Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study

Xia, Hong; Currier, Glenn W.; Zhao, Xiaohui; Jiang, Yinan; Zhou, Wei; Wei, Jing

doi:10.1016/j.genhosppsych.2009.06.008

Cited by 177 publications

(191 citation statements)

References 37 publications

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“…Our results revealed that the standard SAS scores were 46.8 in male doctors and 46.7 in female doctors respectively. In comparison with studies using the same anxiety indicator, our raw scores (37.8 in male doctors and 37.7 in female doctors) were close to the levels among survivors of severe acute respiratory syndrome, which were in the range of 37.2-43.0 at 2, 7, 10, 20 and 46 months after discharge from medical hospitalization 25) , but lower than that among airplane pilots (44.56) 26) ; on the other hand, the standard scores were much higher than the anxiety status among university teachers (37.3 in male and 34.8 in female) 27) , and even a little higher than the level (45.36) among inhabitants in Wenchuan County after the 5.12 Sichuan earthquake 28) . All these findings revealed that Chinese doctors were suffering from a considerably serious anxiety disorder at present.…”

Section: Discussionsupporting

confidence: 68%

Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors

Sun

Chang

et al. 2012

Journal of Occupational Health

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ing sleep quality should be given attention during health care system reform with the aim of lessening anxiety disorder in doctors in China. (J Occup Health 2012; 54: 1-8) Key words: Anxiety disorder, China, Doctors, Job burnout, Sleeping problem Anxiety is a basic human emotion, an uncomfortable feeling related to uneasiness, apprehension or worry. At the beginning of 21st century, anxiety disorders became the most prevalent mental health problem affecting the quality of life around the globe 1,2) . Its lifetime prevalence ranged from 13.6 to 28.8% in the general population 3,4) . Moreover, anxiety disorders have high comorbidity rates with other psychiatric disorders 5) . Thus, their impact has become comparable to that of chronic somatic disorders 6) . Doctors, as a particular occupational population coping with the cure of illness and directly confronting suffering, disease and death everyday, tend to have a high risk of mental health disorders 7,8) . Unfortunately, mental disorders in doctors can lead to medical mistakes and adversely affect their attitude towards patient care 9, 10) . Therefore, how to improve the mental health of doctors has become an accelerating social concern for the quality of lives of not only doctors themselves but also the whole general population. This issue seems to be particularly serious in China because of the heavy patient load resulting from the huge population. The ratio of doctors to the general population is 1 : 735 in China, considerably lower than that in western countries (1 : 280-1 : 640) 11) . As a result, medical disputes occur more frequently than before. Moreover, China is undertaking health care system reform in which the focus is transforming from disease to health and from sustaining life to quality of life. The traditional disease-centered care model had been gradually replaced by the patient-centered care model. This

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Section: Discussionsupporting

confidence: 68%

Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors

Sun

Chang

et al. 2012

Journal of Occupational Health

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“…The IES-R, developed by Weiss and Marmar is a 22-item, 5-point scale (0, not at all; 1, a little bit; 2, moderately; 3, quite a bit; 4, extremely) with a Cronbach's alpha of 0.93. The IES-R Korean version yields a total score (ranging from 0 to 88) and subscale scores which can be calculated for the hyperarousal (consisting of the following items: 4, 10, 14,18,19,21), avoidance (consisting of the following items: 5,8,11,12,17,22), intrusion (consisting of the following items: 1,3,6,9,16), and sleep and numbness (consisting of the following items: 2, 7, 13, 15, 20) subscales of PTSD [10]. The internal consistency of the IES-R Korean version was 0.69-0.83 [11].…”

Section: Methodsmentioning

confidence: 99%

“…It has also been shown that healthcare workers experience burnout, traumatic stress, anxiety, and depressive symptoms even after the outbreak [4]. Previous research has found that the prevalence of post-traumatic stress disorder (PTSD) was also increased among survivors of infectious diseases [5].…”

