Journal of the Formosan Medical Association
Volume 109, Issue 7 , Pages 524-532, July 2010

Population-based Post-crisis Psychological Distress: An Example From the SARS Outbreak in Taiwan

  • Eugene Yu-Chang Peng

      Affiliations

    • Department of Community Medicine, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan
    • School of Public Health, Taipei Medical University, Taipei, Taiwan
    • ,
  • Ming-Been Lee

      Affiliations

    • Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Shang-Ta Tsai

      Affiliations

    • Division of General Surgery, Department of Surgery, Taiwan Adventist Hospital, Taipei, Taiwan
    • ,
  • Chih-Chien Yang

      Affiliations

    • Graduate School of Educational Measurement and Statistics, National Taichung University, Taichung, Taiwan
    • ,
  • Donald Edward Morisky

      Affiliations

    • Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA, USA
    • ,
  • Liang-Ting Tsai

      Affiliations

    • Graduate School of Educational Measurement and Statistics, National Taichung University, Taichung, Taiwan
    • ,
  • Ya-Ling Weng

      Affiliations

    • School of Public Health, Taipei Medical University, Taipei, Taiwan
    • ,
  • Shu-Yu Lyu

      Affiliations

    • School of Public Health, Taipei Medical University, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Shu-Yu Lyu, School of Public Health, Taipei Medical University, 250 Wu-Hsing Street, Taipei 11031, Taiwan

Received 22 September 2009; received in revised form 22 December 2009; accepted 28 December 2009.

Article Outline

Background/Purpose

As a result of the severe acute respiratory syndrome (SARS) pandemic, the World Health Organization placed Taiwan on the travel alert list from May 21 to July 5, 2003. The aim of this study was to explore the post-crisis psychological distress among residents in Taiwan after the SARS epidemic.

Methods

The target population consisted of a nationwide representative sample of residents aged ≥ 18 years. Data were collected using computer assisted telephone interview systems by stratified random sampling according to geographic area. The survey (n = 1278) was conducted in November 2003, about 4 months after resolution of the SARS crisis in Taiwan. The maximum deviation of sampling error at the 95% confidence level was ± 2.74%. Psychological distress was measured by a question related to subject's changes in perception of life, plus the five-item Brief Symptom Rating Scale. Multivariate logistic regression was used to examine the correlation of psychological distress.

Results

About 9.2% of the participants reported that their perceptions of life became more pessimistic following the SARS crisis. The prevalence of psychiatric morbidity was 11.7%. Major predictors of higher levels of pessimism after the SARS epidemic included demographic factors, perception of SARS and preparedness, knowing people or having personal experiences of SARS-related discrimination, and individual worries and psychiatric morbidity. The correlates of symptomatic cases, as indicated by the five-item Brief Symptom Rating Scale, included age ≥ 50 years, senior high school graduate, and worries about recurrence of SARS.

Conclusion

Psychological distress was significantly correlated with demographic factors and perception regarding the SARS epidemic. It is suggested that marketing of mental health education should be segmented according to age and education level, which should enhance crisis communication for newly emerging infectious diseases among community populations.

Key Words:  post-crisis , psychiatric morbidity , psychological distress , severe acute respiratory syndrome

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PII: S0929-6646(10)60087-3

doi:10.1016/S0929-6646(10)60087-3

Journal of the Formosan Medical Association
Volume 109, Issue 7 , Pages 524-532, July 2010

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