The DOI matches its Crossref record; 41 of the 42 references it cites were found in a registry or an index.
Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak
Open accessAbstract
Background A number of publications focusing on health care workers (HCWs) during a severe acute respiratory syndrome (SARS) outbreak have suggested that HCWs experienced psychological distress, particularly increased levels of posttraumatic stress symptomatology (PTSS). Factors contributing to increased distress in HCWs working in high-risk areas treating patients with SARS have not been fully elucidated. The goal of this study was to quantify the psychological effects of working in a high-risk unit during the SARS outbreak.Methods HCWs in a Toronto hospital who worked in high-risk areas completed a questionnaire regarding their attitude toward the SARS crisis along with the Impact of Event Scale-Revised, which screens for PTSS. The comparison group consisted of clinical units that had no contact with patients infected with SARS.Results Factors that were identified to cause distress in the 248 respondent HCWs were the following: (a) perception of risk to themselves, (b) impact of the SARS crisis on their work life, (c) depressive affect, and (d) working in a high-risk unit. In addition, HCWs who cared for only one SARS patient in comparison to those caring for multiple SARS patients experienced more PTSS.Conclusions As expected, HCWs who were working in high-risk units experienced greater distress. Contrary to expectations, HCWs who experienced greater contact with SARS patients while working in the high-risk units were less distressed. This suggests that HCW experience in treating patients infected with SARS may be a mediating factor that could be amenable to intervention in future outbreaks.
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“and PTSD (Maunder et al., 2004; Styra et al., 2008; Wu et al., 2009).”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Styra et al., 2008
In the citing paper
“PTSD (Bukhari et al., 2016; Styra et al., 2008; Tang et al., 2017; Wu et al., 2009; Wu et al., 2008; Arpacioglu et al., 2020)”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Styra et al., 2008
In the citing paper
“Feelings of social rejection or isolation and higher impact of the outbreak on daily life (Styra et al., 2008) increased the likelihood of developing PTSD”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Styra et al., 2008
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Cites
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“Effective coping, in this case, caring for patients with SARS, would not only have reduced the level of personal distress but may also have promoted a sense of personal efficacy to meet the ongoing requirements of a challenging task on a daily basis [36].”
BackgroundPearlin, L. I., & Schooler, C. (1978) · PubMed · Cited by 6,764
The Impact of Event Scale: Revised
Weiss, D. S. (2007) · Springer eBooks · doi:10.1007/978-0-387-70990-1_10 · Cited by 3,074
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Lee, N. L. S., Hui, D. S. C., Wu, A. K. L., Chan, P. K. S., Cameron, P. A., Joynt, G. M., Ahuja, A. T., Yung, M. Y., Leung, C. B., To, K. F., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa030685 · Cited by 2,638
Psychometric properties of the Impact of Event Scale—Revised
Creamer, M., Bell, R., & Failla, S. (2003) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.07.010 · Cited by 1,947
SARS control and psychological effects of quarantine, Toronto, Canada
Hawryluck, L., Gold, W. L., Robinson, S., Pogorski, S., Galea, S., & Styra, R. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1007.030703 · Cited by 1,929
Self-citationClinical Features and Short-term Outcomes of 144 Patients With SARS in the Greater Toronto Area
Booth, C. M. (2003) · JAMA · doi:10.1001/jama.289.21.joc30885 · Cited by 1,405
Assessing psychological trauma and PTSD
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Cited by
Sorted by citations
Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., Liu, X., Fuller, C. J., Susser, E., Lü, J., et al. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400504 · Cited by 1,651
Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review
Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2020.102119 · Cited by 1,438
“The reasons for such adverse psychological outcomes in them range from excessive workload/work hours, inadequate personal protective equipment, over-enthusiastic media news, feeling inadequately supported (Cai et al., 2020; Tam et al., 2004; Lee et al., 2018; Styra et al., 2008).”
BackgroundKisely, S. R., Warren, N., McMahon, L., Dalais, C., Henry, I., & Siskind, D. J. (2020) · BMJ · doi:10.1136/bmj.m1642 · Cited by 1,122
Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic
Walton, M., Murray, E., & Christian, M. D. (2020) · European Heart Journal: Acute Cardiovascular Care · doi:10.1177/2048872620922795 · Cited by 791
“Where nursing might usually take place on a 1:1 basis, in outbreaks such as COVID19, nurses are required to treat several patients at once.6 This means that they are required to practice in ways which deviate from their usual standards.7 Family and friends may not be able to visit the patients, and staff often feel gu…”
BackgroundZhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., Du, H., Li, R., Kang, L., Su, M., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00306 · Cited by 814
“It is believed that a higher level of trust in workplace precautions is related to a decline in the focus on the outbreak, which was also in line with our study (23).”
Result
Metadata
- Authors
- Styra, R., Hawryluck, L., Robinson, S., Kasapinovic, S., Fones, C., & Gold, W. L.
- Affiliations
- University Health Network (CA)
- National University Hospital (SG)
- Corresponding author
- Styra, Rima
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 64
- Issue
- 2
- Pages
- 177-183
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC7094601
- OpenAlex
- W2054049746
- Cited by
- 280
- References
- 42
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 23 · 2022: 41 · 2021: 98 · 2020: 79 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- SARS, healthcare workers, posttraumatic stress symptoms, psychological distress, occupational stress, patient contact, risk perception, depressive affect
- MeSH terms
- Adult, Canada, Catchment Area, Health, Demography, Disease Outbreaks, Employment, Factor Analysis, Statistical, Female, Health Personnel, Health Status, Humans, Male, Occupational Diseases, Surveys and Questionnaires, Risk Factors, Occupational Exposure, Severe Acute Respiratory Syndrome
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