Section: Introductionmentioning

confidence: 99%

Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients

Lee

Kang

Cho

et al. 2018

Comprehensive Psychiatry

971

859

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a b s t r a c t a r t i c l e i n f oObjectives: This study aimed to assess the immediate stress and psychological impact experienced by quarantined patients undergoing hemodialysis and university hospital workers who treated patients Middle East respiratory syndrome (MERS) during its outbreak. Design: The group of subjects consisted of 1800 hospital practitioners and 73 quarantined patients undergoing hemodialysis. The Impact of Events Scale-Revised (IES-R) was administered to the practitioners twice, once during the hospital shutdown and again one month after the shutdown. The Mini International Neuropsychiatric Interview and Hospital Anxiety and Depression Scale were administered to patients undergoing hemodialysis. Results: During the initial stages of the MERS outbreak, healthcare workers who performed MERS-related tasks scored significantly higher on the total IES-R and its subscales. In the second assessment of the high-risk group, the sleep and numbness subscale scores from the IES-R differed depending on the implementation of home quarantine, and the intrusion subscale scores differed depending on the performance of MERS-related tasks. Conclusion: Medical staff that performed MERS-related tasks showed the highest risk for post-traumatic stress disorder symptoms even after time had elapsed. The risk increased even after home quarantine. Prompt and continuous psychiatric intervention is needed in high mortality infectious disease outbreaks.

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“…In addition, on the SCL-90-R, there are seven items not included in any of the nine factors, among which, three reflect sleep quality. Individual SCL-90-R factors have been used to evaluate the psychological condition of PTSD patients, and there is sufficient evidence to support the correlation of higher global SCL-90-R scores with the severity of a patient's core PTSD symptoms [12,[48][49][50][51][52][53][54][55][56][57].…”

Section: Outcome Measuresmentioning

confidence: 99%

A Chinese Herbal Formula to Improve General Psychological Status in Posttraumatic Stress Disorder: A Randomized Placebo-Controlled Trial on Sichuan Earthquake Survivors

Meng

Wu²,

Wei³

et al. 2012

Evidence-Based Complementary and Alternative Medicine

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Introduction. Posttraumatic stress disorder (PTSD) is accompanied by poor general psychological status (GPS). In the present study, we investigated the effects of a Chinese herbal formula on GPS in earthquake survivors with PTSD. Methods. A randomized, double-blind, placebo-controlled trial compared a Chinese herbal formula, Xiao-Tan-Jie-Yu-Fang (XTJYF), to placebo in 2008 Sichuan earthquake survivors with PTSD. Patients were randomized into XTJYF (n = 123) and placebo (n = 122) groups. Baseline-to-end-point score changes in the three global indices of the Symptom Checklist-90-Revised (SCL-90-R) and rates of response in the SCL global severity index (GSI) were the primary endpoints. A subanalysis of the nine SCL factors and the sleep quality score were secondary endpoints. Results and Discussion. Compared to placebo, the XTJYF group was significantly improved in all three SCL global indices (P = 0.001~0.028). More patients in the XTJYF group reported “much improved” than the placebo group (P = 0.001). The XTJYF group performed significantly better than control in five out of nine SCL factors (somatization, obsessive-compulsive behavior, depression, anxiety, and hostility (P = 0.001~0.036)), and in sleep quality score (P < 0.001). XTJYF produced no serious adverse events. These findings suggest that XTJYF may be an effective and safe treatment option for improving GPS in patients with PTSD.

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Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study

Abstract: PTSD occurs in a significant percentage of subjects who recover from SARS, and the occurrence of PTSD predicts persistent psychological distress and diminished social functioning in the 4 years after SARS treatment.

Cited by 177 publications

References 37 publications

Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors

Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors

Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients

A Chinese Herbal Formula to Improve General Psychological Status in Posttraumatic Stress Disorder: A Randomized Placebo-Controlled Trial on Sichuan Earthquake Survivors

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