Mental symptoms in different health professionals during the SARS attack: a Follow-up study
Abstract
Aim The aims of the study were to assess the psychological impact of SARS bio-disaster on healthcare workers.Methods The participants were 127 healthcare workers who had taken care of suspected SARS patients. All participants completed the Chinese Health Questionnaire (CHQ), Eysenck Personality Questionnaire, and Parental Bonding Instrument at the first stage and the CHQ again a year later.Results Healthcare workers that had mental symptoms at follow-up reported the symptoms were associated with daily-life stress and not the SARS crisis. The physicians had more somatic symptoms than nurses, suggesting different professions have different impact on mental health. Additionally, individual's early maternal attachment and neuroticism were found to have greater effect on mental health of life-threatening stress.Conclusions Life-threatening and daily-life stress show two different patterns of influence on mental health. These results provided a preclinical model for understanding, and preventing, human stress-related psychiatric disorders in the future.
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Healthcare workers are especially vulnerable to mental health problems, including fear, anxiety, depression and insomnia.
“HCWs are, therefore, especially vulnerable to mental health problems, including fear, anxiety, depression and insomnia (Lung et al., 2009, Wu et al., 2009).”
From Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis (2020) · cites this paper as Lung et al., 2009
Eight studies compared doctors and nurses.
“Eight studies compared doctors and nurses (Tam et al., 2004; Maunder et al., 2004; Lung et al., 2009; Lai et al., 2020; Liu et al., 2020b; Korkmaz et al., 2020; Wong et al., 2005; Chan et al., 2005).”
From The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review (2020) · cites this paper as Lung et al., 2009
Six studies examined psychological symptoms post-epidemic, with two using long-term follow-up.
“A total of six studies (Tam et al., 2004; Lancee et al., 2008; Lung et al., 2009; Wu et al., 2009; Lee et al., 2018; Shih et al., 2007) examined the psychological symptoms post-epidemic, with two studies (Lung et al., 2009; Wu et al., 2009) utilising long-term follow-up.”
From The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review (2020) · cites this paper as Lung et al., 2009
An investigation of 123 HCWs from a Taiwanese hospital found 17.3% (22 of 127) had mental symptoms shortly after SARS and 15.4% (19 of 123) had mental health symptoms one year later.
“An investigation (Lung et al., 2009) of 123 HCWs recruited from a Taiwanese hospital found that 17.3% (22 of 127) had mental symptoms shortly after the SARS epidemic and 15.4% (19 of 123) had mental health symptoms one year later.”
From The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review (2020) · cites this paper as Lung et al., 2009
A study comparing 127 HCWs impacted by SARS found no significant difference in feelings of stress between physicians, nurses and other HCWs.
“In contrast, a study (Lung et al., 2009) comparing 127 HCWs impacted by SARS, found no significant difference in feelings of stress between the physicians, nurses and other HCWs.”
From The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review (2020) · cites this paper as Lung et al., 2009
Publications included were predominantly focused on stressors during an outbreak, but six articles focused entirely or partly on post-outbreak period or had follow-up.
“The publications included in this review were predominantly focused on the stressors arising during an outbreak, however, six articles (Tam et al., 2004; Lancee et al., 2008; Lung et al., 2009; Wu et al., 2009; Lee et al., 2018; Shih et al., 2007) focused either entirely on the period following the outbreak, or in part, had follow-up.”
From The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review (2020) · cites this paper as Lung et al., 2009
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- Authors
- Lung, F.-W., Lu, Y.-C., Chang, Y.-Y., & Shu, B.-C.
- Affiliations
- Zuoying Armed Forces General Hospital (TW)
- Kaohsiung Medical University (TW)
- National Cheng Kung University (TW)
- Corresponding author
- Lung, For-Wey
- Venue
- Psychiatric Quarterly
- Published
- 2009-02-27
- Volume
- 80
- Issue
- 2
- Pages
- 107-116
- ISSN
- 0033-2720 (ISSN-L)
- 1573-6709
- OpenAlex
- W2047238283
- Cited by
- 248
- References
- 39
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 10 · 2023: 16 · 2022: 52 · 2021: 84 · 2020: 65 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2012: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatric Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- SARS, healthcare workers, mental health, psychological impact of disasters, occupational stress, daily stress, physicians, nurses, somatic symptoms, maternal attachment, neuroticism, personality, follow-up study
- MeSH terms
- Adaptation, Psychological, Adult, Analysis of Variance, Female, Follow-Up Studies, Humans, Male, Mental Health, Nurses, Object Attachment, Physicians, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Stress, Psychological, Taiwan, Linear Models, Severe Acute Respiratory Syndrome
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