Prevalence of Anxiety and Depression among Psychiatric Healthcare Workers during the COVID-19 Pandemic: A Malaysian Perspective (original) (raw)

The Mental Health of Malaysia’s Northwest Healthcare Workers during the Relaxation of COVID-19 Restrictions and Its Associated Factors

International Journal of Environmental Research and Public Health

The COVID-19 pandemic has affected people in many ways, including mental health status. Depression, anxiety, and stress (DAS) are terms often used to describe mental health status worldwide. The present study describes the prevalence of DAS and its associated factors among healthcare workers (HCWs) in the northwest region of Malaysia, during the early phase of recovery of movement control order (RMCO), where some restrictions were lifted, and cases are reducing in number. This cross-sectional study used HCW’s mental health surveillance data using the DASS-21 questionnaire. A total of 981 data collected between 1 July and 31 August 2020 were randomly sampled. Socio-demographic factors, occupational characteristics, and health backgrounds were extracted and analyzed using multiple logistic regression. The prevalences of DAS are 8.4% (6.7, 10.3), 17.1% (14.8, 19.6), and 6.4% (5.0, 8.1), respectively. Age is significantly associated with depression (Adjusted Odd Ratio (Adj.OR) 0.96 (0.9...

Prevalence and Predictors of Stress, Anxiety, Symptoms of Depression in Health Workers During the COVID-19 Pandemic

2022

The spread of the Coronavirus rapid 2019 and many deaths caused disruption Psychological health for health workers who work on the front lines who are in direct contact with COVID-patients19 during the pandemic. To know the relationship of demographic factors with the level of stress, anxiety, and symptoms of depression in health workers. This research is a quantitative research type with aapproach cross sectional. The population in this study were all 82 health workers at Bandar Negara Husada Hospital. Sampling with total sampling technique. Test analysis using statistical test chi square and binary logistic regression. From a total sample of 86, as many as 82 samples were willing to become respondents, with the result that the level of anxiety was 40.2% with the criteria of mild 3.7%, moderate 28% and severe 11%. Stress is 25.6% with moderate criteria 3.7% and 22% mild. Meanwhile, mild depression is 14.6%. Smoking history was a predictor of anxiety, while employment status was a predictor of depression in health workers. The prevalence of anxiety, stress, and depressive symptoms in health workers at Bandar Negara Husada Hospital, Lampung Province during the pandemic was lower than studies in other countries.

Mental Health Burden from COVID-19: Findings from a Single Hybrid Hospital in Northwest Malaysia

3RD WCII

Introduction: Mental and emotional exhaustion is highly common during pandemics, therefore routine monitoring would allow for prompt intervention to prevent institutional collapse. Our study aimed to explore the prevalence of mental and emotional burnout among healthcare workers in Hospital Tuanku Fauziah, Perlis during the early COVID-19 pandemic in Malaysia. Method: Universal sampling was performed on healthcare workers from Hospital Tuanku Fauziah, Perlis, Malaysia. Screening was done for depression, anxiety and stress level using the Depression, Anxiety and Stress Scale-21 (DASS-21) questionnaire in both Malay and English versions, from 1 March 2020 until 31 December 2020. The project was part of the state’s initiative to screen for mental and emotional burnout among healthcare workers during the early pandemic times. Results: There were 1,161 returned questionnaires. Majority were between the age of 30 to 39 years old (n=529, 45.6%), female (n=834, 71.8%) and were from clinical...

Anxiety in Frontline and Non-Frontline Healthcare Providers in Kelantan, Malaysia

International Journal of Environmental Research and Public Health, 2021

In response to the coronavirus disease 2019 (COVID-19) pandemic, healthcare providers are exposed to psychological and mental health implications, including vicarious traumatization, anxiety, and depression. Gradual increases in the number of COVID-19 cases meant they were inadequately protected from contamination due to a shortage of protective equipment, excessive workloads, emotional exhaustion and frustration. These circumstances affect their work performance in delivering health services. This study aims to compare the levels of anxiety in frontline and non-frontline healthcare providers during the COVID-19 pandemic. This study applied a comparative cross-sectional design between May and July 2020 at the Hospital Raja Perempuan Zainab II. Convenient sampling was applied in the selection of eligible participants. The case report form contained two self-administered questionnaires, namely, The Hospital Anxiety and Depression Scale and Medical Outcome Study Social Support Survey. ...

Levels of anxiety and depression amongst the frontline healthcare workers

Purpose of the study: Outbreaks of infectious diseases are known to have significant psychological effects not only on the general population but on health care workers as well. The COVID-19 pandemic also has been a challenge for Healthcare workers across the globe when it comes to their mental health. Study design: This is an observational cross-sectional study, carried out amongst the frontline doctors of COVID- 19 units, by a well-structured questionnaire using Google Forms. The two scales used measure anxiety and depression among the healthcare workers were the Hamilton anxiety scale (HAM-A), and the hospital anxiety and depression scale (HADS). Results: The mean age of all the participants in the study was 25.40 ± 1.61, including 57% house officers/interns and 43% medical residents/postgraduate trainees. Both the anxiety and depression scales were significantly higher in house officers as compared to their senior doctors (residents/postgraduate trainees). According to HAM-A, 62% of respondents were in the mild category, 20% mild to moderate, 5% moderate to severe, while 14 respondents (13%) were in severe anxiety category. The HAM-A (P=0.078) and HADS for anxiety was significantly higher in females (P=0.001), while HADS for depression was statistically indifferent among the gender. The means of all scales got improved after the postings in Corona wards. The duration of practice also had an inverse correlation observed with all the studied scales. Conclusion: Depression and anxiety were seen quite higher in our population of health care workers with significant improvements that were observed after completing the rotations of corona units.

