Lee Dominic T S, Sahota Daljit, Leung Tse N, Yip Alexander S K, Lee Fiona F Y, Chung Tony K H
Department of Psychiatry, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, People's Republic of China.
J Psychosom Res. 2006 Nov;61(5):707-13. doi: 10.1016/j.jpsychores.2006.08.005.
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.
本研究旨在调查2003年香港严重急性呼吸综合征（SARS）疫情期间孕妇的行为和心理反应。
首先进行人种志访谈，以确定对疫情的常见心理和行为反应。随后，对SARS疫情期间连续招募的235名孕妇进行病例对照研究，并对疫情爆发前一年招募的939名孕妇进行历史队列研究。两个队列均完成了关于抑郁、焦虑和社会支持的标准化评定量表。
SARS队列中的女性采取了行为策略来降低感染风险。然而，孕妇往往高估感染SARS的风险，近三分之一的女性居家不出。SARS队列的焦虑水平略高于SARS前对照组。两组队列的抑郁水平未发现统计学差异。
SARS期间孕妇获得的更好的社会支持可能缓冲了与疫情相关的压力。然而，临床医生应监测孕妇对感染风险的高估情况。
