Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study - 20/08/11
Abstract |
Objective |
To measure the incidence and impact of posttraumatic stress disorder (PTSD) in a cohort of 70 subjects with severe acute respiratory syndrome (SARS).
Methods |
Clinical assessments of PTSD were conducted at 2, 7, 10, 20 and 46 months after discharge from medical hospitalization for treatment of SARS. Diagnoses of PTSD were established by a trained psychiatrist using the Chinese Classification of Mental Disorders (CCMD-III) and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria. To study the impact of PTSD, we used the Impact of Event Scale (IES), Zung Self-Rating Anxiety Scale (SAS), Zung Self-Rating Depression Scale (SDS), Symptom Checklist 90 (SCL-90), Short Form-36 (SF-36 Health Survey) and Social Disability Screening Schedule (SDSS).
Results |
Of the 68 subjects who finished at least two follow-up interviews, 30 developed PTSD over the study period (44.1%). Scores on IES, SAS, SDS and SCL-90 (P<.0001) were higher, and functional impairment as measured by SF-36 (P<.0001) and SDSS was more severe (P=.0073) for subjects with PTSD.
Conclusion |
PTSD occurs in a significant percentage of subjects who recover from SARS, and the occurrence of PTSD predicts persistent psychological distress and diminished social functioning in the 4 years after SARS treatment.
El texto completo de este artículo está disponible en PDF.Keywords : Posttraumatic stress disorder, Severe acute respiratory syndrome, Follow-up study
Esquema
| ☆ | This study was supported by Peking Union Medical College Hospital (HX, ZXH, JYN, ZW, WJ); the National Institutes of Health, Fogarty International Center (D43TW005814) (E.D. Caine, PI) (HX); and the National Institute of Mental Health Center (P20MH071897) (E.D. Caine, PI) (GC). |
Vol 31 - N° 6
P. 546-554 - novembre 2009 Regresar al número
Artículo precedente
- Use of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate study
- Seth Himelhoch, Joshua S. Josephs, Geetanjali Chander, P. Todd Korthuis, Kelly A. Gebo, For the HIV Research Network
- Excess heart-disease-related mortality in a national study of patients with mental disorders: identifying modifiable risk factors
- Amy M. Kilbourne, Nancy E. Morden, Karen Austin, Mark Ilgen, John F. McCarthy, Gregory Dalack, Frederic C. Blow
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?