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首页> 外文期刊>Canadian journal of behavioural science >Chronic PTSD and Other Psychological Sequelae in a Group of Frontline Healthcare Workers Who Contracted and Survived SARS
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Chronic PTSD and Other Psychological Sequelae in a Group of Frontline Healthcare Workers Who Contracted and Survived SARS

机译：在一组前线医疗保健工作者中，慢性PTSD和其他心理后遗症，他们在SARS签约并幸存下来

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The Severe Acute Respiratory Syndrome (SARS) epidemic of 2003 was highly concentrated in health care settings and resulted in a high number of health care workers (HCWs) contracting the disease. The SARS epidemic has improved our understanding of how trauma impacts frontline HCWs who serve as first responders during an infectious disease outbreak. However, our insight into the trajectory of frontline HCWs' morbidity posttrauma continues to be limited, as the majority of the previous work has focused on the short-term or immediate impact of SARS on HCWs, with only a few studies dedicated to the evaluation of its long-term or sustained impact. Previous research into the long-term impact of SARS on HCWs spans 1-3 years postoutbreak. The present study extends previous research by examining HCWs up to 7 years postoutbreak. More specifically, frontline HCWs who contracted and survived SARS were evaluated at 1 year (2004), 4 years (2007), and 7 years (2010) postoutbreak by using a within-participants design. Across all three time points, frontline HCWs showed a lack of abatement in clinically significant levels of depression, anxiety, and posttraumatic stress disorder (PTSD) symptomatology. In addition, HCWs reported below average and persistent functional outcomes, such as problems with pain, reduced vitality, and reductions in physical, mental, and social functioning. Finally, we report on the particular psychiatric variables from 1 year postoutbreak that are significantly associated with functional debility at 4 and 7 years postoutbreak. Findings of this study underscore the importance of understanding the long-term sequelae of infectious disease outbreaks on frontline HCWs, in order to decrease the likelihood of chronic adverse outcomes in this population. This information is especially relevant now, given the current global outbreak of Coronavirus disease 2019 (COVID-19).
机译：2003年严重的急性呼吸综合症（SARS）流行高度集中在医疗保健环境中，并导致大量卫生保健工作者（HCWS）感染了这种疾病。 SARS流行已经提高了我们对创伤如何影响前线HCW的理解，这些HCW在传染病爆发期间充当第一反应者。但是，我们对前线HCWS发病率的轨迹的洞察力继续受到限制，因为先前的大多数工作都集中在SARS对HCWS的短期或直接影响上，只有一些研究致力于评估评估它的长期或持续影响。先前对SARS对HCWS的长期影响的研究跨越了1 - 3年。本研究通过检查HCW最多7年后的邮政事间扩展了先前的研究。更具体地说，在1年（2004年），4年（2007年）和7年（2010年）邮政局中，通过使用参与者的设计评估了签约和幸存的SAR的前线HCWS。在所有三个时间点中，前线HCWS在临床上显着水平的抑郁，焦虑和创伤后应激障碍（PTSD）症状缺乏减排。此外，HCWS报告了低于平均水平和持续的功能结果，例如疼痛问题，生命力降低以及身体，心理和社交功能的减少。最后，我们报告了1年后期的特定精神病变量，这些变量与4年和7年后的功能性衰减显着相关。这项研究的结果强调了了解前线HCWS中传染病暴发的长期后遗症的重要性，以减少该人群中慢性不良后果的可能性。鉴于当前的2019年冠状病毒病（Covid-19）全球爆发，现在尤其重要。

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