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Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach.
Health Psychol. 2008 Sep; 27(5):659-67.HP

Abstract

OBJECTIVE

To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong.

DESIGN

A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization.

MAIN OUTCOME MEASURES

Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12).

RESULTS

Four latent classes were identified--chronic dysfunction, delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry, and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group.

CONCLUSION

This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous studies, such as social support, as well as factors of particular relevance to a major disease outbreak, such as SARS-related worry.

Authors+Show Affiliations

University of Hong Kong, Hong Kong. gab38@columbia.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18823193

Citation

Bonanno, George A., et al. "Psychological Resilience and Dysfunction Among Hospitalized Survivors of the SARS Epidemic in Hong Kong: a Latent Class Approach." Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, vol. 27, no. 5, 2008, pp. 659-67.
Bonanno GA, Ho SM, Chan JC, et al. Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach. Health Psychol. 2008;27(5):659-67.
Bonanno, G. A., Ho, S. M., Chan, J. C., Kwong, R. S., Cheung, C. K., Wong, C. P., & Wong, V. C. (2008). Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 27(5), 659-67. https://doi.org/10.1037/0278-6133.27.5.659
Bonanno GA, et al. Psychological Resilience and Dysfunction Among Hospitalized Survivors of the SARS Epidemic in Hong Kong: a Latent Class Approach. Health Psychol. 2008;27(5):659-67. PubMed PMID: 18823193.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach. AU - Bonanno,George A, AU - Ho,Samuel M Y, AU - Chan,Jane C K, AU - Kwong,Rosalie S Y, AU - Cheung,Celia K Y, AU - Wong,Claudia P Y, AU - Wong,Vivian C W, PY - 2008/10/1/pubmed PY - 2009/1/7/medline PY - 2008/10/1/entrez SP - 659 EP - 67 JF - Health psychology : official journal of the Division of Health Psychology, American Psychological Association JO - Health Psychol VL - 27 IS - 5 N2 - OBJECTIVE: To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong. DESIGN: A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization. MAIN OUTCOME MEASURES: Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12). RESULTS: Four latent classes were identified--chronic dysfunction, delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry, and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group. CONCLUSION: This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous studies, such as social support, as well as factors of particular relevance to a major disease outbreak, such as SARS-related worry. SN - 0278-6133 UR - https://www.unboundmedicine.com/medline/citation/18823193/Psychological_resilience_and_dysfunction_among_hospitalized_survivors_of_the_SARS_epidemic_in_Hong_Kong:_a_latent_class_approach_ L2 - http://content.apa.org/journals/hea/27/5/659 DB - PRIME DP - Unbound Medicine ER -