The Cross-Sectional Relations of COVID-19 Fear and Stress to Psychological Distress among Frontline Healthcare Workers in Selangor, Malaysia

International Journal of Environmental Research and Public Health

Previous pandemics have demonstrated short and long-term impacts on healthcare workers’ mental health, causing knock-on effects on patient care and professional functioning. Indeed, the present COVID-19 pandemic has created unprecedented disruption in social interactions and working conditions. Malaysia has been under the Recovery Movement Control Order since June 2020; however, with the upsurge of cases, healthcare workers face pressure not only from working in resource-deprived settings but also from the increasing patient load. The primary objective of the present study was to examine the cross-sectional relationship of COVID-19 fear and stress to psychological distress (operationalized as anxiety and depression) in healthcare workers. The present sample included 286 frontline healthcare workers from three hospitals in Selangor, Malaysia. Self-administered questionnaires containing sociodemographic and occupational items, the Malay versions of the Coronavirus Stress Measure scale...

Mental Health Status of Stable Hospitalized COVID-19 Patients in the Main COVID-19 Hospitals in Malaysia

2020

BackgroundThe COVID-19 pandemic is catastrophic and caused negative psychological effects among patients, healthcare workers and their surroundings. This study aims to determine the prevalence of depression and general anxiety disorders (GAD) among stable hospitalized COVID-19 patients.MethodsA cross-sectional study via web-based online survey involving 401 patients in the main COVID-19 hospitals in Malaysia who were selected via quota sampling. The questionnaire consists of socio-demographic profile, Patient Health Questionnaire 9 items (PHQ-9), General Anxiety Disorders 7 items (GAD-7) and Brief COPE (Coping Orientation to Problems Experienced). The identified probable cases of depression, anxiety and suicidal ideation were subsequently referred to psychiatrists.ResultThe prevalence of depression and anxiety were 7.5% and 7.0%, respectively. Besides that, 4.0% of respondents were suspected as having suicidal ideation. The prediction model revealed that females [aOR=5.29 (95% CI: 1...

Anxiety and depression disorders on health workers in COVID and non-COVID wards of Sanglah Hospital

International journal of health sciences, 2022

This study aims to determine anxiety and depression among health workers during the COVID-19 pandemic at Sanglah Hospital. Health workers in the front line on the COVID-19 pandemic are at high risk of being infected and at high risk of psychological impact. A descriptive study with a cross-sectional design and an online survey was conducted using the Beck Depression Inventory (BDI) instrument, and Beck Anxiety Depression (BAI). A total of 188 health workers were included. In this study, 3.7% of the participants had mild mood disorders, 1.1% had clinical depression and 0.5% had severe depression. Health workers who do not deal directly with COVID patients have a greater percentage of depression (2.04%) compared to those who have direct contact (1.4%). Statistically, occupation was significantly associated with the incidence of depression (p= 0.044). It was found that 18.1% has anxiety and the highest level of anxiety was found in nurses (20.8%) and also in participants who worked in ...

Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore

Annals of Internal Medicine, 2020

Background: In response to the coronavirus 2019 (COVID-19) pandemic, Singapore raised its Disease Outbreak Response System Condition alert to "orange," the second highest level. Between 19 February and 13 March 2020, confirmed cases rose from 84 to 200 (34.2 per 1 000 000 population), with an increase in patients in critical condition from 4 to 11 (5.5%) and no reported deaths in Singapore (1). Understanding the psychological impact of the COVID-19 outbreak among health care workers is crucial in guiding policies and interventions to maintain their psychological well-being. Objective: We examined the psychological distress, depression, anxiety, and stress experienced by health care workers in Singapore in the midst of the outbreak, and compared these between medically and non-medically trained hospital personnel. Methods and Findings: From 19 February to 13 March 2020, health care workers from 2 major tertiary institutions in Singapore who were caring for patients with COVID-19 were invited to participate with a self-administered questionnaire. In addition to information on demographic characteristics and medical history (Table 1), the questionnaire included the validated Depression, Anxiety, and Stress Scales (DASS-21) and the Impact of Events Scale-Revised (IES-R) instrument (2, 3). Health care workers included "medical" (physicians, nurses) and "nonmedical" personnel (allied health professionals, pharmacists, technicians, administrators, clerical staff, and maintenance workers). The primary outcome was the prevalence of depression, stress, anxiety, and posttraumatic stress disorder (PTSD) among all health care workers (Table 2). Secondary outcomes were comparison of the prevalence of depression, anxiety, stress, and PTSD, and mean DASS-21 and IES-R scores between medical and nonmedical health care workers. The Pearson 2 test and Student t test were used to compare categorical and continuous outcomes, respectively, between the 2 groups. Multivariable regression was used to adjust for the a priori defined confounders of age, sex, ethnicity, marital status, presence of comorbid conditions, and survey completion date.

Comparison of Depression, Anxiety and Stress Score Among Clinical and Non-Clinical Healthcare Workers During the COVID-19 Pandemic

PAFMJ, 2021

Objective: To assess the psychological impact of COVID-19 pandemic on healthcare workers. Study Design: Cross sectional study. Place and duration of Study: Armed Forces Institute of Cardiology/National Institute of Health Diseases in June 2020. Methodology: A total of 317 healthcare professionals, of different designations, affiliated with different public and private sector hospitals in Pakistan participated in this project. They were asked to complete Depression, anxiety and stress scales-42 (DASS-42). Results: Out of 317 healthcare workers, 107 (33.75%), 111 (35.02%), 103(32.49%) were depressed, anxious and stressed respectively. Female gender was associated with a higher prevalence of depression, anxiety and stress. Conclusion: More than one third of healthcare workers were depressed, anxious or stressed during the COVID-19 pandemic. Two out of five female healthcare workers were suffering from depression, anxiety or stress.Keywords:, , .