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

2021 ◽  
Vol 18 (3) ◽  
pp. 861
Author(s):  
Norhayati Mohd Noor ◽  
Ruhana Che Yusof ◽  
Mohd Azman Yacob
Keyword(s):  
Social Support ◽  
Work Performance ◽  
Descriptive Analysis ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Analysis Of Covariance ◽  
Anxiety And Depression ◽  
Case Report Form ◽  
Cross Sectional ◽  
Cross Sectional Design

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. Descriptive analysis, analysis of variance, and analysis of covariance were conducted using SPSS version 26. The number of participants recruited was 306, including 160 healthcare providers in the frontline group and 146 in the non-frontline group. The non-frontline healthcare providers reported a significantly higher anxiety mean score of 1.7 than the frontline providers after adjusting for gender, duration of employment, and social support. It indicates that non-frontline healthcare providers require psychological support similar to that of frontline healthcare providers during the COVID-19 pandemic.

scholarly journals Depressive symptoms among frontline and non-frontline healthcare providers in response to the COVID-19 pandemic in Kelantan, Malaysia: A cross sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256932
Author(s):  
Mohd Noor Norhayati ◽  
Ruhana Che Yusof ◽  
Mohd Yacob Azman
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Descriptive Analysis ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychiatric Illnesses ◽  
Government Hospitals

Background Healthcare providers are vulnerable in the fight against COVID-19 and may experience significant psychological and mental health consequences. This study aimed to compare the levels of depressive symptoms among frontline and non-frontline healthcare providers in response to the COVID-19 pandemic. Methods A comparative cross-sectional study was conducted in two government hospitals managing COVID-19-related cases in Kelantan, Malaysia from May to July 2020 to identify and compared depressive symptoms levels of frontline and non-frontline healthcare providers. Convenient sampling was applied in the selection of eligible participants and those diagnosed as having any psychiatric illnesses were excluded. The self-administered questionnaires for the Malay versions of the Hospital Anxiety and Depression Scale to measure depressive symptoms score and the Medical Outcome Study Social Support Survey to measure social support score as an important confounder. A descriptive analysis, independent t-test and ANCOVA were performed using SPSS version 26. Results A total of 306 respondents from healthcare providers were recruited which 160 were frontline healthcare providers and 146 were non-frontline healthcare providers. The level of depressive symptoms (HADS score >8) was 27.5% for the frontline healthcare providers and 37.7% for the non-frontline healthcare providers. The mean depressive symptoms score for the non-frontline healthcare providers was 0.75 points higher than that of the frontline healthcare providers after adjusting for gender, duration of employment and social support. Conclusion Non-frontline healthcare providers are also experiencing psychological distress during the COVID-19 pandemic even though they do not have direct contact with COVID-19 patients.

scholarly journals Vicarious traumatization in healthcare providers in response to COVID-19 pandemic in Kelantan, Malaysia

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252603
Author(s):  
Mohd Noor Norhayati ◽  
Ruhana Che Yusof ◽  
Mohd Yacob Azman
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Vicarious Traumatization ◽  
Descriptive Analysis ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Analysis Of Covariance ◽  
Cross Sectional ◽  
The Government ◽  
Self Administered Questionnaire

Background In the fight against the COVID-19 pandemic, frontline healthcare providers who are engaged in the direct diagnosis, treatment, and care of patients face a high risk of infection yet receive inadequate protection from contamination and minimal support to cope with overwork, frustration, and exhaustion. These problems have created significant psychological and mental health concerns for frontline healthcare providers. This study aimed to compare the levels of vicarious traumatization between frontline and non-frontline healthcare providers in response to the COVID-19 pandemic. Methodology All the subjects who met the inclusion criteria were recruited for this comparative cross-sectional study, which was conducted from May to July 2020 in two hospitals in Kelantan, Malaysia. A self-administered questionnaire, namely, the Malay-version Vicarious Traumatization Questionnaire and the Medical Outcome Study Social Support Survey were utilized. A descriptive analysis, independent t-test, and analysis of covariance were performed using SPSS Statistics version 26. Results A total of 160 frontline and 146 non-frontline healthcare providers were recruited. Vicarious traumatization was significantly higher among the non-frontline healthcare providers (estimated marginal mean [95% CI]: 79.7 [75.12, 84.30]) compared to the frontline healthcare providers (estimated marginal mean [95% CI]: 74.3 [68.26, 80.37]) after adjusting for sex, duration of employment, and social support. Conclusion The level of vicarious traumatization was higher among non-frontline compared to frontline healthcare providers. However, the level of severity may differ from person to person, depending on how they handle their physical, psychological, and mental health. Hence, support from various resources, such as colleagues, family, the general public, and the government, may play an essential role in the mental health of healthcare providers.

