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Psychological Effects of the SARS Outbreak in Hong Kong on High-Risk Health Care Workers
Open accessAbstract
Objective: To quantify stress and the psychological impact of severe acute respiratory syndrome (SARS) on high-risk health care workers (HCWs). Method: We evaluated 271 HCWs from SARS units and 342 healthy control subjects, using the Perceived Stress Scale (PSS) to assess stress levels and a structured list of putative psychological effects of SARS to assess its psychological effects. Healthy control subjects were balanced for age, sex, education, parenthood, living circumstances, and lack of health care experience. Results: Stress levels were raised in both groups (PSS = 18) but were not relatively increased in the HCWs. HCWs reported significantly more positive (94%, n = 256) and more negative psychological effects (89%, n = 241) from SARS than did control subjects. HCWs declared confidence in infection-control measures. Conclusions: In HCWs, adaptive responses to stress and the positive effects of infection control training may be protective in future outbreaks. Elevated stress in the population may be an important indicator of future psychiatric morbidity.
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“The panic and anxiety caused by the stress response, separate from the emergency, are also common among medical staff (Maunder et al., 2003, Bai et al., 2004, Chua et al., 2004).”
From Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China (2020) · cites this paper as Chua et al., 2004
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“One study (Chua et al., 2004) compared HCWs with healthy controls and found that HCWs were not more stressed than controls (342) but 89% (241 of 271) of HCWs experienced negative psychological symptoms.”
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 Chua et al., 2004
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Additional file 1 of Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure
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Metadata
- Authors
- Chua, S. E., Cheung, V., Cheung, C., McAlonan, G. M., Wong, J. W., Cheung, E. P., Chan, M. T., Wong, M. M., Tang, S. W., Choy, K. M., Wong, M. K., Chu, C. M., & Tsang, K. W.
- Affiliations
- Queen Mary Hospital (CN)
- Hospital Authority (HK)
- United Christian Hospital (CN)
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2004-06
- Volume
- 49
- Issue
- 6
- Pages
- 391-393
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W2131841402
- Cited by
- 462
- References
- 10
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 13 · 2023: 36 · 2022: 74 · 2021: 164 · 2020: 132 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2013: 1 · 2012: 1
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Queen Mary University of London
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- SARS, healthcare workers, psychological stress, psychological impact, infection control, infection control training, psychiatric morbidity, outbreak response, Hong Kong
- MeSH terms
- Adult, Disease Outbreaks, Fatigue, Female, Health Personnel, Hong Kong, Humans, Male, Occupational Diseases, Prospective Studies, Surveys and Questionnaires, Risk Factors, Health Behavior, Occupational Exposure, Severe Acute Respiratory Syndrome
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