Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan

This study aims to determine the prevalence of psychological distress and its associated factors among medical relief workers who provided service in Hospital Kuala Krai, Kelantan during the 2014 major flood disaster. It is a cross sectional observational study conducted among 160 medical relief...

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Main Author: Kumar, Punita A/P Udaya
Format: Thesis
Language:English
Published: 2017
Subjects:
Online Access:http://eprints.usm.my/44561/1/Dr.%20Punita-24%20pages.pdf
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author Kumar, Punita A/P Udaya
author_facet Kumar, Punita A/P Udaya
author_sort Kumar, Punita A/P Udaya
collection USM
description This study aims to determine the prevalence of psychological distress and its associated factors among medical relief workers who provided service in Hospital Kuala Krai, Kelantan during the 2014 major flood disaster. It is a cross sectional observational study conducted among 160 medical relief workers 8 months after the disaster occurred. Socio-demographic data was collected using a Proforma, while PTSD, Depression, Anxiety and Stress were assessed using the Impact Event Scale- Revised and DASS-21 respectively. Coping methods were assessed using the Brief COPE questionnaire. All the scales used were in Malay version and self-reported. The prevalence of PTSD was 12.5%, Depression 18.1%, Anxiety 38.8% and 18.1%. Using multiple logistic regression analysis, education (ORadj 0.04, 95% CI 0.00- 0.50, p = 0.013) and experience of traumatic event (3.86, 95% CI 1.11-13.41, p=0.034) were found to be significantly associated with PTSD. For depression, total household income per month (ORadj 0.99, 95% CI 0.998-0.99, p=0.002), number of hours per day of relief work (ORadj 0.90, 95% CI 0.81-0.99, p=0.032), and use of Emotional Support (ORadj 2.58, 95% CI 1.13-5.88, p=0.024) were found to be significant. Previous flood experience (ORadj 0.20, 95% CI 0.06-0.65, p=0.08), number of hours per day of relief work (ORadj 0.92, 95% CI 0.86-0.98, p=0.011) and use of Emotional support (ORadj 2.14, 95% CI 1.30-3.52, p=0.003) were found to be significant for Anxiety. Finally, occupation (ORadj 0.25 95% CI 0.09-1.69, p=0.007) use of Behavioral Disengagement (ORadj 1.61, 95% CI 1.06-2.45, p=0.025) and Self-blame (ORadj 2.31, 95% CI 1.48-3.88,p=0.002) were found to be significantly associated with Stress. In conclusion, medical relief workers were vulnerable topsychological distress and had increased prevalence of PTSD, Depression, Anxiety and Stress.
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spelling usm.eprints-445612020-10-22T03:03:14Z http://eprints.usm.my/44561/ Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan Kumar, Punita A/P Udaya RC31-1245 Internal medicine This study aims to determine the prevalence of psychological distress and its associated factors among medical relief workers who provided service in Hospital Kuala Krai, Kelantan during the 2014 major flood disaster. It is a cross sectional observational study conducted among 160 medical relief workers 8 months after the disaster occurred. Socio-demographic data was collected using a Proforma, while PTSD, Depression, Anxiety and Stress were assessed using the Impact Event Scale- Revised and DASS-21 respectively. Coping methods were assessed using the Brief COPE questionnaire. All the scales used were in Malay version and self-reported. The prevalence of PTSD was 12.5%, Depression 18.1%, Anxiety 38.8% and 18.1%. Using multiple logistic regression analysis, education (ORadj 0.04, 95% CI 0.00- 0.50, p = 0.013) and experience of traumatic event (3.86, 95% CI 1.11-13.41, p=0.034) were found to be significantly associated with PTSD. For depression, total household income per month (ORadj 0.99, 95% CI 0.998-0.99, p=0.002), number of hours per day of relief work (ORadj 0.90, 95% CI 0.81-0.99, p=0.032), and use of Emotional Support (ORadj 2.58, 95% CI 1.13-5.88, p=0.024) were found to be significant. Previous flood experience (ORadj 0.20, 95% CI 0.06-0.65, p=0.08), number of hours per day of relief work (ORadj 0.92, 95% CI 0.86-0.98, p=0.011) and use of Emotional support (ORadj 2.14, 95% CI 1.30-3.52, p=0.003) were found to be significant for Anxiety. Finally, occupation (ORadj 0.25 95% CI 0.09-1.69, p=0.007) use of Behavioral Disengagement (ORadj 1.61, 95% CI 1.06-2.45, p=0.025) and Self-blame (ORadj 2.31, 95% CI 1.48-3.88,p=0.002) were found to be significantly associated with Stress. In conclusion, medical relief workers were vulnerable topsychological distress and had increased prevalence of PTSD, Depression, Anxiety and Stress. 2017 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/44561/1/Dr.%20Punita-24%20pages.pdf Kumar, Punita A/P Udaya (2017) Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan. Masters thesis, Universiti Sains Malaysia.
spellingShingle RC31-1245 Internal medicine
Kumar, Punita A/P Udaya
Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title_full Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title_fullStr Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title_full_unstemmed Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title_short Prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in Kuala Krai Kelantan
title_sort prevalence of psychological distress and its associated factors among medical relief workers involved in the 2014 flood disaster in kuala krai kelantan
topic RC31-1245 Internal medicine
url http://eprints.usm.my/44561/1/Dr.%20Punita-24%20pages.pdf
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