Robert G. Maunder , * , † , William J. Lancee * , † , Kenneth E. Balderson * , ‡ , Jocelyn P. Bennett * , Bjug Borgundvaag * , † , Susan Evans § , Christopher M.B. Fernandes ¶ , # , David S. Goldbloom † , ** , Mona Gupta † , †† , Jonathan J. Hunter * , † , Linda McGillis Hall † , Lynn M. Nagle † , Clare Pain * , † , Sonia S. Peczeniuk ‡‡ , Glenna Raymond §§ , Nancy Read ‡ , Sean B. Rourke † , ‡ , Rosalie J. Steinberg * , † , Thomas E. Stewart * , † , Susan VanDeVelde Coke †† , Georgina G. Veldhorst ¶¶ , Donald A. Wasylenki † , ‡
TOC Summary Line: Healthcare workers in hospitals affected by SARS experience increased psychological stress 1–2 years after the outbreak.
Healthcare workers (HCWs) found the 2003 outbreak of severe acute respiratory syndrome (SARS) to be stressful, but the long-term impact is not known. From 13 to 26 months after the SARS outbreak, 769 HCWs at 9 Toronto hospitals that treated SARS patients and 4 Hamilton hospitals that did not treat SARS patients completed a survey of several adverse outcomes. Toronto HCWs reported significantly higher levels of burnout (p = 0.019), psychological distress (p<0.001), and posttraumatic stress (p<0.001). Toronto workers were more likely to have reduced patient contact and work hours and to report behavioral consequences of stress. Variance in adverse outcomes was explained by a protective effect of the perceived adequacy of training and support and by a provocative effect of maladaptive coping style and other individual factors. The results reinforce the value of effective staff support and training in preparation for future outbreaks.