scholarly journals Prevalence and Influencing Factors of Anxiety and Depression Symptoms Amongst Surgical Nurses During COVID-19 Pandemic: A Large-Scale Cross-Sectional Study

2020 ◽  
Author(s):  
Chun-Xia Ren ◽  
De-Cun Zhou ◽  
Yin-Guang Fan ◽  
Bao-Zhu Li ◽  
Wan-Fei Zhang ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Influencing Factors ◽  
Rating Scale ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Self Rating ◽  
Surgical Nurses

Abstract BackgroundThe outbreak of novel 2019 coronavirus disease (COVID-19) has imposed an enormous physical and psychological pressure on people across the world. This study focused on evaluating the prevalence and influencing factors of anxiety and depression symptoms in surgical nurses during the epidemic in China. MethodA cross-sectional, multicenter quantitative study was conducted in Anhui province (China) from March 3, 2020 to March 19, 2020, with a questionnaire package which consisted of general information questionnaire，Zung's self-rating anxiety scale (SAS), Zung's self-rating Depression Scale (SDS) and social support rating scale (SSRS). A total of 3600 surgical nurses participated in the survey by Wechat and QQ. Data were analysed using multiple linear regression models. ResultsA total of 3492 surgical nurses from 12tertiary hospitals and 12 secondary hospitals in one province of mainland China completed the survey. The prevalence rates of anxiety symptoms and depressive symptoms were 24.83% and 22.39%, respectively. The average level of anxiety and depression of surgical nurses were higher than that of the Chinese norm (P< 0.05).Levels of social support for surgical nurses were significantly negatively associated with the degree of anxiety (r = -0.630, P < 0.001) and depression (r = -0.578, P < 0.001). Fertility status (β = 1.469, P = 0.003), hospital (β = -0.611, P < 0.001), participation in care for COVID-19 patients (β = 2.229, P < 0.001), likelihood of being infected with COVID-19 (β = 1.146, P < 0.001), social support (β = -0.623, P < 0.001) were significantly influencing surgical nurses’ anxiety degree. Similarly, these characteristics were significantly associated with the odds of experiencing depression symptoms in surgical nurses. Divorce and widowed surgical nurses (β = -2.654, P < 0.001) were significantly more likely to experience depressive symptoms than single nurses. ConclusionIn this survey, we found that the surgical nurses had high anxiety and depression symptoms during the COVID-19 outbreak in China. The findings suggest that targeted psychological interventions to promote the mental health of surgical nurses with psychological problems need to be immediately implemented.

scholarly journals The psychological burden in survivors of stroke and caregivers dyads in Kinshasa (Democratic Republic of Congo): a cross-sectional study

2021 ◽  
Author(s):  
Germain Manzekele Bin Kitoko ◽  
Bives Mutume. Vivalya ◽  
Martial Mumbere Vagheni ◽  
Thierry Matonda Ma Nzuzi ◽  
Sam Mampunza Lusambulu ◽  
...  
Keyword(s):  
Democratic Republic Of Congo ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Stroke Survivors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Burden ◽  
Zarit Burden Inventory

Abstract Background: Stroke exposes the patients and the caregivers to the development of burden in terms of health, economic and social costs. Few studies have focused on the relationship between the psychological burden and the level of disability in stroke survivors and caregiver dyads. Methods: This cross-sectional study aimed at determining the psychological burden of stroke in patients and caregivers in Kinshasa. 85 stroke survivors and caregivers dyads were screened using the Hospital Anxiety and Depression Scale, the Zarit Burden Inventory, and the Rankin’s modified Scale to determine respectively the depression, the anxiety in stroke survivors as well as the caregivers’ psychological burden. Results: Up to fifty percent of survivors of stroke had a severe disability, associated with a high risk of the occurrence of the psychological burden. Nearly eighty-five percent of caregivers showed a moderate psychological burden. The stroke survivors developed more depression than anxiety. Caregivers developed more likely anxiety and depression than stroke survivors. Conclusions: There is a positive relationship between the psychological burden in caregivers and the level of disability in stroke survivors far from the acute phase of the stroke. Healthcare providers working with the survivors of stroke should assess for anxiety and depression in caregivers.

scholarly journals Mental health of people with multiple sclerosis during the COVID-19 outbreak: A prospective cohort and cross-sectional case–control study of the UK MS Register

