Stress and Psychological Impact on SARS Patients during the Outbreak

Chua, Siew E.; Cheung, Vincent C. K.; McAlonan, Gráinne; Cheung, Charlton; Wong, Josephine W S; Cheung, Erik P.T.; Chan, Marco T Y; Wong, Teresa; Choy, Khai M; Chu, Chung Ming; Lee, Peter W. H.; Tsang, Kenneth W.

doi:10.1177/070674370404900607

Cited by 228 publications

(190 citation statements)

References 8 publications

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“…8,12,13 These results revealed that the risk of direct or indirect exposure to SARS would bring a greater psychological impact from SARS. Social support from others, taking precautionary measures, and clear disease information has been reported as protective factors for the exposed patient or health workers.…”

mentioning

confidence: 81%

Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan

Yen

et al. 2006

Psychiatry Clin Neurosci

215

183

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During the 2003 outbreak, severe acute respiratory syndrome (SARS) spread to more than 30 countries. Not only did it cause severe health problems but it also imposed a great psychological impact on the public. SARS emerged in Taiwan during April 2003. This study investigates the psychosocial impact and the associated factors of depression of the SARS epidemic in Taiwan when the epidemic had just been controlled. A total of 1552 respondents were recruited in the study by random selection from the telephone book. Demographic data, SARS experience, self-perceived health state, neighborhood relationships, and depression were surveyed by telephone interviewing.Respondents were grouped as 'impacted group' and 'non-impacted group' according to whether they or their friends and family had been quarantined, or suspected of being infected. The psychosocial impact and associated factors were compared between the two groups. The 'impacted group' had higher depressive levels, poorer neighborhood relationships, poorer self-perceived health, and a higher economic impact than the 'non-impacted group'. The poorer self-perceived health and economic impact factors were associated with depression. The neighborhood relationship factor was negatively associated with depression for the 'impacted group', but not for the 'nonimpacted group'. The 'impacted group' had experienced greater psychosocial impact possibly due to the SARS impact, the economic downturn, poor self-perceived health conditions, and decreased social support systems. An appropriate mental health intervention to improve the self-perceived health condition, to provide instrumental and psychological support for the 'impacted group', and to decrease the stigmatization and discrimination from the public could have buffered the psychological impact from this epidemic disaster.

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mentioning

confidence: 81%

Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan

Yen

et al. 2006

Psychiatry Clin Neurosci

215

183

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“…[479][480][481][482] Patients placed under Transmission Precautions may experience increased anxiety, depression, loneliness, and stress as well as anger and hostility. 483,484 Compared with control patients, adult patients isolated for MRSA were more likely to have preventable adverse events (eg, falls, ulcers, or fluid and electrolyte abnormalities), to complain about their care, to have fewer vital signs taken, and to have more days without physician progress notes.…”

Section: Studies Among Non-cf Patientsmentioning

confidence: 99%

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Saiman

Siegel

LiPuma

et al. 2014

Infect. Control Hosp. Epidemiol.

345

382

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The 2013 Infection Prevention and Control (IP&C) Guideline for Cystic Fibrosis (CF) was commissioned by the CF Foundation as an update of the 2003 Infection Control Guideline for CF. During the past decade, new knowledge and new challenges provided the following rationale to develop updated IP&C strategies for this unique population:1. The need to integrate relevant recommendations from evidence-based guidelines published since 2003 into IP&C practices for CF. These included guidelines from the Centers for Disease Control and Prevention (CDC)/Healthcare Infection Control Practices Advisory Committee (HICPAC), the World Health Organization (WHO), and key professional societies, including the Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). During the past decade, new evidence has led to a renewed emphasis on source containment of potential pathogens and the role played by the contaminated healthcare environment in the transmission of infectious agents. Furthermore, an increased understanding of the importance of the application of implementation science, monitoring adherence, and feedback principles has been shown to increase the effectiveness of IP&C guideline recommendations.2. Experience with emerging pathogens in the non-CF population has expanded our understanding of droplet transmission of respiratory pathogens and can inform IP&C strategies for CF. These pathogens include severe acute respiratory syndrome coronavirus and the 2009 influenza A H1N1. Lessons learned about preventing transmission of methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant gram-negative pathogens in non-CF patient populations also can inform IP&C strategies for CF.

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“…The results are not surprising as, in addition to the physical impairment, the long period of isolation and extreme uncertainty during the SARS illness had created enormous psychological stress [150] and mood disturbances [151]. Furthermore, steroid toxicity, personal vulnerability and psychosocial stressors might have contributed to the development of psychosis in some patients [152].…”

Section: Long-term Outcomementioning

confidence: 99%

SARS: clinical presentation, transmission, pathogenesis and treatment options

2006

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SARS (severe acute respiratory syndrome) appeared as the first emerging infectious disease of this century. It is fortunate that the culprit virus can be grown without much difficulty from a commonly used cell line, allowing an unlimited supply of isolates for further molecular studies and leading to the development of sensitive diagnostic assays. How the virus has successfully jumped the species barrier is still a mystery. The superspreading events that occurred within hospital, hotel and high-density housing estate opens a new chapter in the mechanisms and routes of virus transmission. The old practice of quarantine proved to be still useful in controlling the global outbreak. Despite all the available sophisticated tests, alertness with early recognition by healthcare workers and prompt isolation of suspected cases is still the most important step for containing the spread of the infection. Although the rapidly evolving outbreak did not allow the conducting of systematic clinical trails to evaluate treatment options, the accumulated experience on managing SARS patients will improve the clinical outcome should SARS return. Although SARS led to more than 700 deaths worldwide, the lessons learnt have prepared healthcare systems worldwide to face future emerging and re-emerging infections.

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Stress and Psychological Impact on SARS Patients during the Outbreak

Abstract: General stress and negative psychological effects are increased in SARS patients, particularly among infected health care workers. This may increase the risk of mood and stress-related disorders. Functional impairment is apparent in the postrecovery phase.

Cited by 228 publications

References 8 publications

Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan

Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

SARS: clinical presentation, transmission, pathogenesis and treatment options

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