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

Source avec lien : Healthcare, 10(3). 10.3390/healthcare10030532

La détresse psychologique signalée parmi les travailleurs de la santé de première ligne est préoccupante. On sait peu de choses sur la santé mentale des travailleurs de la santé psychiatriques qui ne sont pas en première ligne et qui jouent un rôle central dans la gestion de la crise de santé mentale pendant la pandémie de COVID-19. Cette étude visait à examiner la prévalence de l’anxiété et de la dépression chez les travailleurs sociaux psychiatriques et à évaluer son association avec des facteurs sociodémographiques, socio-économiques, liés au travail et des stratégies d’adaptation.

The psychological distress reported among frontline healthcare workers (HCWs) is concerning. Little is known about the mental health of non-frontline, psychiatric HCWs, who play a central role in handling the mental health crisis during the COVID-19 pandemic. This study aimed to examine the prevalence of anxiety and depression among psychiatric HCWs and evaluate its association with socio-demographic, socio-economic, work-related factors and coping strategies. The authors proposed a cross-sectional study design using the Hospital Anxiety and Depressive Scale (HADS) and Brief-COPE scale. This study found that the prevalence of anxiety and depression were 22.0% and 16.8%, respectively. A multivariate analysis revealed that married psychiatric HCWs had a lower level of anxiety with OR = 0.31 (95% CI: 0.11–0.83). Psychiatric HCWs who were experiencing financial hardships, were unvaccinated and those who had a shorter duration of service in the psychiatric department had a higher level of depressive symptoms with OR = 0.31 (CI: 1.19–11.27), 3.21 (CI: 0.97–10.52), and 1.01 (CI: 1.00–1.02), respectively. For every increase of one unit of avoidant coping score among respondents, the odds of having anxiety and depression increased by 1.25 times (CI: 1.15–1.37) and 1.20 times (CI: 1.09–1.32), respectively, whereas for every increase of one unit of religious coping score among respondents, the odds of having anxiety reduced by 1.42 times (CI: 1.10–1.84). The authors highlight that psychosocial measures addressing the relatively high levels of anxiety and depression among psychiatric HCWs should be a key priority to ensure the sustainment of mental health services in the face of this prolonged pandemic.

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