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Long-term psychiatric morbidities among SARS survivors.
Gen Hosp Psychiatry. 2009 Jul-Aug; 31(4):318-26.GH

Abstract

OBJECTIVE

Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will be the last. This study aimed to evaluate the long-term psychiatric morbidities in survivors of SARS.

METHOD

This is a cohort study designed to investigate psychiatric complications among SARS survivors treated in the United Christian Hospital 30 months after the SARS outbreak. Psychiatric morbidities were assessed by the Structured Clinical Interview for DSM-IV, the Impact of Events Scale-Revised and the Hospital Anxiety and Depression Scale. Functional outcomes were assessed by the Medical Outcomes Study 36-Item Short-Form Health Survey.

RESULTS

Ninety subjects were recruited, yielding a response rate of 96.8%. Post-SARS cumulative incidence of DSM-IV psychiatric disorders was 58.9%. Current prevalence for any psychiatric disorder at 30 months post-SARS was 33.3%. One-fourth of the patients had post-traumatic stress disorder (PTSD), and 15.6% had depressive disorders.

CONCLUSION

The outbreak of SARS can be regarded as a mental health catastrophe. PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders. Our results highlight the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks.

Authors+Show Affiliations

Integrated Post-SARS Clinic, Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong. ucmakwc1@ha.org.hkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19555791

Citation

Mak, Ivan Wing Chit, et al. "Long-term Psychiatric Morbidities Among SARS Survivors." General Hospital Psychiatry, vol. 31, no. 4, 2009, pp. 318-26.
Mak IW, Chu CM, Pan PC, et al. Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry. 2009;31(4):318-26.
Mak, I. W., Chu, C. M., Pan, P. C., Yiu, M. G., & Chan, V. L. (2009). Long-term psychiatric morbidities among SARS survivors. General Hospital Psychiatry, 31(4), 318-26. https://doi.org/10.1016/j.genhosppsych.2009.03.001
Mak IW, et al. Long-term Psychiatric Morbidities Among SARS Survivors. Gen Hosp Psychiatry. 2009 Jul-Aug;31(4):318-26. PubMed PMID: 19555791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term psychiatric morbidities among SARS survivors. AU - Mak,Ivan Wing Chit, AU - Chu,Chung Ming, AU - Pan,Pey Chyou, AU - Yiu,Michael Gar Chung, AU - Chan,Veronica Lee, Y1 - 2009/04/15/ PY - 2008/08/16/received PY - 2009/02/28/revised PY - 2009/03/02/accepted PY - 2009/6/27/entrez PY - 2009/6/27/pubmed PY - 2009/7/31/medline SP - 318 EP - 26 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 31 IS - 4 N2 - OBJECTIVE: Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will be the last. This study aimed to evaluate the long-term psychiatric morbidities in survivors of SARS. METHOD: This is a cohort study designed to investigate psychiatric complications among SARS survivors treated in the United Christian Hospital 30 months after the SARS outbreak. Psychiatric morbidities were assessed by the Structured Clinical Interview for DSM-IV, the Impact of Events Scale-Revised and the Hospital Anxiety and Depression Scale. Functional outcomes were assessed by the Medical Outcomes Study 36-Item Short-Form Health Survey. RESULTS: Ninety subjects were recruited, yielding a response rate of 96.8%. Post-SARS cumulative incidence of DSM-IV psychiatric disorders was 58.9%. Current prevalence for any psychiatric disorder at 30 months post-SARS was 33.3%. One-fourth of the patients had post-traumatic stress disorder (PTSD), and 15.6% had depressive disorders. CONCLUSION: The outbreak of SARS can be regarded as a mental health catastrophe. PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders. Our results highlight the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks. SN - 1873-7714 UR - https://www.unboundmedicine.com/medline/citation/19555791/Long_term_psychiatric_morbidities_among_SARS_survivors_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163-8343(09)00047-4 DB - PRIME DP - Unbound Medicine ER -