Abstract

Epidemic viral infections, including the outbreak of severe acute respiratory syndrome (SARS) in 2003 and SARS-CoV-2 in 2019, have brought tremendous loss to people across the nations. The aim of this study was to compare the psychological impact of the SARS-CoV-2 pandemic in 2020 and the SARS pandemic in 2003 on hospital workers. Hospital workers at a medical center in Southern Taiwan (n = 1816) were invited to complete questionnaires (SARS-CoV-2 Exposure Experience, the Impact of Event Scale, the Chinese Health Questionnaire, and the Distress Thermometer). The current data were compared to the data collected from hospital workers (n = 1257) at the same medical center during the SARS pandemic in 2003. We found the psychological impact on hospital workers during the SARS-CoV-2 pandemic was significantly lower than that during the previous SARS period. During the SARS-CoV-2 pandemic period, hospital workers with SARS experience were more accepting of the risk, felt a greater responsibility to take care of the SARS-CoV-2 patients, and were more likely to perceive the danger of becoming infected. The associated factors of psychiatric morbidity in hospital workers with SARS experience were being female, the degree of intrusion severity, and severity of psychological distress. Proper management strategies and lessons learned from the SARS experience might have led to low psychiatric morbidity during the SARS-CoV-2 pandemic.

Highlights

  • Viruses have no national boundary and since ancient times, if they have spiraled out of control, they have become epidemic and even pandemic

  • 21.1% of hospital workers in the current study showed psychiatric morbidity during the severe acute respiratory syndrome (SARS)-CoV-2 pandemic, which is much lower than the rate observed in hospital workers during the SARS period (75.3%) at the same hospital using the same instrument of assessment

  • We found that hospital workers who had SARS experience were more accepting of the risk and responsibility of taking care of SARS-CoV-2 patients than those who had no SARS

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Summary

Introduction

Viruses have no national boundary and since ancient times, if they have spiraled out of control, they have become epidemic and even pandemic. Pandemics occur when new diseases, such as the Black Death epidemic of bubonic plague, develop the ability to spread rapidly [1]. Epidemic viral infections, including severe acute respiratory syndrome (SARS) in 2003, influenza caused by the virus subtype H1N1 in. 2009, Middle East Respiratory Syndrome (MERS) in 2012, Ebola virus disease in 2014, and SARS-CoV-2 in 2019, have brought tremendous loss to humans across the world [2,3,4].

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