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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.
J Clin Psychiatry. 2004 Aug; 65(8):1120-7.JC

Abstract

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.

METHOD

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.

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).

CONCLUSION

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.

Authors+Show Affiliations

Department of Adult Psychiatry, Woodbridge Hospital/Institute of Mental Health, Singapore. kang_sim@imh.com.sgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15323599

Citation

Sim, Kang, et al. "Severe Acute Respiratory Syndrome-related Psychiatric and Posttraumatic Morbidities and Coping Responses in Medical Staff Within a Primary Health Care Setting in Singapore." The Journal of Clinical Psychiatry, vol. 65, no. 8, 2004, pp. 1120-7.
Sim K, Chong PN, Chan YH, et al. Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore. J Clin Psychiatry. 2004;65(8):1120-7.
Sim, K., Chong, P. N., Chan, Y. H., & Soon, W. S. (2004). Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore. The Journal of Clinical Psychiatry, 65(8), 1120-7.
Sim K, et al. Severe Acute Respiratory Syndrome-related Psychiatric and Posttraumatic Morbidities and Coping Responses in Medical Staff Within a Primary Health Care Setting in Singapore. J Clin Psychiatry. 2004;65(8):1120-7. PubMed PMID: 15323599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe acute respiratory syndrome-related psychiatric and posttraumatic morbidities and coping responses in medical staff within a primary health care setting in Singapore. AU - Sim,Kang, AU - Chong,Phui Nah, AU - Chan,Yiong Huak, AU - Soon,Winnie Shok Wen, PY - 2004/8/25/pubmed PY - 2004/9/24/medline PY - 2004/8/25/entrez SP - 1120 EP - 7 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 65 IS - 8 N2 - 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. METHOD: 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. 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). CONCLUSION: 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. SN - 0160-6689 UR - https://www.unboundmedicine.com/medline/citation/15323599/Severe_acute_respiratory_syndrome_related_psychiatric_and_posttraumatic_morbidities_and_coping_responses_in_medical_staff_within_a_primary_health_care_setting_in_Singapore_ L2 - http://www.psychiatrist.com/jcp/article/pages/2004/v65n08/v65n0815.aspx DB - PRIME DP - Unbound Medicine ER -