Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan
Open accessAbstract
Background/Purpose As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic. Methods The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (n = 1278) was conducted in November 2003, about 4 months after resolution of the SARS crisis in Taiwan. The maximum deviation of sampling error at the 95% confidence level was ± 2.74%. Psychological distress was measured by a question related to subject’s changes in perception of life, plus the five-item Brief Symptom Rating Scale. Multivariate logistic regression was used to examine the correlation of psychological distress. Results About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and pre-paredness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS. Conclusion Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.
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Long-lasting symptoms after SARS-CoV-2 must be expected.
“this could indicate that long lasting symptoms after SARS-CoV-2 also must be expected.”
From COVID-19 pandemic and mental health consequences: Systematic review of the current evidence (2020) · cites this paper as Peng et al., 2010
The Methods report a survey four months after Taiwan’s SARS crisis, and the Results document psychological distress and psychiatric morbidity among residents. This supports the possibility of post-crisis psychological symptoms after SARS, but the paper does not study SARS-CoV-2 or establish that long-lasting symptoms after it must be expected. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSimilar mental health effects were seen in past containment efforts during SARS in 2003, the 2009 swine flu pandemic, and the 2014-2016 Ebola epidemic.
“similar mental health effects were seen in past containment efforts during infectious disease outbreaks, such as the severe acute respiratory syndrome (SARS) in 2003 [2, 3], the 2009 swine flu pandemic [4, 5], and the 2014–2016 Ebola epidemic [6].”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [2]
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“Nevertheless, a number of psychological principles had been established by 2019 based on research conducted during the 2003 SARS outbreak (Peng et al., 2010), 2009 H1N1 “swine-flu” pandemic (Brand et al., 2013; Wheaton et al., 2012), and earlier research conducted during the HIV/AIDS pandemic…”
Background
- Authors
- Peng, E. Y.-C., Lee, M.-B., Tsai, S.-T., Yang, C.-C., Morisky, D. E., Tsai, L.-T., Weng, Y.-L., & Lyu, S.-Y.
- Affiliations
- Taipei Municipal YangMing Hospital (TW)
- National Taiwan University Hospital (TW)
- Taiwan Adventist Hospital (TW)
- University of California, Los Angeles (US)
- Taipei Medical University (TW)
- Corresponding author
- Lyu, Shu-Yu
- Venue
- Journal of the Formosan Medical Association
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 109
- Issue
- 7
- Pages
- 524-532
- ISSN
- 0929-6646 (ISSN-L)
- PMC
- PMC3106105
- OpenAlex
- W1976408869
- Semantic Scholar
- 079d019edd567f2babbf559dbfe73dd083fe10d3
- Cited by
- 227
- References
- 34
- Citations by year
- 2025: 6 · 2024: 9 · 2023: 17 · 2022: 46 · 2021: 69 · 2020: 70 · 2019: 1 · 2018: 1 · 2017: 4 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the Formosan Medical Association (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Science Council
- National Institute of Allergy and Infectious Diseases (R01AI033845)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychological distress, SARS epidemic, psychiatric morbidity, perceived preparedness, emerging infectious diseases, crisis communication, mental health education, Taiwan
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Disease Outbreaks, Health Surveys, Humans, Middle Aged, Morbidity, Population Surveillance, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Stress, Psychological, Taiwan, Prevalence, Severe Acute Respiratory Syndrome, Young Adult
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