2021 ◽  
pp. 135245852110204
Author(s):  
Afagh Garjani ◽  
Rachael Hunter ◽  
Graham R Law ◽  
Rodden M Middleton ◽  
Katherine A Tuite-Dalton ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
General Population ◽  
Depression Scale ◽  
Case Control ◽  
Anxiety And Depression ◽  
Multidisciplinary Teams ◽  
Cross Sectional ◽  
The Uk ◽  
Prospective Longitudinal

Background: People with MS (pwMS) have had higher rates of anxiety and depression than the general population before the COVID-19 pandemic, placing them at higher risk of experiencing poor psychological wellbeing during the pandemic. Objective: To assess mental health and its social/lifestyle determinants in pwMS during the first wave of the outbreak in the United Kingdom. Methods: This is a community-based, prospective longitudinal cohort and cross-sectional case–control online questionnaire study. It includes 2010 pwMS from the UK MS Register and 380 people without MS. Results: The Hospital Anxiety and Depression Scale scores of pwMS for anxiety and depression during the outbreak did not change from the previous year. PwMS were more likely to have anxiety (using General Anxiety Disorder-7) and/or depression (using Patient Health Questionnaire-9) than controls during the outbreak (OR: 2.14, 95% CI: 1.58–2.91). PwMS felt lonelier (OR: 1.37, 95% CI: 1.04–1.80) reported worse social support (OR: 1.90, 95% CI: 1.18–3.07) and reported worsened exercise habits (OR: 1.65, 95% CI: 1.18–2.32) during the outbreak than controls. Conclusion: Early in the pandemic, pwMS remained at higher risk of experiencing anxiety and depression than the general population. It is important that multidisciplinary teams improve their support for the wellbeing of pwMS, who are vulnerable to the negative effects of the pandemic on their lifestyle and social support.

Psychometric Analysis of the Arabic Translation of the Multidimensional Scale of Perceived Social Support

2021 ◽  
pp. JNM-D-20-00029
Author(s):  
Dalia Khalil ◽  
Thomas Templin ◽  
Carmen Giurgescu ◽  
Dawn P. Misra
Keyword(s):  
Social Support ◽  
Factor Model ◽  
Perceived Social Support ◽  
Depression Scale ◽  
Internal Consistency Reliability ◽  
Arab American ◽  
Postpartum Women ◽  
Cross Sectional ◽  
American Immigrant ◽  
Cross Sectional Design

BackgroundSocial support has been related to postpartum depression (PPD) among immigrant women. The Multidimensional Scale of Perceived Social Support (MSPSS) has been translated to Arabic (MSPSS-AW) but not validated among postpartum women.PurposeTo further replicate and refine the already existing MSPSS-AW to determine: (a) reliability and construct validity of the MSPSS-AW in immigrant Arab American postpartum women, and (b) relationship of dimensions of social support and PPD.MethodsUsing a cross-sectional design, 115 Arab American immigrant postpartum women completed demographic questionnaire, MSPSS-AW, and the Edinburgh Postnatal Depression Scale.ResultsConfirmatory factor analysis replicated three- factor model for social support (Family, Friends, and Husband). Internal consistency reliability coefficients for the three subscales ranged from .65 to .79. The MSPSS-AW subscales were related to PPD symptoms controlling for years of education, anxiety, and depression during pregnancy.ConclusionThe MSPSS-AW is reliable and valid for use with immigrant Arab American postpartum women.

scholarly journals Associations between understanding of current treatment intent, communication with healthcare providers, preferences for invasive life-sustaining interventions and decisional conflict: results from a survey of patients with advanced heart failure in Singapore

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021688 ◽  
Author(s):  
Chetna Malhotra ◽  
David Sim ◽  
Fazlur Jaufeerally ◽  
Eric A Finkelstein
Keyword(s):  
Heart Failure ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Heart Association ◽  
Current Treatment ◽  
Anxiety And Depression ◽  
Class Iii ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Treatment Intent

ObjectivesTo make informed choices about use of future invasive life-sustaining interventions (ILSI), patients with congestive heart failure (CHF) need to correctly understand the intent of their current treatments. However, healthcare providers may be wary of having these discussions due to fear of distressing patients. In this study, we assessed whether patients who understand their treatment intent are less willing to undergo ILSI and are indeed more psychologically distressed.Design, participants and outcomesAs part of a cross-sectional survey conducted prior to randomising patients for a trial, we asked 282 patients with advanced CHF (New York Heart Association Class III and IV) whether they believe their existing treatments would cure their heart condition, their willingness to undergo ILSI and assessed their anxiety and depression using the Hospital Anxiety and Depression Scale.ResultsApproximately half of patients reported a willingness to undergo ILSI if needed. Only 22% knew that their current treatments were not curative. These patients were far less willing to undergo ILSI (OR 0.28, 95% CI 0.15 to 0.56) and were not at a greater risk of having clinically significant anxiety (OR 0.72, 0.34 to 1.54) and depression (OR 0.70, 0.33 to 1.47) compared with those who did not understand their current treatment intent.ConclusionsImproving patients’ understanding of the intent of their current treatments can help patients make informed choices about ILSI.Trial registration numberNCT02299180; Pre-results.

