Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic
Open accessAbstract
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.
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Healthcare workers uniformly suffer elevated emotional distress during COVID-19.
“healthcare workers, who uniformly suffer elevated emotional distress during COVID-19”
From Fear of COVID‐19 and COVID‐19 stress and association with sociodemographic and psychological process factors in cases under surveillance in a frontline worker population in borneo (2021) · cites this paper as [17]
The Discussion (Main findings; page not provided) says healthcare workers across the participating countries were vulnerable to psychological adversity, but vulnerability does not mean they uniformly experienced distress. The Results (Comparison of adverse psychological outcomes between countries; page not provided) report substantially different prevalence rates, with only a minority of participants screening positive for each measured outcome. (LLM, conf=0.90)
Experimental — accuracy not yet measuredPassive training through educational pamphlets, emails, or websites was effective in minimizing PTSS in healthcare workers experiencing psychological distress.
“Interestingly, Chew et al. [16] observed that passive training through educational pamphlets, emails, or websites was effective in minimizing PTSS in HCWs experiencing psychological distress.”
From Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review (2021) · cites this paper as [16]
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- Authors
- Chew, N. W. S., Ngiam, J. N., Tan, B. Y.-Q., Tham, S.-M., Tan, C. Y.-S., Jing, M., Sagayanathan, R., Chen, J. T., Wong, L. Y. H., Ahmad, A., Khan, F. A., Marmin, M., Hassan, F. B., Sharon, T. M.-L., Lim, C. H., Mohaini, M. I. B., Danuaji, R., Nguyen, T. H., Tsivgoulis, G., Tsiodras, S., Fragkou, P. C., Dimopoulou, D., Sharma, A. K., Shah, K., Patel, B., Sharma, S., Komalkumar, R. N., Meenakshi, R. V., Talati, S., Teoh, H. L., Ho, C. S., Ho, R. C., & Sharma, V. K.
- Affiliations
- National University Health System (SG)
- National University of Singapore (SG)
- Ng Teng Fong General Hospital (SG)
- National and Kapodistrian University of Athens (GR)
- Zydus Lifesciences Limited (India) (IN)
- GCS Medical College (IN)
- Corresponding author
- Tan, Benjamin Yong-Qiang
- ORCID
- Chew, Nicholas W. S.
- Ngiam, Jinghao Nicholas
- Tan, Benjamin Yong-Qiang
- Tan, Celine Yan-Shan
- Jing, Mingxue
- Sagayanathan, Renarebecca
- Wong, Lily Y. H.
- Ahmad, Aftab
- Danuaji, Rivan
- Nguyen, Thang H.
- Tsivgoulis, Georgios
- Tsiodras, Sotirios
- Fragkou, Paraskevi C.
- Dimopoulou, Dimitra
- Sharma, Arvind K.
- Sharma, Suktara
- Teoh, Hock Luen
- Ho, Cyrus S.
- Ho, Roger C.
- Sharma, Vijay K.
- Venue
- BJPsych Open
- Publisher
- Royal College of Psychiatrists
- Published
- 2020-10-08
- Volume
- 6
- Issue
- 6
- Pages
- e116-e116
- ISSN
- 2056-4724 (ISSN-L)
- PMC
- PMC7542327
- OpenAlex
- W3092549829
- Cited by
- 159
- References
- 27
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 15 · 2023: 27 · 2022: 47 · 2021: 62 · 2020: 2
- FWCI
- 13.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BJPsych Open (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- National University of Singapore (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National University of Singapore
- Universiti Malaya
- National and Kapodistrian University of Athens
- National University Health System
- Institute for Health Innovation and Technology, National University of Singapore
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- COVID-19 pandemic, healthcare workers, psychological well-being, depression, anxiety, stress, post-traumatic stress disorder, cross-national comparison, Asia-Pacific region, somatic symptoms, psychological intervention
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