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      SARS Control and Psychological Effects of Quarantine, Toronto, Canada

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          Abstract

          Explores effects of quarantine on those quarantined for SARS, Toronto, Canada

          Abstract

          As a transmissible infectious disease, severe acute respiratory syndrome (SARS) was successfully contained globally by instituting widespread quarantine measures. Although these measures were successful in terminating the outbreak in all areas of the world, the adverse effects of quarantine have not previously been determined in a systematic manner. In this hypothesis-generating study supported by a convenience sample drawn in close temporal proximity to the period of quarantine, we examined the psychological effects of quarantine on persons in Toronto, Canada. The 129 quarantined persons who responded to a Web-based survey exhibited a high prevalence of psychological distress. Symptoms of posttraumatic stress disorder (PTSD) and depression were observed in 28.9% and 31.2% of respondents, respectively. Longer durations of quarantine were associated with an increased prevalence of PTSD symptoms. Acquaintance with or direct exposure to someone with a diagnosis of SARS was also associated with PTSD and depressive symptoms.

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          Most cited references20

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

          L Radloff (1977)
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            Posttraumatic stress disorder in the National Comorbidity Survey.

            Data were obtained on the general population epidemiology of DSM-III-R posttraumatic stress disorder (PTSD), including information on estimated life-time prevalence, the kinds of traumas most often associated with PTSD, sociodemographic correlates, the comorbidity of PTSD with other lifetime psychiatric disorders, and the duration of an index episode. Modified versions of the DSM-III-R PTSD module from the Diagnostic Interview Schedule and of the Composite International Diagnostic Interview were administered to a representative national sample of 5877 persons aged 15 to 54 years in the part II subsample of the National Comorbidity Survey. The estimated lifetime prevalence of PTSD is 7.8%. Prevalence is elevated among women and the previously married. The traumas most commonly associated with PTSD are combat exposure and witnessing among men and rape and sexual molestation among women. Posttraumatic stress disorder is strongly comorbid with other lifetime DSM-III-R disorders. Survival analysis shows that more than one third of people with an index episode of PTSD fail to recover even after many years. Posttraumatic stress disorder is more prevalent than previously believed, and is often persistent. Progress in estimating age-at-onset distributions, cohort effects, and the conditional probabilities of PTSD from different types of trauma will require future epidemiologic studies to assess PTSD for all lifetime traumas rather than for only a small number of retrospectively reported "most serious" traumas.
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              Trauma and Posttraumatic Stress Disorder in the Community

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                Author and article information

                Journal
                Emerg Infect Dis
                Emerging Infect. Dis
                EID
                Emerging Infectious Diseases
                Centers for Disease Control and Prevention
                1080-6040
                1080-6059
                July 2004
                : 10
                : 7
                : 1206-1212
                Affiliations
                [* ]University of Toronto, Toronto, Ontario, Canada;
                []ASK Information Technologies, Toronto, Ontario, Canada;
                []New York Academy of Medicine, New York, New York, USA
                Author notes
                Address for correspondence: Rima Styra, Toronto General Hospital, 200 Elizabeth Street, 8 Eaton North - Room 235, Toronto, Ontario, Canada M5G 2C4; fax: 416-340-4198; email: styra@ 123456attglobal.net
                Article
                03-0703
                10.3201/eid1007.030703
                3323345
                15324539
                4e5d599d-6a4a-4d64-bab2-9add451d06e6
                History
                Categories
                Research
                Research

                Infectious disease & Microbiology
                post–traumatic stress disorder,sars,quarantine,depression
                Infectious disease & Microbiology
                post–traumatic stress disorder, sars, quarantine, depression

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