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Cited by 756COVID-19 and Mental HealthHealthcare professionals’ stress and burnoutOccupational Health and Burnout

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Immediate and Sustained Psychological Impact of an Emerging Infectious Disease Outbreak on Health Care Workers

McAlonan, Grainne M, Lee, Antoinette M, Cheung, Vinci, Cheung, Charlton, Tsang, Kenneth WT, Sham, Pak C, Chua, Siew E, Wong, Josephine GWS·2007·The Canadian Journal of Psychiatry
DOI 10.1177/070674370705200406
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Abstract

Objective: To assess the immediate and sustained psychological health of health care workers who were at high risk of exposure during the severe acute respiratory syndrome (SARS) outbreak. Methods: At the peak of the 2003 SARS outbreak, we assessed health care workers in 2 acute care Hong Kong general hospitals with the Perceived Stress Scale (PSS-10). One year later, we reassessed these health care workers with the PSS-10, the 21-Item Depression and Anxiety Scale (DASS-21), and the Impact of Events Scale-Revised (IES-R). We recruited high-risk health care workers who practised respiratory medicine and compared them with nonrespiratory medicine workers, who formed the low-risk health care worker control group. Results: In 2003, high-risk health care workers had elevated stress levels (PSS-10 score = 17.0) that were not significantly different from levels in low-risk health care worker control subjects (PSS-10 score = 15.9). More high-risk health care workers reported fatigue, poor sleep, worry about health, and fear of social contact, despite their confidence in infection-control measures. By 2004, however, stress levels in the high-risk group were not only higher (PSS-10 score = 18.6) but also significantly higher than scores among low-risk health care worker control subjects (PSS-10 score = 14.8, P < 0.05). In 2004, the perceived stress levels in the high-risk group were associated with higher depression, anxiety, and posttraumatic stress scores ( P < 0.001). Posttraumatic stress scores were a partial mediator of the relation between the high risk of exposure to SARS and higher perceived stress. Conclusions: Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.

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Crossref · 10.1177/070674370705200406

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Research works printed but not linked: 2

  1. Cohen S, 1988, The social psychology of health: Claremont Symposium on applied social psychology, 31
  2. Taouk M, 2001, Psychometric properties of a Chinese version of the short Depression Anxiety Stress Scales (DASS21)

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Metadata

Authors
McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W., Sham, P. C., Chua, S. E., & Wong, J. G.
Affiliations
  • Queen Mary Hospital (CN)
  • Assistant Professor, Department of Psychiatry, University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China
Corresponding author
Lee, Antoinette M
ORCID
Venue
The Canadian Journal of Psychiatry
Publisher
SAGE Publications
Published
2007-04
Volume
52
Issue
4
Pages
241-247
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
DOI
10.1177/070674370705200406
OpenAlex
W1595278784
Cited by
755
References
19
Citations by year
2026: 1 · 2025: 20 · 2024: 21 · 2023: 71 · 2022: 133 · 2021: 241 · 2020: 221 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 3
FWCI
5.09
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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, occupational stress, post-traumatic stress, depression, anxiety, psychological impact, infection exposure, stress management, epidemic preparedness
MeSH terms
Adult, Disease Outbreaks, Fear, Female, Health Personnel, Hong Kong, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Stress Disorders, Post-Traumatic, Stress, Psychological, Time Factors, Sickness Impact Profile, Severe Acute Respiratory Syndrome

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