1.Treatments for Anxiety Disorders in Malaysia
Jamilah Hanum Abdul Khaiyom ; Firdaus Mukhtar ; Oei Tian Po
Malaysian Journal of Medical Sciences 2019;26(3):24-36
This current study aims to systematically review the treatments for anxiety disorders in
Malaysia. PsycINFO, MEDLINE databases, and 28 local journals were used to search published
papers in this area. Eight articles were subjected to review after excluding 273 papers that did
not meet the inclusion criteria. A total of 598 participants with various types of anxiety disorders
were included in the review. Based on the findings, the combination of pharmacotherapy
and psychotherapy provided better treatment outcomes if compared to psychotherapy or
pharmacotherapy alone. The combination of selective serotonin reuptake inhibitors and cognitive
behaviour therapy was considered as one of the most effective treatment to treat patients with
anxiety disorders in Malaysia. This is in line with the clinical practice guidelines from the Ministry
of Health Singapore and Canada. Even though there were some limitations in the methodology and
reporting of the results, it can be concluded that efforts have been taken to conduct studies related
to treatments for patients with anxiety disorders in Malaysia. Future studies are suggested to make
conscious efforts to overcome these limitations.
2.ANXIETY DISORDERS IN MALAYSIA FROM 2005 TO 2015: A SCOPING REVIEW OF THEIR PREVALENCE RATES, ASSOCIATED FACTORS, AND PREDICTORS
Jamilah Hanum Abdul Khaiyom ; Firdaus Mukhtar ; Po Sumantri Oei Tian
Journal of University of Malaya Medical Centre 2021;24(2):31-47
Introuduction:
The current study aims to investigate the prevalence rates, associated factors, and predictors of anxiety disorders in Malaysia through a scoping review.
Methods:
PsycINFO and MEDLINE databases and a total of 28 local journals were used to search for published papers in this particular area. In this case, 37 out of 105 articles managed to meet the inclusion criteria and were subjected to review. A total of 17,673 respondents, which comprised university students, the general community, and numerous types of clinical patients, were included in the review.
Results:
The results showed that the prevalence rate of anxiety disorders was in the range between 1% and 67.6% for the mentioned populations. Moreover, various types of associated factors were found to be related to anxiety such as being divorced, widowed, or single; having a lower than tertiary level of education; being unemployed or retired; and having a low socioeconomic status. Meanwhile, there were also several predictors of anxiety such as having to deal with negative life events; domestic violence; family history of mental illness; severe psychological problems; and chronic physical illness.
Conclusion
Generally, the prevalence of anxiety disorders is noticeable, and anxiety disorders may contribute to a decrease in the quality of life, an increase in social burden, reduced productivity, and increased utilization of health services. Therefore, awareness among community and health service providers regarding the prevalence rate of anxiety is believed to help in developing access to evidence-based psychological and pharmacological interventions.
Prevalence