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Cited by 329COVID-19 and Mental HealthResilience and Mental HealthPosttraumatic Stress Disorder Research

Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: A latent class approach.

Bonanno, George A., Ho, Samuel M. Y., Chan, Jane C. K., Kwong, Rosalie S. Y., Cheung, Celia K. Y., Wong, Claudia P. Y., Wong, Vivian C. W.·2008·Health Psychology
DOI 10.1037/0278-6133.27.5.659
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Abstract

Objective To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong. Design A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization. Main outcome measures Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12). Results Four latent classes were identified--chronic dysfunction, delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry, and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group. Conclusion This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous studies, such as social support, as well as factors of particular relevance to a major disease outbreak, such as SARS-related worry.

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Crossref · 10.1037/0278-6133.27.5.659

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  • Fear and worry appear to be particularly strong contributors to maladaptive responses during disease outbreaks.

    “However, fear and worry appear to be particularly strong contributors to maladaptive responses during disease outbreaks (e.g., Bonanno et al., 2008; Xu et al, 2011)”

    From Stress and coping in the time of COVID-19: Pathways to resilience and recovery (2020) · cites this paper as Bonanno et al., 2008

  • Although research on adaptation to stress fomented by disease outbreaks is limited, the coping processes discussed in relation to other mass traumas are generally relevant to the current scourge.

    “Although research on adaptation to stress fomented by disease outbreaks is limited, the coping processes we have discussed in relation to other mass traumas are generally relevant to the current scourge (e.g., Bonanno et al., 2008).”

    From Stress and coping in the time of COVID-19: Pathways to resilience and recovery (2020) · cites this paper as Bonanno et al., 2008

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Authors
Bonanno, G. A., Ho, S. M. Y., Chan, J. C. K., Kwong, R. S. Y., Cheung, C. K. Y., Wong, C. P. Y., & Wong, V. C. W.
Affiliations
  • Columbia University (US)
  • Hospital Authority (HK)
ORCID
Venue
Health Psychology
Publisher
American Psychological Association (APA)
Published
2008-09
Volume
27
Issue
5
Pages
659-667
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
DOI
10.1037/0278-6133.27.5.659
OpenAlex
W2049411492
Cited by
329
References
9
Citations by year
2026: 4 · 2025: 13 · 2024: 8 · 2023: 38 · 2022: 45 · 2021: 61 · 2020: 52 · 2019: 7 · 2018: 10 · 2017: 8 · 2016: 9 · 2015: 7 · 2014: 10 · 2013: 16 · 2012: 12
FWCI
10.74
Type
journal article
Language
en
Open access
closed
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
psychological resilience, post-traumatic stress, SARS, outbreak, physical function, social support, recovery, latent class analysis
MeSH terms
Adult, Disease Outbreaks, Female, Hong Kong, Hospitalization, Humans, Male, Social Support, Survivors, Severe Acute Respiratory Syndrome

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