Stress and Psychological Distress among SARS Survivors 1 Year after the Outbreak

Lee, Antoinette M.; Wong, Jack Ho; McAlonan, Gráinne; Cheung, Vincent C. K.; Cheung, Charlton; Sham, Pak C.; Chu, Chung Ming; Wong, P.S.; Tsang, Kenneth W.; Chua, Siew E.

doi:10.1177/070674370705200405

Cited by 1,026 publications

(1,045 citation statements)

References 22 publications

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“…Embora tenham sido constatadas correlações significativas, porém fracas, na relação entre as versões da PSS e o QSG, os achados ratifi caram a convergência entre as escalas, tal como visto em pesquisas similares (Chaaya, Osman, Naassan, & Mahfoud, 2010;A. M. L. Lee et al, 2007;Örücü & Demir, 2009).…”

Section: Discussionunclassified

Análise fatorial confirmatória das três versões da Perceived Stress Scale (PSS): um estudo populacional

Faro¹

2015

Psicol. Reflex. Crit.

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ResumoEste estudo teve como objetivos realizar a análise fatorial confi rmatória da Escala de Estresse Percebido (Perceived Stress Scale -PSS), nas versões traduzidas de 14, 10 e 4 itens; analisar sua validade concorrente com o Questionário de Saúde Geral (QSG-12); mapear o perfi l do estresse em uma amostra representativa da população; e estabelecer parâmetros de avaliação do estresse por meio da normatização dos escores da população total. A amostragem foi de base populacional, em formato de conglomerado por setores censitários. Participaram 1.154 habitantes de uma capital do Nordeste brasileiro, sendo a maioria do sexo feminino (55,6%), com nível de escolaridade em ensino médio (51,7%), empregados (72,7%) e não tabagistas (90,6%). As medianas de renda e idade fi caram em R$ 1.200,00 e 29 anos. Ao fi nal, constatou-se que houve ajustes satisfatórios para as três versões da PSS apenas em seu modelo bifatorial e a escala com 10 itens se mostrou uma solução harmônica entre as versões completa e mais reduzida, considerando-se a relação entre a parcimônia na quantidade de itens e a robustez estatística deste instrumento. Ademais, a PSS ratifi cou sua validade concorrente com o QSG-12 e foi feita a normatização dos escores da PSS, estabelecendo-se parâmetros para comparação em futuros estudos. Palavras-chave: Análise fatorial confi rmatória, estresse, Escala de Estresse Percebido (PSS), Psicometria, validação de escalas. AbstractThis study aimed to perform a confi rmatory factor analysis of the Perceived Stress Scale (PSS) in the Brazilian versions of 14, 10, 4 items; to analyze their concurrent validity with the General Health Questionnaire (GHQ-12); to map the profi le of the stress in a representative sampling; and to establish stress assessment parameters by the standardization of the scores from overall population. The sample was population-based by conglomerate designs and clusters tracts. Thus, 1,154 inhabitants from a capital city of a northeastern state of Brazil participated in the study, mostly female (55.6%), with high school degree (51.7%), employed (72.7%), and nonsmokers (90.6%). The average income and age were BRL 1,200.00 and 29 years old, respectively. By the end, it was found satisfactory adjustments for the three PSS versions but just in its two-factor model; the PSS with 10 items was shown as a harmonious solution between the full and reduced scales considering the relationship between parsimony and statistical robustness of the scale. Furthermore, the PSS ratifi ed its concurrent validity with the GHQ-12. It was also made the scores normalization of the PSS setting up parameters for future comparisons.

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Section: Discussionunclassified

Análise fatorial confirmatória das três versões da Perceived Stress Scale (PSS): um estudo populacional

Faro¹

2015

Psicol. Reflex. Crit.

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“…Although health care in contacts is focused mostly on early identification of somatic symptoms, concerns, anxiety, and stress experienced by those involved are also crucial. Guidelines should emphasize the need for individual support to assess and manage stress and to address questions about personal risks (29). …”

Section: Discussionmentioning

confidence: 99%

Retrospective Evaluation of Control Measures for Contacts of Patient with Marburg Hemorrhagic Fever

Timen

Isken²,

Willemse³

et al. 2012

Emerg. Infect. Dis.

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“…4 The 1-year follow-up study after the outbreak found that some SARS survivors had persistent mental problems. 4,5 Many studies found that the status of being a health care worker at the time of SARS infection, [5][6][7][8][9][10] the severity of the infection, and the dosage of steroid usage were related to the short-term mental outcomes. However, these studies were limited by the relatively modest sample sizes and the reliance on self-reported questionnaires.…”

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confidence: 99%

Mental Morbidities and Chronic Fatigue in Severe Acute Respiratory Syndrome Survivors

Lam¹

2009

Arch Intern Med

689

560

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Background: Short-term follow-up studies of severe acute respiratory syndrome (SARS) survivors suggested that their physical conditions continuously improved in the first year but that their mental health did not. We investigated long-term psychiatric morbidities and chronic fatigue among SARS survivors.Methods: All SARS survivors from the hospitals of a local region in Hong Kong were assessed by a constellation of psychometric questionnaires and a semistructured clinical interview for the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) to determine the presence of psychiatric disorders and chronic fatigue problems.Results: Of 369 SARS survivors, 233 (63.1%) participated in the study (mean period of time after SARS, 41.3 months). Over 40% of the respondents had active psychiatric illnesses, 40.3% reported a chronic fatigue problem, and 27.1% met the modified 1994 Centers for Disease Control and Prevention criteria for chronic fatigue syndrome. Logistic regression analysis suggested that being a health care worker at the time of SARS infection (odds ratio [OR], 3.24; 95% confidence interval [CI], 1.12-9.39; P=.03), being unemployed at follow-up (OR, 4.71; 95% CI, 1.50-14.78; P=.008), having a perception of social stigmatization (OR, 3.03; 95% CI, 1.20-7.60; P=.02), and having applied to the SARS survivors' fund (OR, 2.92; 95% CI, 1.18-7.22; P=.02) were associated with an increased risk of psychiatric morbidities at follow-up, whereas application to the SARS survivors' fund (OR, 2.64; 95% CI, 1.07-6.51; P = .04) was associated with increased risk of chronic fatigue problems.Conclusions: Psychiatric morbidities and chronic fatigue persisted and continued to be clinically significant among the survivors at the 4-year follow-up. Optimization of the treatment of mental health morbidities by a multidisciplinary approach with a view for long-term rehabilitation, especially targeting psychiatric and fatigue problems and functional and occupational rehabilitation, would be needed.

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Stress and Psychological Distress among SARS Survivors 1 Year after the Outbreak

Cited by 1,026 publications

References 22 publications

Análise fatorial confirmatória das três versões da Perceived Stress Scale (PSS): um estudo populacional

Análise fatorial confirmatória das três versões da Perceived Stress Scale (PSS): um estudo populacional

Retrospective Evaluation of Control Measures for Contacts of Patient with Marburg Hemorrhagic Fever

Mental Morbidities and Chronic Fatigue in Severe Acute Respiratory Syndrome Survivors

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