1.The Effectiveness of A Cultural-Based Support Group For Malay Dementia Caregivers In Kelantan, Malaysia: A Pre-Post Intervention Study
Rozanizam Zakaria ; Asrenee Ab Razak
ASEAN Journal of Psychiatry 2017;18(1):20-30
: The psychological impact of care giving responsibility for dementia
patients is significant regardless of the cultural background. Most of the current
advanced caregivers’ interventions, originating from developed western
countries, do not necessarily apply to local settings. Hence, there is a need for an
effective culturally competent psychological intervention for these caregivers.
The aim of the study is to assess the effectiveness of the cultural-based support
group for Malay caregivers of dementia patients in Kelantan towards their
burden, anxiety and depression level, and quality of life. Methods: This was an
experimental study, without control, investigating pre and post support group
intervention effectiveness in reducing caregiver burden, anxiety and depression,
and improving the quality of life. Sixteen caregivers completed the program,
which involved seven fortnightly support group sessions with duration of 2 hours
each, conducted over twelve weeks. Caregivers’ burden was assessed using
Caregiver Strain Index (CSI) while their psychological well-being was
objectively assessed using Hospital Anxiety and Depression Scale (HADS). WHO
Quality of Life questionnaire (WHOQOL-BREF) was used to measure the
quality of life. The validated Malay versions of the questionnaires were used.
Results: There was a statistically significant reduction in the level of caregiver
burden (p = or < 0.001). Measurement of both scores of anxiety and depression
comparing pre and post intervention also showed improvement, but statistically
were not significant. Assessment of caregivers’ quality of life showed statistically
significant improvement in the domains of social, psychological and physical (all
with the p-value <0.05). Discussion: Our cultural-based support group is an
effective intervention to improve burden, psychological well-being and quality of
life among local caregivers of dementia patients. ASEAN Journal of Psychiatry,
Vol. 18 (1): January – June 2017: XX XX.
2.Parental Stress and Coping Attitudes in Autism Spectrum Disorder Children: A Survey during Movement Control Order period amid COVID-19 Pandemic
Muhamad Azamin Anuar ; Rozanizam Zakaria ; Muhammad &lsquo ; Adil Zainal Abidin ; Nur Farah Izzati Misaridin
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):129-136
Introduction: Parents with autistic children are more susceptible of developing stress due to genuine challenges
in treasuring them. During the world pandemic disaster of COVID-19 emergency, the challenge is far greater than
expected as movement control order restricted them to seek for help and resources as the country adopting strict
isolation measurement to restrain COVID-19 virus infection. This survey was conducted online to determine the
prevalence of stress, independent predictor and assessing coping style that help to overcome them. Methods: This
was a cross-sectional study using Facebook platform. The survey was posted into Autisme Malaysia group for 2
weeks duration from 17th June until 30th June 2020. Stress was measured using Malay version of Perceived Stress
Scale (PSS-10) and coping style using Brief COPE questionnaire. Independent t-test was used to determine coping
style associated with stress and multiple logistic regression for independent stress predictor. Results: The mean age
of respondents was 38.9 years old with mean child’s age was 8.6 years old. Majority of respondents were female,
Malay, and married couples with 83.1% of the caregivers were having stress. The independent predictor for stress
were age of the caregivers and the level of education. The approach style of coping was significantly associated with
stress. Conclusion: The pandemic has directly and indirectly contributed to stress prevalence among caregivers of
children with autism. Hence, the right coping style should be embraced and empowered to parents for healthier
stress therapy. Our findings recommended that coping style of informational support, behavioural disengagement,
religion and acceptance as dynamic model of coping style.