Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia
Introduction: The aim of this study was to investigate how the COVID-19 pandemic has affected the mental health of primary healthcare providers in Malaysia, focusing specifically on the role of depression, anxiety, and stress in mediating the relationship between fear of COVID-19 and burnout. Method...
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| Format: | Article |
| Language: | English |
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Universiti Putra Malaysia
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/109463/ http://psasir.upm.edu.my/id/eprint/109463/1/2023121810015412_MJMHS_0243.pdf |
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| author | Ching, Siew-Mooi Thurasamy, Ramayah Cheong, Ai Theng Yee, Anne Lim, Poh Ying Ismail, Irmi Zarina Ng, Jun Ying Ooi, Pei Boon Lee, Kai Wei Rasina Nilofer, Jabarulla Khan Zamzurina, Asmuee Rajini Ann, S. Ratnasingamp Teoh, See Wie Hassan, Noor Hasliza |
| author_facet | Ching, Siew-Mooi Thurasamy, Ramayah Cheong, Ai Theng Yee, Anne Lim, Poh Ying Ismail, Irmi Zarina Ng, Jun Ying Ooi, Pei Boon Lee, Kai Wei Rasina Nilofer, Jabarulla Khan Zamzurina, Asmuee Rajini Ann, S. Ratnasingamp Teoh, See Wie Hassan, Noor Hasliza |
| author_sort | Ching, Siew-Mooi |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: The aim of this study was to investigate how the COVID-19 pandemic has affected the mental health of primary healthcare providers in Malaysia, focusing specifically on the role of depression, anxiety, and stress in mediating the relationship between fear of COVID-19 and burnout. Methods: A web-based cross-sectional study was conducted with 1280 healthcare providers from 30 government primary care clinics. Participants completed several scales, including the COVID-19 Fear Scale, Copenhagen Burn Inventory Scale, and DASS-21 Scale, and mediation analysis was performed using Smart-PLS. Results: The majority of respondents were female (82.4%) and Malays (82.3%), with a mean age of 36 years and an average working experience of 11 years. Nurses (47.4%) were the largest group, followed by doctors (26%), medical assistants (11.9%), healthcare assistants (7.1%), medical laboratory technicians (6.4%), and drivers (1.3%). The findings revealed that fear of COVID-19 was positively associated with psychological distress, such as depression, anxiety, and stress, as well as burnout. Additionally, psychological distress played a mediating role in the relationship between fear of COVID-19 and three domains of burnout: personal burnout (β=0.154, p<0.001), work-related burnout (β=0.187, p<0.001), and client-related burnout (β=0.175, p<0.001). Conclusion: These results highlight the need for interventions to address the adverse effects of the COVID-19 pandemic on the mental health of healthcare providers, particularly in reducing depression, anxiety, and stress, which were found to play a positive mediating role in the development of burnout. |
| first_indexed | 2025-11-15T14:03:44Z |
| format | Article |
| id | upm-109463 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:03:44Z |
| publishDate | 2023 |
| publisher | Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1094632024-12-10T03:23:00Z http://psasir.upm.edu.my/id/eprint/109463/ Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia Ching, Siew-Mooi Thurasamy, Ramayah Cheong, Ai Theng Yee, Anne Lim, Poh Ying Ismail, Irmi Zarina Ng, Jun Ying Ooi, Pei Boon Lee, Kai Wei Rasina Nilofer, Jabarulla Khan Zamzurina, Asmuee Rajini Ann, S. Ratnasingamp Teoh, See Wie Hassan, Noor Hasliza Introduction: The aim of this study was to investigate how the COVID-19 pandemic has affected the mental health of primary healthcare providers in Malaysia, focusing specifically on the role of depression, anxiety, and stress in mediating the relationship between fear of COVID-19 and burnout. Methods: A web-based cross-sectional study was conducted with 1280 healthcare providers from 30 government primary care clinics. Participants completed several scales, including the COVID-19 Fear Scale, Copenhagen Burn Inventory Scale, and DASS-21 Scale, and mediation analysis was performed using Smart-PLS. Results: The majority of respondents were female (82.4%) and Malays (82.3%), with a mean age of 36 years and an average working experience of 11 years. Nurses (47.4%) were the largest group, followed by doctors (26%), medical assistants (11.9%), healthcare assistants (7.1%), medical laboratory technicians (6.4%), and drivers (1.3%). The findings revealed that fear of COVID-19 was positively associated with psychological distress, such as depression, anxiety, and stress, as well as burnout. Additionally, psychological distress played a mediating role in the relationship between fear of COVID-19 and three domains of burnout: personal burnout (β=0.154, p<0.001), work-related burnout (β=0.187, p<0.001), and client-related burnout (β=0.175, p<0.001). Conclusion: These results highlight the need for interventions to address the adverse effects of the COVID-19 pandemic on the mental health of healthcare providers, particularly in reducing depression, anxiety, and stress, which were found to play a positive mediating role in the development of burnout. Universiti Putra Malaysia 2023-12 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/109463/1/2023121810015412_MJMHS_0243.pdf Ching, Siew-Mooi and Thurasamy, Ramayah and Cheong, Ai Theng and Yee, Anne and Lim, Poh Ying and Ismail, Irmi Zarina and Ng, Jun Ying and Ooi, Pei Boon and Lee, Kai Wei and Rasina Nilofer, Jabarulla Khan and Zamzurina, Asmuee and Rajini Ann, S. Ratnasingamp and Teoh, See Wie and Hassan, Noor Hasliza (2023) Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia. Malaysian Journal of Medicine and Health Sciences, 19 (s17). pp. 88-94. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2023121810015412_MJMHS_0243.pdf 10.47836/mjmhs.19.s17.12 |
| spellingShingle | Ching, Siew-Mooi Thurasamy, Ramayah Cheong, Ai Theng Yee, Anne Lim, Poh Ying Ismail, Irmi Zarina Ng, Jun Ying Ooi, Pei Boon Lee, Kai Wei Rasina Nilofer, Jabarulla Khan Zamzurina, Asmuee Rajini Ann, S. Ratnasingamp Teoh, See Wie Hassan, Noor Hasliza Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title | Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title_full | Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title_fullStr | Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title_full_unstemmed | Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title_short | Mediating role of psychological distress on the relationship between fear of COVID-19 and burnout among healthcare providers: a cross-sectional study in Selangor, Malaysia |
| title_sort | mediating role of psychological distress on the relationship between fear of covid-19 and burnout among healthcare providers: a cross-sectional study in selangor, malaysia |
| url | http://psasir.upm.edu.my/id/eprint/109463/ http://psasir.upm.edu.my/id/eprint/109463/ http://psasir.upm.edu.my/id/eprint/109463/ http://psasir.upm.edu.my/id/eprint/109463/1/2023121810015412_MJMHS_0243.pdf |