Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

Chew, Nicholas W. S. and Ngiam, Jinghao Nicholas and Tan, Benjamin Yong-Qiang and Tham, Sai-Meng and Tan, Celine Yan-Shan and Jing, Mingxue and Sagayanathan, Renarebecca and Chen, Jin Tao and Wong, Lily Y. H. and Ahmad, Aftab and Khan, Faheem Ahmed and Marmin, Maznah and Hassan, Fadhlina Binte and Tai, Sharon Mei-Ling and Lim, Chin Han and Bin Mohaini, Mohamad Iqbal and Danuaji, Rivan and Nguyen, Thang H. and Tsivgoulis, Georgios and Tsiodras, Sotirios and Fragkou, Paraskevi C. and Dimopoulou, Dimitra and Sharma, Arvind K. and Shah, Kenam and Patel, Bhargesh and Sharma, Suktara and Komalkumar, R. N. and Meenakshi, R. and Talati, Shikha and Teoh, Hock Luen and Ho, Cyrus S. and Ho, Roger C. and Sharma, Vijay K. (2020) Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic. BJPSYCH OPEN, 6 (6). ISSN 20564724, DOI

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Background The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. Aims In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. Method From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. Results A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. Conclusions This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.

Item Type: Article
Funders: Ministry of Health, Singapore, National Medical Research Council
Uncontrolled Keywords: COVID-19; healthcare workers; psychological impact; pandemic; Asia-Pacific
Subjects: R Medicine
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 28 Dec 2023 08:12
Last Modified: 28 Dec 2023 08:12

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