Citation: Narendra Kumar, M.K.;
Francis, B.; Hashim, A.H.;
Zainal, N.Z.; Abdul Rashid, R.;
Ng, C.G.; Danaee, M.; Hussain, N.;
Sulaiman, A.H. Prevalence of Anxiety
and Depression among Psychiatric
Healthcare Workers during the
COVID-19 Pandemic: A Malaysian
Perspective. Healthcare 2022, 10, 532.
https://doi.org/10.3390/
healthcare10030532
Academic Editor: Axel Steiger
Received: 3 February 2022
Accepted: 11 March 2022
Published: 14 March 2022
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healthcare
Article
Prevalence of Anxiety and Depression among Psychiatric
Healthcare Workers during the COVID-19 Pandemic: A
Malaysian Perspective
Mehul Kumar Narendra Kumar
1,2
, Benedict Francis
1,2
, Aili Hanim Hashim
1,2
, Nor Zuraida Zainal
1,2
,
Rusdi Abdul Rashid
1,2
, Chong Guan Ng
1,2
, Mahmoud Danaee
3
, Nurulwafa Hussain
4
and Ahmad Hatim Sulaiman
1,2,
*
1
Department of Psychological Medicine, University Malaya Medical Centre, Kuala Lumpur 59100, Malaysia;
mehulkumar32@siswa.um.edu.my (M.K.N.K.); benfrancis@um.edu.my (B.F.); ailihas@um.edu.my (A.H.H.);
norzuraida@um.edu.my (N.Z.Z.); rusdi@um.edu.my (R.A.R.); chong_guan@um.edu.my (C.G.N.)
2
Faculty of Medicine, University Malaya, Kuala Lumpur 50603, Malaysia
3
Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya,
Kuala Lumpur 50603, Malaysia; mdanaee@um.edu.my
4
Department of Psychiatry and Mental Health, Hospital Melaka, Jalan Mufti Haji Khalil,
Melaka 75400, Malaysia; nurulwafahussain@gmail.com
* Correspondence: hatim@um.edu.my
Abstract: The psychological distress reported among frontline healthcare workers (HCWs) is con-
cerning. 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 experienc-
ing 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.
Keywords: COVID-19; anxiety; depression; coping; mental health; psychiatry; non-frontline; healthcare
workers; Malaysia
1. Introduction
It has been almost two years since coronavirus disease 2019 (COVID-19) emerged
in Wuhan City, Hubei Province, China on 12 December 2019. Malaysia saw its first
COVID-19 case on 25 January 2020. The World Health Organization (WHO) officially
declared COVID-19 a global pandemic on 11 March 2020 [1]. Despite almost two years
since the emergence of COVID-19, the number of new global cases is still at concerning lev-
els. As of 1 October 2021, COVID-19 has caused more than 234 million cases and 4.7 million
deaths globally, with more than 2.2 million cases and 26 thousand deaths attributed to
COVID-19 within Malaysia alone [2,3].
Healthcare 2022, 10, 532. https://doi.org/10.3390/healthcare10030532 https://www.mdpi.com/journal/healthcare