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Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong

The aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong. Ethnographic interviews were first conducted to identify the common psychological and behavioral responses to the o...

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Published in:Journal of psychosomatic research 2006-11, Vol.61 (5), p.707-713
Main Authors: Lee, Dominic T.S., Sahota, Daljit, Leung, Tse N., Yip, Alexander S.K., Lee, Fiona F.Y., Chung, Tony K.H.
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description The aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong. Ethnographic interviews were first conducted to identify the common psychological and behavioral responses to the outbreak. This was followed by a case-control study of 235 consecutive pregnant women recruited during the SARS epidemic, and a historical cohort of 939 pregnant women recruited a year before the outbreak. Both cohorts completed standardized rating scales on depression, anxiety, and social support. Women in the SARS cohort adopted behavioral strategies to mitigate their risk of contracting infection. However, pregnant women tended to overestimate the risk of contracting SARS and nearly a third of the women were homebound. The anxiety level of the SARS cohort was slightly higher than that of the pre-SARS control. No statistical difference was found between the depression levels of the two cohorts. The improved social support experienced by pregnant women during SARS might have buffered the stress associated with an outbreak. However, clinicians should monitor for overestimation of infectious risk among pregnant women.
doi_str_mv 10.1016/j.jpsychores.2006.08.005
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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>SARS</topic><topic>Severe Acute Respiratory Syndrome - prevention &amp; control</topic><topic>Severe Acute Respiratory Syndrome - psychology</topic><topic>Severe Acute Respiratory Syndrome - transmission</topic><topic>Social Support</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Dominic T.S.</creatorcontrib><creatorcontrib>Sahota, Daljit</creatorcontrib><creatorcontrib>Leung, Tse N.</creatorcontrib><creatorcontrib>Yip, Alexander S.K.</creatorcontrib><creatorcontrib>Lee, Fiona F.Y.</creatorcontrib><creatorcontrib>Chung, Tony K.H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Dominic T.S.</au><au>Sahota, Daljit</au><au>Leung, Tse N.</au><au>Yip, Alexander S.K.</au><au>Lee, Fiona F.Y.</au><au>Chung, Tony K.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>61</volume><issue>5</issue><spage>707</spage><epage>713</epage><pages>707-713</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>The aim of the present study was to examine the behavioral and psychological responses of pregnant women during the 2003 severe acute respiratory syndrome (SARS) outbreak in Hong Kong. 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source Applied Social Sciences Index & Abstracts (ASSIA); Elsevier
subjects Adult
Adult and adolescent clinical studies
Anxiety
Attitude to Health
Biological and medical sciences
Case-Control Studies
China
Cohort Studies
Depression
Disease Outbreaks
Female
Health Behavior
Health Surveys
Homebound Persons - psychology
Homebound Persons - statistics & numerical data
Hong Kong
Human viral diseases
Humans
Infectious diseases
Infectious outbreak
Interview, Psychological
Medical sciences
Mood disorders
Natural disaster
Original
Pregnancy
Pregnancy - psychology
Pregnant women
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk
Risk Factors
SARS
Severe Acute Respiratory Syndrome - prevention & control
Severe Acute Respiratory Syndrome - psychology
Severe Acute Respiratory Syndrome - transmission
Social Support
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
title Psychological responses of pregnant women to an infectious outbreak: A case-control study of the 2003 SARS outbreak in Hong Kong
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