A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean
Introduction: The mental well-being of medical officers during the Covid-19 pandemic is becoming an increasing concern. The on-going pandemic has drastically increased work demands for doctors and this resulted in high levels of stress, depression and burnout among medical officers. Objectiv...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Published: |
2021
|
| Subjects: | |
| Online Access: | http://studentsrepo.um.edu.my/13684/4/rahul.pdf http://studentsrepo.um.edu.my/13684/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| id |
my.um.stud.13684 |
|---|---|
| record_format |
eprints |
| institution |
Universiti Malaya |
| building |
UM Library |
| collection |
Institutional Repository |
| continent |
Asia |
| country |
Malaysia |
| content_provider |
Universiti Malaya |
| content_source |
UM Student Repository |
| url_provider |
http://studentsrepo.um.edu.my/ |
| topic |
R Medicine (General) |
| spellingShingle |
R Medicine (General) Rahul Yong , Wern Kean A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| description |
Introduction: The mental well-being of medical officers during the Covid-19 pandemic is
becoming an increasing concern. The on-going pandemic has drastically increased work
demands for doctors and this resulted in high levels of stress, depression and burnout
among medical officers.
Objectives: This study aims to determine the patterns of resilience and coping strategies of
front-line medical officers during the Covid-19 pandemic, as well as their association with
depression and anxiety.
Study design: This is a single center, cross sectional study on Covid-19 front-line medical
officers posted in medical wards in Hospital Tuanku Ja’afar, Seremban. The instruments
used were a sociodemographic questionnaire, Brief Resilience Scale (BRS), Brief COPE,
Coronavirus Anxiety Scale (CAS), and Hospital Anxiety and Depression Scale (HADS).
Data was collected over a six-month period from February 2021 to July 2021. Statistical
data analysis done using the Statistical Package for the Social Sciences (SPSS) version
28.0. included using a Pearson Chi-square test to investigate the association between
categorical explanatory variables (sociodemographic, medical conditions, and job-related)
with the categorical anxiety and depression symptoms. Continuous variables were tested
with a t-test, or Mann-Whitney against the outcome variables, depending on the normality
of the data. A multiple logistic regression analysis was carried out using “Enter” method to
analyse all factors with a p-value < 0.05 in association with anxiety and depression
symptoms among medical officers.
iv
Results: A total of 140 front line medical officers from Covid-19 wards participated in this
study, with the majority being female (69.3), Malay (60%), single (61%), from medical
department (53.6%) and on average had three months duration of posting in Covid-19
wards. The prevalence of symptoms of anxiety and depression was 45.0% and 24.3%
respectively. The majority of the participants had normal to high resilience (79.3%) with
the average score of resilience being 3.25. Low levels of resilience were significantly
associated with depression (p = 0.018, aOR (95%CI) 0.292 (0.105-0.808). Among problem�based coping strategies, the use of informational support and planning were associated with
anxiety symptoms (p=0.001). Among emotion-focused coping strategies, those that were
associated with anxiety symptoms were emotional support (p=0.002), venting (p<0.001),
humor (p<0.001), acceptance (p=0.014), and self-blame (p<0.001). As for avoidance
coping strategy, three out of four sub-components, notably self-distraction (p<0.001),
denial (p=0.001), and behavioral disengagement (p < 0.001), were correlated with anxiety
symptoms. After multiple logistic regression analysis, only venting (p=0.028, aOR
(95%CI) 1.556 (1.049-2.308)) and behavioral disengagement (p=0.016, aOR (95% CI)
1.607 (1.092-2.365)) were associated with anxiety symptoms. Emotion based coping
strategies venting (p=0.022) and humor (p<0.001), self-blame (p=0.006), and avoidance
coping strategies denial(p<0.001) and behavioral disengagement (0.001) were associated
with depressive symptoms. After multiple logistic regression analysis was done, only lower
resilience (p=0.018, aOR(95% CI) 0.292 (0.105-.808)) and humor (p=0.004, aOR (95%
CI) 1.506 (1.140-1.991)) were associated with depressive symptoms.
v
Multiple logistic regression analysis reported no significant association with
sociodemographic factors such as age, gender, number of children, previous posting with
depression or anxiety among front-line medical officers.
