Long-term psychiatric morbidities among SARS survivors

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. This is a cohort study designed to inv...

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Published in	General hospital psychiatry Vol. 31; no. 4; pp. 318 - 326
Main Authors	Mak, Ivan Wing Chit, Chu, Chung Ming, Pan, Pey Chyou, Yiu, Michael Gar Chung, Chan, Veronica Lee
Format	Journal Article
Language	English
Published	New York, NY Elsevier Inc 01.07.2009 Elsevier
Subjects	Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Cohort Cohort Studies Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - etiology Disaster Planning Female Health Services Needs and Demand Health Surveys Hong Kong - epidemiology Hospitals, General Hospitals, Religious Human viral diseases Humans Incidence Infectious diseases Length of Stay - statistics & numerical data Male Medical sciences Middle Aged Miscellaneous Morbidity Post-traumatic stress disorder Prevalence Psychiatric Psychiatric Status Rating Scales Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life - psychology Retrospective Studies SARS survivors Severe acute respiratory syndrome Severe Acute Respiratory Syndrome - complications Severe Acute Respiratory Syndrome - psychology Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - etiology Survivors - psychology Viral diseases Viral diseases of the respiratory system and ent viral diseases Hong Kong Asia China Cohort SARS survivors Severe acute respiratory syndrome Post-traumatic stress disorder Psychiatric Social environment Human Lung disease Respiratory disease Survivor Anxiety disorder Mental health Posttraumatic stress disorder Long term Stress Infection Viral disease Mental disorder Diagnosis Public health
Online Access	Get full text
ISSN	0163-8343 1873-7714 1873-7714
DOI	10.1016/j.genhosppsych.2009.03.001

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Abstract	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. 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. 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. 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.
AbstractList	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.OBJECTIVESevere 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.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.METHODThis 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.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.RESULTSNinety 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.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.CONCLUSIONThe 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.
Author	Pan, Pey Chyou Yiu, Michael Gar Chung Chan, Veronica Lee Mak, Ivan Wing Chit Chu, Chung Ming
AuthorAffiliation	b Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong a Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong c Department of Medicine and Geriatrics, United Christian Hospital, Kowloon, Hong Kong
AuthorAffiliation_xml	– name: a Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong – name: b Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong – name: c Department of Medicine and Geriatrics, United Christian Hospital, Kowloon, Hong Kong
Author_xml	– sequence: 1 givenname: Ivan Wing Chit surname: Mak fullname: Mak, Ivan Wing Chit email: ucmakwc1@ha.org.hk organization: Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong – sequence: 2 givenname: Chung Ming surname: Chu fullname: Chu, Chung Ming organization: Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong – sequence: 3 givenname: Pey Chyou surname: Pan fullname: Pan, Pey Chyou organization: Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong – sequence: 4 givenname: Michael Gar Chung surname: Yiu fullname: Yiu, Michael Gar Chung organization: Department of Psychiatry, United Christian Hospital, Kowloon, Hong Kong – sequence: 5 givenname: Veronica Lee surname: Chan fullname: Chan, Veronica Lee organization: Integrated Post-SARS Clinic, United Christian Hospital, Kowloon, Hong Kong
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21699955$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/19555791$$D View this record in MEDLINE/PubMed
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Snippet	Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that this outbreak will... Abstract Objective Severe acute respiratory syndrome (SARS) was the first massive infectious disease outbreak of the 21st century. However, it is unlikely that...
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SubjectTerms	Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Cohort Cohort Studies Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - etiology Disaster Planning Female Health Services Needs and Demand Health Surveys Hong Kong - epidemiology Hospitals, General Hospitals, Religious Human viral diseases Humans Incidence Infectious diseases Length of Stay - statistics & numerical data Male Medical sciences Middle Aged Miscellaneous Morbidity Post-traumatic stress disorder Prevalence Psychiatric Psychiatric Status Rating Scales Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life - psychology Retrospective Studies SARS survivors Severe acute respiratory syndrome Severe Acute Respiratory Syndrome - complications Severe Acute Respiratory Syndrome - psychology Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - etiology Survivors - psychology Viral diseases Viral diseases of the respiratory system and ent viral diseases
Title	Long-term psychiatric morbidities among SARS survivors
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