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The Severe Acute Respiratory Syndrome (SARS) epidemic of 2003 was highly concentrated in health care settings and resulted in a high number of health care workers (HCWs) contracting the disease The SARS epidemic has improved our understanding of how trauma impacts frontline HCWs who serve as first responders during an infectious disease outbreak However, our insight into the trajectory of frontline HCWs' morbidity posttrauma continues to be limited, as the majority of the previous work has focused on the short-term or immediate impact of SARS on HCWs, with only a few studies dedicated to the evaluation of its long-term or sustained impact Previous research into the long-term impact of SARS on HCWs spans 1-3 years postoutbreak The present study extends previous research by examining HCWs up to 7 years postoutbreak More specifically, frontline HCWs who contracted and survived SARS were evaluated at 1 year (2004), 4 years (2007), and 7 years (2010) postoutbreak by using a within-participants design Across all three time points, frontline HCWs showed a lack of abatement in clinically significant levels of depression, anxiety, and posttraumatic stress disorder (PTSD) symptomatology In addition, HCWs reported below average and persistent functional outcomes, such as problems with pain, reduced vitality, and reductions in physical, mental, and social functioning Finally, we report on the particular psychiatric variables from 1 year postoutbreak that are significantly associated with functional debility at 4 and 7 years postoutbreak Findings of this study underscore the importance of understanding the long-term sequelae of infectious disease outbreaks on frontline HCWs, in order to decrease the likelihood of chronic adverse outcomes in this population This information is especially relevant now, given the current global outbreak of Coronavirus disease 2019 (COVID-19) (PsycInfo Database Record (c) 2021 APA, all rights reserved) Abstract (French) L'epidemie de syndrome respiratoire aigu severe (SRAS) de 2003 s'est grandement manifestee dans les milieux de soins de sante, et un grand nombre de travailleurs de la sante (TS) ont contracte la maladie L'epidemie de SRAS a grandement ameliore notre comprehension de l'incidence d'un traumatisme parmi les TS de premiere ligne qui constituent les premiers intervenants durant les eclosions d'une maladie infectieuse Toutefois, nos connaissances sur la trajectoire de la morbidite post-traumatique parmi les TS de premiere ligne restent limitees, car la majorite des recherches anterieures ont porte sur les effets immediats ou a court terme du SRAS sur les TS;quelques etudes seulement etaient destinees a evaluer son incidence soutenue ou a long terme Les recherches anterieures sur les effets a long terme du SRAS sur les TS s'etendaient sur 1 a 3 ans post-epidemie La presente etude pousse plus loin les recherches precedentes en examinant les TS jusqu'a 7 ans apres l'epidemie Plus precisement, les TS de premiere ligne qui ont survecu a une infection au SRAS ont ete evalues a 1 an (2004), a 4 ans (2007) et a 7 ans (2010) apres l'epidemie dans le cadre d'une etude de conception intrasujet Aux trois points, on a constate chez les TS de premiere ligne un manque de reduction des symptomes de depression, d'anxiete et du trouble de stress post-traumatique (TSPT) de niveaux cliniquement significatifs De plus, les TS ont rapporte des resultats fonctionnels inferieurs a la moyenne et persistants, tels que de la douleur, une vitalite diminuee et une diminution du fonctionnement physique, mental et social Finalement, nous rapportons des variables psychiatriques particulieres depuis l'annee 1 post-epidemie, qui sont significativement associees a une souffrance fonctionnelle aux annees 4 et 7 post-epidemie Les resultats de cette etude soulignent l'importance de comprendre les sequelles a long terme des eclosions de maladies infectieuses parmi les TS, afin de reduire les probabilites de problemes chroniques parmi cette population Cette information est particulierement pertinente aujourd'hui etant donne la pandemie de coronavirus 2019 (COVID-19) (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement Public Significance Statement-The present study is one of a few studies that has thus far examined the long-term impact of an infectious disease outbreak on frontline healthcare workers A group of Canadian frontline healthcare workers who contracted and survived SARS were evaluated at 1 year (2004), 4 years (2007), and 7 years (2010) postoutbreak Across all three time points, frontline healthcare workers reported clinically significant levels of anxiety, depression, and PTSD symptomatology, in addition to adverse functional outcomes (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Severe acute respiratory syndrome (SARS) has been labelled a mental health catastrophe, an infectious atypical pneumonia condition that spread to 29 countries in 2002/2003, infecting over 8,000 people, 774 of whom died. A literature search on electronic databases, including MEDLINE, PsycINFO, CINAHL, and Cochrane Library was used to conduct a critical review of the English language literature on the psychological impact of SARS for survivors. Twenty original studies pertaining to the psychological experience of patients revealed prominent symptoms: in the acute and early recovery stages, psychotic symptomatology, fear for survival, and fear of infecting others; across all timeframes, stigmatization, reduced quality of life, and psychological distress; posttraumatic stress symptoms were prevalent across all stages post-SARS. Health care workers with SARS were found to be at increased risk. Limitations within many studies restrict the optimal usefulness of the findings. Studies included in our review consistently reported high rates of emotional distress among survivors, persisting for years postinfection. Recommendations to enhance comparability across studies for future outbreaks were proposed.Keywords: SARS, psychological, posttraumatic stress disorder, health care workers, infectious diseasesResumeLe syndrome respiratoire aigu severe (SRAS) a ete qualifie de catastrophe de sante mentale. Cette pneumonie atypique infectieuse s'est repandue dans 29 pays en 2002-2003, infectant plus de 8000 personnes, parmi lesquelles 774 en sont mortes. Une recherche a ete effectuee au moyen des bases de donnees electroniques MEDLINE, PsycINFO, CINAHL et la Cochrane Library, en vue d'un resume critique des articles en anglais sur les repercussions psychologiques du SRAS sur les survivants. Vingt etudes originales sur l'experience psychologique de patients ont revele les symptomes dominants suivants : dans les stades aigus et au debut du retablissement, on note des symptomes psychotiques, la peur pour la survie, la peur d'infecter autrui; a tous les stades, on note la stigmatisation, une qualite de vie amoindrie, la detresse psychologue; a tous les stades apres le retablissement, on note des symptomes de stress post-traumatique. Les travailleurs de la sante ayant eu le SRAS presentaient des risques plus eleves. Les limites de nombre des etudes restreignent l'utilite optimale des resultats. Les etudes utilisees dans notre revue de litterature rapportaient systematiquement de hauts taux de troubles emotifs parmi les survivants, lesquels persistaient des annees apres l'infection. Des recommandations sont formulees en vue d'ameliorer la comparabilite des etudes advenant de nouvelles poussees.Mots-cles : SRAS, psychologie, syndrome de stress posttraumatique, travailleurs de la sante, maladies infectieuses.After its first emergence in Asia in November 2002, severe acute respiratory syndrome (SARS) spread throughout several parts of the world and was finally contained by July 2003. This epidemic, with its rapid spread and high mortality rate, generated considerable panic and anxiety around the globe (Campbell, 2006). The origin of SARS was traced to a novel strain of the corona-virus that causes flu-like symptoms, which for many sufferers escalated into clinical pneumonia. In 29 countries, 8,096 individuals were infected, and a wide range of severity was reported, from asymptomatic infection to severe illness and death. Between 20% and 25% of SARS patients became critically ill, requiring intensive care, and ^10%, or 774 individuals, died worldwide (World Health Organization, 2004). In the few studies reviewed to date that pertain to the psychological impact on SARS survivors, high rates of emotional distress were reported, including anxiety, depression, fearfulness, and stigmatization (Chan et al., 2003; Cheng & Wong, 2005; Tsang, Scudds, & Chan, 2004; Zhang, Liu, & He, 2004). However, because most of these studies looked at the period covering the acute phase of the illness and up to 6 months postinfection, we know very little about the longer-term psychological effects of SARS, and we know even less about how the psychological effects of SARS changed over time. …