Long-term Psychological and Occupational Effects of Providing Hospital Healthcare during SARS Outbreak
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¶¶, and Donald A. Wasylenki†‡
Author affiliations: *Mount Sinai Hospital, Toronto, Ontario, Canada; †University of Toronto, Toronto, Ontario, Canada; ‡Saint Michael's Hospital, Toronto, Ontario, Canada; §The Scarborough Hospital, Toronto, Ontario, Canada; ¶Hamilton Health Sciences Centre, Hamilton, Ontario, Canada; #McMaster University, Hamilton, Ontario, Canada; **Centre for Addiction and Mental Health, Toronto, Ontario, Canada; ††Sunnybrook and Women's Health Sciences Centre, Toronto, Ontario, Canada; ‡‡Rouge Valley Health System, Toronto, Ontario, Canada; §§Whitby Mental Health Centre, Whitby, Canada; ¶¶North York General Hospital, Toronto, Ontario, Canada
Figure. Relationship between prolonged perception of personal risk and reporting multiple adverse consequences of severe acute respiratory syndrome (SARS) in Toronto healthcare workers. Adverse outcomes are burnout; psychological distress; posttraumatic stress; decrease in face-to-face patient time since SARS; decrease in work hours since SARS; increase in smoking, drinking alcohol or other behavior that might interfere with work or relationships since SARS; and >4 work shifts missed because of stress or illness in the past 4 months.
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