Conclusion: The prevalence of anxiety and depression is high among front-line medical
officers. The overall good levels of resilience among medical officers are protective against
depression. Remedial steps should be taken to preserve psychological well-being among
front-line medical officers.
|
| format |
Thesis |
| author |
Rahul Yong , Wern Kean |
| author_facet |
Rahul Yong , Wern Kean |
| author_sort |
Rahul Yong , Wern Kean |
| title |
A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| title_short |
A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| title_full |
A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| title_fullStr |
A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| title_full_unstemmed |
A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean |
| title_sort |
cross sectional study on resilience and coping strategies among medical officers during the covid-19 pandemic and it's association with depression and anxiety / rahul yong wern kean |
| publishDate |
2021 |
| url |
http://studentsrepo.um.edu.my/13684/4/rahul.pdf http://studentsrepo.um.edu.my/13684/ |
| _version_ |
1814047804958441472 |
| spelling |
my.um.stud.136842024-09-26T05:08:46Z A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean Rahul Yong , Wern Kean R Medicine (General) Introduction: The mental well-being of medical officers during the Covid-19 pandemic is becoming an increasing concern. The on-going pandemic has drastically increased work demands for doctors and this resulted in high levels of stress, depression and burnout among medical officers. Objectives: This study aims to determine the patterns of resilience and coping strategies of front-line medical officers during the Covid-19 pandemic, as well as their association with depression and anxiety. Study design: This is a single center, cross sectional study on Covid-19 front-line medical officers posted in medical wards in Hospital Tuanku Ja’afar, Seremban. The instruments used were a sociodemographic questionnaire, Brief Resilience Scale (BRS), Brief COPE, Coronavirus Anxiety Scale (CAS), and Hospital Anxiety and Depression Scale (HADS). Data was collected over a six-month period from February 2021 to July 2021. Statistical data analysis done using the Statistical Package for the Social Sciences (SPSS) version 28.0. included using a Pearson Chi-square test to investigate the association between categorical explanatory variables (sociodemographic, medical conditions, and job-related) with the categorical anxiety and depression symptoms. Continuous variables were tested with a t-test, or Mann-Whitney against the outcome variables, depending on the normality of the data. A multiple logistic regression analysis was carried out using “Enter” method to analyse all factors with a p-value < 0.05 in association with anxiety and depression symptoms among medical officers. iv Results: A total of 140 front line medical officers from Covid-19 wards participated in this study, with the majority being female (69.3), Malay (60%), single (61%), from medical department (53.6%) and on average had three months duration of posting in Covid-19 wards. The prevalence of symptoms of anxiety and depression was 45.0% and 24.3% respectively. The majority of the participants had normal to high resilience (79.3%) with the average score of resilience being 3.25. Low levels of resilience were significantly associated with depression (p = 0.018, aOR (95%CI) 0.292 (0.105-0.808). Among problem�based coping strategies, the use of informational support and planning were associated with anxiety symptoms (p=0.001). Among emotion-focused coping strategies, those that were associated with anxiety symptoms were emotional support (p=0.002), venting (p<0.001), humor (p<0.001), acceptance (p=0.014), and self-blame (p<0.001). As for avoidance coping strategy, three out of four sub-components, notably self-distraction (p<0.001), denial (p=0.001), and behavioral disengagement (p < 0.001), were correlated with anxiety symptoms. After multiple logistic regression analysis, only venting (p=0.028, aOR (95%CI) 1.556 (1.049-2.308)) and behavioral disengagement (p=0.016, aOR (95% CI) 1.607 (1.092-2.365)) were associated with anxiety symptoms. Emotion based coping strategies venting (p=0.022) and humor (p<0.001), self-blame (p=0.006), and avoidance coping strategies denial(p<0.001) and behavioral disengagement (0.001) were associated with depressive symptoms. After multiple logistic regression analysis was done, only lower resilience (p=0.018, aOR(95% CI) 0.292 (0.105-.808)) and humor (p=0.004, aOR (95% CI) 1.506 (1.140-1.991)) were associated with depressive symptoms. v Multiple logistic regression analysis reported no significant association with sociodemographic factors such as age, gender, number of children, previous posting with depression or anxiety among front-line medical officers. Conclusion: The prevalence of anxiety and depression is high among front-line medical officers. The overall good levels of resilience among medical officers are protective against depression. Remedial steps should be taken to preserve psychological well-being among front-line medical officers. 2021 Thesis NonPeerReviewed application/pdf http://studentsrepo.um.edu.my/13684/4/rahul.pdf Rahul Yong , Wern Kean (2021) A cross sectional study on resilience and coping strategies among medical officers during the Covid-19 pandemic and it's association with depression and anxiety / Rahul Yong Wern Kean. Masters thesis, Universiti Malaya. http://studentsrepo.um.edu.my/13684/ |
| score |
13.211869 |