The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study

Introduction: The COVID-19 pandemic has given major impact globally. Healthcare workers (HCW) are forced to work with uncertainties about virus, extended working hours, and increasing numbers of cases. It is known that stress causes immunosuppression and salivary IgA (sIgA) is the immune marker most...

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Main Authors: Alias, Siti Afifah, Zainal Abidin, Muhammad 'Adil, Arzmi, Mohd Hafiz, Abdullah, Nor Zamzila, Md Rosli, Ahmad Nabil
Format: Proceeding Paper
Language:English
English
English
Published: 2023
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Online Access:http://irep.iium.edu.my/108620/7/AHMAD%20NABIL%20BIN%20MD%20ROSLI%20PO.pdf
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spelling my.iium.irep.1086202023-12-08T09:08:18Z http://irep.iium.edu.my/108620/ The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study Alias, Siti Afifah Zainal Abidin, Muhammad 'Adil Arzmi, Mohd Hafiz Abdullah, Nor Zamzila Md Rosli, Ahmad Nabil R Medicine (General) Introduction: The COVID-19 pandemic has given major impact globally. Healthcare workers (HCW) are forced to work with uncertainties about virus, extended working hours, and increasing numbers of cases. It is known that stress causes immunosuppression and salivary IgA (sIgA) is the immune marker most strongly related to work stress. However, the relationship between stress level, COVID-19 fear, and immunosuppression was unknown. Methods: The study aimed to investigate the relationship between COVID-19 related fear and stress to the sIgA level. A cross-sectional study has been conducted among 109 staff nurses in SASMEC, Kuantan, Pahang. Stratified randomized sampling was done for selection of participants. The PSS-10 and FCV -19S-M Questionnaires were administered for objective assessment of stress and fear followed by non-invasive saliva sample collection. Results: Quantitative measurement of IgA level was done using Enzyme-linked Immunosorbent Assay Kit (ELISA) for sIgA. Pearson correlation test and coefficient of determination (R2) were applied. 86% of participants were female, 83% were aged between 26-45 years old, 75% were married, 95% has been working more than 1 year, and 68% were working in high-risk stations. Majority of the participants scored moderate severity in terms of perceived stress (84%) and fear level (61%), and the mean sIgA level was 3.96ng/mL. Further analysis showed no linear correlation between stress and fear with salivary IgA level. Conclusion: HCW are inevitably exposed to high stress, especially during the pandemic, not just work-related stress and COVID exposure, but also other demographic and situational factors. Though the current study revealed moderate stress and fear levels among the staff nurses, and no significant association between salivary IgA and the stress and fear, further study may examine other factors such as coping skills, working environment, and protective factors that may modify perceived stress and subsequently immunological response. 2023-10 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/108620/7/AHMAD%20NABIL%20BIN%20MD%20ROSLI%20PO.pdf application/pdf en http://irep.iium.edu.my/108620/8/letter.jpeg application/pdf en http://irep.iium.edu.my/108620/18/108620_The%20association%20between%20stress%2C%20fear%20of%20COVID-19.pdf Alias, Siti Afifah and Zainal Abidin, Muhammad 'Adil and Arzmi, Mohd Hafiz and Abdullah, Nor Zamzila and Md Rosli, Ahmad Nabil (2023) The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study. In: The 20th International Congress of the Pacific Rim College of Psychiatry (PRCP 2023), 13-15 October 2023, Hilton Kuala Lumpur. (Unpublished) https://prcp2023.com/index.php/poster
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
English
topic R Medicine (General)
spellingShingle R Medicine (General)
Alias, Siti Afifah
Zainal Abidin, Muhammad 'Adil
Arzmi, Mohd Hafiz
Abdullah, Nor Zamzila
Md Rosli, Ahmad Nabil
The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
description Introduction: The COVID-19 pandemic has given major impact globally. Healthcare workers (HCW) are forced to work with uncertainties about virus, extended working hours, and increasing numbers of cases. It is known that stress causes immunosuppression and salivary IgA (sIgA) is the immune marker most strongly related to work stress. However, the relationship between stress level, COVID-19 fear, and immunosuppression was unknown. Methods: The study aimed to investigate the relationship between COVID-19 related fear and stress to the sIgA level. A cross-sectional study has been conducted among 109 staff nurses in SASMEC, Kuantan, Pahang. Stratified randomized sampling was done for selection of participants. The PSS-10 and FCV -19S-M Questionnaires were administered for objective assessment of stress and fear followed by non-invasive saliva sample collection. Results: Quantitative measurement of IgA level was done using Enzyme-linked Immunosorbent Assay Kit (ELISA) for sIgA. Pearson correlation test and coefficient of determination (R2) were applied. 86% of participants were female, 83% were aged between 26-45 years old, 75% were married, 95% has been working more than 1 year, and 68% were working in high-risk stations. Majority of the participants scored moderate severity in terms of perceived stress (84%) and fear level (61%), and the mean sIgA level was 3.96ng/mL. Further analysis showed no linear correlation between stress and fear with salivary IgA level. Conclusion: HCW are inevitably exposed to high stress, especially during the pandemic, not just work-related stress and COVID exposure, but also other demographic and situational factors. Though the current study revealed moderate stress and fear levels among the staff nurses, and no significant association between salivary IgA and the stress and fear, further study may examine other factors such as coping skills, working environment, and protective factors that may modify perceived stress and subsequently immunological response.
format Proceeding Paper
author Alias, Siti Afifah
Zainal Abidin, Muhammad 'Adil
Arzmi, Mohd Hafiz
Abdullah, Nor Zamzila
Md Rosli, Ahmad Nabil
author_facet Alias, Siti Afifah
Zainal Abidin, Muhammad 'Adil
Arzmi, Mohd Hafiz
Abdullah, Nor Zamzila
Md Rosli, Ahmad Nabil
author_sort Alias, Siti Afifah
title The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
title_short The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
title_full The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
title_fullStr The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
title_full_unstemmed The association between stress, fear of COVID-19, and salivary immunoglobulin a level among sStaff nurses at Sultan Ahmad Shah Medical Centre (SASMEC): a cross-sectional study
title_sort association between stress, fear of covid-19, and salivary immunoglobulin a level among sstaff nurses at sultan ahmad shah medical centre (sasmec): a cross-sectional study
publishDate 2023
url http://irep.iium.edu.my/108620/7/AHMAD%20NABIL%20BIN%20MD%20ROSLI%20PO.pdf
http://irep.iium.edu.my/108620/8/letter.jpeg
http://irep.iium.edu.my/108620/18/108620_The%20association%20between%20stress%2C%20fear%20of%20COVID-19.pdf
http://irep.iium.edu.my/108620/
https://prcp2023.com/index.php/poster
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