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. 2008 Feb;64(2):177-83.
doi: 10.1016/j.jpsychores.2007.07.015.

Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak

Rima Styra  1 , Laura Hawryluck, Susan Robinson, Sonja Kasapinovic, Calvin Fones, Wayne L Gold
Affiliations

Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak

Rima Styra et al. J Psychosom Res. 2008 Feb.

Abstract

Background: A number of publications focusing on health care workers (HCWs) during a severe acute respiratory syndrome (SARS) outbreak have suggested that HCWs experienced psychological distress, particularly increased levels of posttraumatic stress symptomatology (PTSS). Factors contributing to increased distress in HCWs working in high-risk areas treating patients with SARS have not been fully elucidated. The goal of this study was to quantify the psychological effects of working in a high-risk unit during the SARS outbreak.

Methods: HCWs in a Toronto hospital who worked in high-risk areas completed a questionnaire regarding their attitude toward the SARS crisis along with the Impact of Event Scale-Revised, which screens for PTSS. The comparison group consisted of clinical units that had no contact with patients infected with SARS.

Results: Factors that were identified to cause distress in the 248 respondent HCWs were the following: (a) perception of risk to themselves, (b) impact of the SARS crisis on their work life, (c) depressive affect, and (d) working in a high-risk unit. In addition, HCWs who cared for only one SARS patient in comparison to those caring for multiple SARS patients experienced more PTSS.

Conclusions: As expected, HCWs who were working in high-risk units experienced greater distress. Contrary to expectations, HCWs who experienced greater contact with SARS patients while working in the high-risk units were less distressed. This suggests that HCW experience in treating patients infected with SARS may be a mediating factor that could be amenable to intervention in future outbreaks.

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References

    1. Poutanen SM, Low DE, Henry B, Finkelstein S, Rose D, Green K, for the National Microbiology Laboratory, Canada, and the Canadian Severe Acute Respiratory Syndrome Study Team Identification of severe acute respiratory syndrome in Canada. N Engl J Med. 2003;348:1995–2005. - PubMed
    1. Booth M, Matukas LM, Tomlinson GA, Rachlis AR, Rose DB, Dwosh HA. Clinical features and short-term outcomes of 144 patients with SARS in the Greater Toronto Area. JAMA. 2003;289:2801–2809. - PubMed
    1. Public Health Agency of Canada, SARS (severe acute respiratory syndrome) outbreak period, http://www.phac-aspc.gc.ca/sars/sars.html#numbers.
    1. Muller MP, Richardson SE, McGeer A, Dresser L, Raboud J, Mazzulli T. Early diagnosis of SARS: lessons from the Toronto SARS outbreak. Eur J Clin Microbiol Infect Dis. 2006;25:230–237. - PMC - PubMed
    1. Ofner-Agnostini M, Gravel D, McDonald LC, Lem M, Sarwal S, McGeer A. Cluster of cases of severe acute respiratory syndrome among Toronto healthcare workers after implementation of infection control precautions: a case series. Infect Control Hosp Epidemiol. 2006;27:473–478. - PubMed