Title: Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease
year: 2010
Journal: J Psychosom Res
Volume: 68
Issue: 2
Pages: 195-202
Epubdate: 29/01/2010
date: Feb
Alternate Journal: Journal of psychosomatic research
ISSN: 0022-3999
DOI: 10.1016/j.jpsychores.2009.04.004
Accession Number: 20105703
Abstract: OBJECTIVE: The psychological and coping responses of the noninfected community towards infectious disease outbreaks are relatively understudied. This cross-sectional study sought to determine the prevalence of severe acute respiratory syndrome (SARS)-related psychiatric and posttraumatic morbidities and associated coping styles within the general population visiting community health care services. METHODS: It was conducted on individuals attending community polyclinics in Singapore within the first week of July 2003, 16 weeks after the first national outbreak of SARS. The General Health Questionnaire-28, Impact of Event Scale-Revised, and Brief COPE were used to determine the prevalence rates of psychiatric and posttraumatic morbidities and employed coping strategies respectively. RESULTS: The overall response rate was 78.0%. Of the 415 community health care setting respondents, we found significant rates of SARS-related psychiatric (22.9%) and posttraumatic morbidities (25.8%). The presence of psychiatric morbidity was associated with the presence of high level of posttraumatic symptoms [adjusted odds ratio (OR) 2.26, 95% confidence interval (CI) 1.24-4.13, P=.008]. Psychiatric morbidity was further associated with being seen at fever stations (adjusted OR 1.90, 95% CI 1.08-3.34, P=.026), younger age (adjusted OR 0.97, 95% CI 0.94-0.98, P=.021), increased self blame (adjusted OR 1.67, 95% CI 1.22-2.28, P=.001), less substance use (adjusted OR 0.74, 95% CI 0.56-0.98, P=.034) and posttraumatic morbidity was associated with increased use of denial (adjusted OR 1.31, 95% CI 1.04-1.67, P=.024), and planning (adjusted OR 1.51, 95% CI 1.16-1.95, P=.002) as coping measures. CONCLUSION: These findings could potentially inform the development of practical community mental health programs for future infectious disease outbreaks.
URI: https://open-access.imh.com.sg/handle/123456789/4489
Authors Address: Department of Adult Psychiatry
Woodbridge Hospital/ Institute of Mental Health
Singapore. kang_sim@imh.com.sg
Database Provider: NLM
language: eng
Appears in Collections:2010

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