title: The mental health of hospital workers dealing with severe acute respiratory syndrome.
abstract: BACKGROUND
  The aim of this study was to explore the impact of the severe acute respiratory syndrome (SARS) on health care workers in Taiwan. The possible predisposing and perpetuating factors in developing mental symptoms were investigated.
  
  
  METHODS
  Participantsconsisted of 135 health care workers who had had contact with or took care of patients who were probable or suspected SARS cases, during the SARS outbreak, at a teaching hospital in southern Taiwan. All participants completed questionnaires, including the Chinese Health Questionnaire, Eysenck Personality Questionnaire and Parental Bonding Instrument.
  
  
  RESULTS
  Twenty-two participants (17.3%) developed significant mental symptoms, and 105 participants (82.7%) showed no obvious symptoms. The structural equation model showed that maternal care (beta = -0.18, p = 0.011) and neuroticism (beta = 0.54, p < 10(-6)) directly influenced the ability of health care workers to deal with the impact of SARS. Maternal overprotection (beta = 0.30, p < 10(-4)) had an indirect influence on the ability to cope with the impact of SARS.
  
  
  CONCLUSIONS
  Both neuroticism and maternal attachment influenced the mental health of health care workers during the SARS epidemic. The results can be a helpful reference for intervention and prevention programs for health care workers facing disasters in the future.
authors.affiliation: Institute of Allied Health Sciences and School of Nursing, National Cheng-Kung University, Tainan, Taiwan.
authors.forename: Yi-Ching
authors.initials: YC
authors.lastname: Lu
authors.forename: Bih-Ching
authors.initials: BC
authors.lastname: Shu
authors.forename: Yong-Yuan
authors.initials: YY
authors.lastname: Chang
authors.forename: For-Wey
authors.initials: FW
authors.lastname: Lung
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D010555:Personality Inventory; D045169:Severe Acute Respiratory Syndrome / Q000628:therapy*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires