantly immediately after the FBEP (S1:S2) for STAI-State p < 0.0001; PSS p < 0.0001; BIPQ p < 0.0001; and CES-D p < 0.0001; and at 1 month (S1:S3) for STAI-Trait p < 0.001; all changes were sustained (S3 through S5). This FBEP produced statistically and clinically significant changes; these lasted in those followed up >1 year.

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“…After the SARS epidemic, researchers in Taiwan (Chen et al 2007), Hong Kong (Chua et al 2004), Singapore (Koh et al 2005), and Canada (Maunder 2004, McAlonan et al 2007, Styra et al 2008) all documented significant stress, anxiety, and depression among healthcare workers. However, researchers in Toronto did not find any evidence that the SARS epidemic produced an increase in serious psychiatric disorders (Lancee et al 2008).…”

Section: Psychosocial Needsmentioning

confidence: 99%

Preventing Absenteeism and Promoting Resilience Among Health Care Workers In Biological Emergencies

Lesperance¹,

Miller²

2009

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Executive SummarySince the terrorist attacks of September 11, 2001, and the 2003 severe acute respiratory syndrome epidemic, homeland security and emergency response communities have increasingly focused on planning for disaster medical surge capacity-the capacity of the health care system to respond to a large influx of patients after a disaster. The ability to ensure adequate numbers of medical staff represents a crucial part of the medical response to any disaster. However, healthcare worker absenteeism during disasters, especially in the event of an attack of biological terrorism or an epidemic, such as pandemic influenza, is a serious concern.Though a significant rate of absenteeism is often included as a baseline assumption in emergency planning, published reports on strategies to minimize absenteeism are comparatively few. This report documents interviews with managers and emergency response planners at hospitals and public health agencies and reviews existing survey data on healthcare worker absenteeism and studies of disasters to glean lessons about the needs of healthcare workers during those disasters. Based on this research, expected rates of absenteeism and individual determinants of absenteeism are presented along with recommendations of steps that hospitals, emergency medical services organizations, public health organizations, and government agencies can take to meet the needs of healthcare workers and minimize absenteeism during a biological event.v AcknowledgmentsThis work was conducted in support of the Interagency Biological Restoration Demonstration, a collaborative regional program jointly funded by the U.S. Department of Defense-Defense Threat Reduction Agency and the U.S. Department of Homeland Security (DHS) designed to develop policies, methods, plans, and applied technologies to restore large urban areas, DoD installations, and critical infrastructure following the release of a biological event.

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Immediate and Sustained Psychological Impact of an Emerging Infectious Disease Outbreak on Health Care Workers

Abstract: Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.

Cited by 671 publications

References 18 publications

Encouraging an environment to nurture lifelong learning: An Asian experience

Encouraging an environment to nurture lifelong learning: An Asian experience

Effect of a Faith-Based Education Program on Self-Assessed Physical, Mental and Spiritual (Religious) Health Parameters

Preventing Absenteeism and Promoting Resilience Among Health Care Workers In Biological Emergencies

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