title: Social support and psychological adjustment to SARS: the mediating role of self-care self-efficacy.
abstract: The study tested the model of perceived support from medical staff and family/friends on severe acute respiratory syndrome (SARS) survivors' mental health as mediated by self-care self-efficacy. One hundred and forty-three SARS survivors recruited from the Hong Kong Hospital Authority following 18 months recovery were surveyed by trained interviewers using structured questionnaires. Based on structural equation modeling, findings showed that self-care self-efficacy completely mediated the effects of perceived medical staff support and perceived family/friends support on mental health status. The model achieved a satisfactory fit, CFI = 0.98, NNFI = 0.98, RMSEA = 0.06, and explained 75.2% of the variance in mental health status. The study is the first attempt in understanding long-term psychological adjustment of SARS survivors. Findings may be applicable to other infectious disease outbreaks in informing psychosocial factors that are important to long-term recovery.
authors.affiliation: Department of Psychology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong. wwsmak@psy.cuhk.edu.hk
authors.forename: Winnie W S
authors.initials: WW
authors.lastname: Mak
authors.forename: Rita W
authors.initials: RW
authors.lastname: Law
authors.forename: Jean
authors.initials: J
authors.lastname: Woo
authors.forename: Fanny M
authors.initials: FM
authors.lastname: Cheung
authors.forename: Dominic
authors.initials: D
authors.lastname: Lee
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care; D020377:Self Efficacy; D045169:Severe Acute Respiratory Syndrome / Q000523:psychology*; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors