psychological response of family members of patients hospitalised for influenza ah1n1 in oaxaca, mexico家庭成员的心理反应的病人住院流感ah1n1在瓦哈卡州,墨西哥.pdfVIP

Elizarrarás-Rivas et al. BMC Psychiatry 2010, 10:104 /1471-244X/10/104 RESEARCH ARTICLE Open Access Psychological response of family members of patients hospitalised for influenza A/H1N1 in Oaxaca, Mexico Jesús Elizarrarás-Rivas 1,3, Jaime E Vargas-Mendoza1,2, Maurilio Mayoral-García1,3, Cuauhtémoc Matadamas-Zarate1,3, Anaid Elizarrarás-Cruz1,3, Melanie Taylor4*, Kingsley Agho4 Abstract Background: The A/H1N1 pandemic originated in Mexico in April 2009, amid high uncertainty, social and economic disruption, and media reports of panic. The aim of this research project was to evaluate the psychological response of family primary caregivers of patients hospitalised in the Intensive Care Unit (ICU) with suspected influenza A/H1N1 to establish whether there was empirical evidence of high adverse psychological response, and to identify risk factors for such a response. If such evidence was found, a secondary aim was to develop a specific early intervention of psychological support for these individuals, to reduce distress and possibly lessen the likelihood of post-traumatic stress disorder (PTSD) in the longer term. Methods: Psychological assessment questionnaires were administered to the family primary caregivers of patients hospitalised in the ICU in the General Hospital of Zone 1 of the Mexican Institute for Social Security (IMSS), Oaxaca, Mexico with suspected influenza A/H1N1, during the month of November 2009. The main outcome measures were ratings of reported perceived stress (PSS-10), depression (CES-D), and death anxiety (DAQ). Data were subjected to simple and multiple linear regression analysis to identify risk factors for adverse psychological response. Results: Elevated levels of perceived stress and depression, compared to population normative data, and moderate levels of death anxiety were noted. Levels