scholarly journals Stigma Beliefs of Asian Americans with Depression in an Internet Sample

2005 ◽  
Vol 50 (8) ◽  
pp. 470-478 ◽  
Author(s):  
Joshua Fogel ◽  
Daniel E Ford
Keyword(s):  
Asian Americans ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Analysis Of Covariance ◽  
Depression Treatment ◽  
Cross Sectional ◽  
Future Directions ◽  
Internet Sample ◽  
Cross Sectional Design ◽  
Age And Sex

Objective: To study the beliefs of Asian Americans with depression about stigma associated with depression treatment among friends, employers, and family. Method: Participants completed the Center for Epidemiologic Studies-Depression Scale (CES-D) anonymously on the Internet. In this cross-sectional design, those who screened positive for depression were asked questions regarding stigma ( n = 68 656). We used analysis of variance (ANOVA) and analysis of covariance (ANCOVA) to compare Asian Americans with whites and also to make comparisons by age and sex. Further, we stratified for Asian Americans and used ANOVA and ANCOVA to compare age and sex. We used linear regression to assess how stigma beliefs were associated with self-reported need for depression treatment. Results: Asian Americans overall had greater stigma beliefs than did whites for all 3 stigma outcomes ( P < 0.001), especially those related to family. Although this same pattern existed for subjects aged between 16 and 29 years and between 30 and 45 years ( P < 0.001), among those aged under 16 years, this existed for family stigma ( P < 0.001) but not for friends or employer stigma. In our stratified analyses among Asian Americans, male participants had greater stigma beliefs than did female participants for friends ( P < 0.001) and employer ( P < 0.05) but not for family. Conclusions: The pattern of Asian Americans having greater stigma levels than whites may be changing among younger Asian Americans because of acculturation. Also, among Asian Americans, unlike previous research showing no sex differences for stigma, we show that male participants had greater stigma levels than did female participants. Future directions should include measuring stigma after culture-specific interventions.

scholarly journals Emotional Burden and Perceived Social Support in Male Partners of Women with Cancer

2020 ◽  
Vol 17 (12) ◽  
pp. 4188
Author(s):  
Marcin J. Jabłoński ◽  
Francisco García-Torres ◽  
Paulina Zielińska ◽  
Alicja Bułat ◽  
Piotr Brandys
Keyword(s):  
Social Support ◽  
Depression Scale ◽  
Health Indicators ◽  
Anxiety And Depression ◽  
Instrumental Support ◽  
Strong Positive Correlation ◽  
Male Partners ◽  
Psychosocial Burden ◽  
Cross Sectional ◽  
Male Caregivers

Background: The aim of this study was to describe the correlations between the psychosocial burden on male caregivers and their perception of social support, as well as distress, anxiety, and depression among their partners in the first six months after a cancer diagnosis. Methods: A cross-sectional, longitudinal and observational study was conducted on a group of 61 couples, with the use of Zarit Burden Interview (ZBI), Caregiver Burden Scale (CBS), Berlín Social Support Scales (BSSS), Hospital Anxiety and Depression Scale (HADS) and Distress Thermometer (DT). Statistical analysis was performed using Statistica v.13. Results: A strong positive correlation between the ZBI and CBS, as well as between support-seeking and the emotional involvement of male partners, was documented. The negative correlation between the lack of instrumental support and a much greater burden on caregivers, in emotional, social, and family life was documented. The level of distress, anxiety, and depression, as well as family problems reported by female patients, were positively correlated with the male caregiver′s burden. A demographic analysis showed significant relationships between the number of offspring and the negative health indicators of patients and their partners. Implications: The obtained results encourage deeper reflection on the need to improve the availability of instrumental support for male caregivers and support for families with an oncological ill parent in caring for minor children, and to maintain the social activity of the caregiver.

A focus on postpartum depression among Jordanian mothers

2021 ◽  
pp. 002076402110001
Author(s):  
Esra’ O Taybeh
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Marital Conflict ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Web Based ◽  
Unplanned Pregnancies

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.

Sign in / Sign up

Export Citation Format

Share Document