Infect Chemother.  2023 Sep;55(3):355-367. 10.3947/ic.2022.0161.

How Can We Deal with Psychosocial Issues in an Emerging Infectious Disease Outbreak? Lessons from a Qualitative Study for the MERS Outbreak in Korea

Affiliations
  • 1Department of Psychiatry, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Psychiatry, Seoul Medical Center, Seoul, Korea
  • 3Counseling Psychology, Graduate School of Education, Hankuk University of Foreign Studies, Seoul, Korea
  • 4Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
  • 5Division of Infectious Diseases, Department of Internal Medicine, National Medical Center, Seoul, Korea
  • 6Department of Psychiatry, National Medical Center, Seoul, Korea

Abstract

Background
The 2015 Middle East respiratory syndrome (MERS) coronavirus outbreak in Korea led to profound emotional and social burdens, especially in patients and health care professionals.
Materials and Methods
Focus group interviews were conducted with 2 patients, 1 family member and 6 health care professionals about psychological distress related to MERS in 2017 and analyzed the interview data using the consensual qualitative research method.
Results
Four domains and 17 core ideas were identified within three interview groups, including psychological distress during the outbreak, problems regarding the response to the outbreak, positive experiences, and future directions for enhancing intervention to improve mental health and prevent psychosocial problems during the outbreak. Psychological consequences were affected by the characteristics of the emerging infectious disease and the structure and process of institutional or governmental response to the MERS outbreak. Mental health services and psychosocial support reduced the negative impact on psychological distress.
Conclusion
The MERS outbreak in 2015 gave rise to emotional and social injuries to patients and health care professionals, some of which can be long-lasting constraints in their lives. Preparedness in a society’s response to a pandemic considering mental health in related parties can minimize negative psychological consequences and enhance resilience at the individual and society levels.

Keyword

Emerging Infectious Diseases; Middle East Respiratory Syndrome; Psychosocial problem; Survivors; Healthcare providers
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