A5053410511- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Family Support in Illness
- Childhood Cancer Survivors' Quality of Life
- COVID-19 and Mental Health
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Healthcare professionals’ stress and burnout
- Religion, Spirituality, and Psychology
- Body Image and Dysmorphia Studies
- Posttraumatic Stress Disorder Research
- Health Systems, Economic Evaluations, Quality of Life
- Grief, Bereavement, and Mental Health
- Mental Health Treatment and Access
- Behavioral Health and Interventions
- Obesity, Physical Activity, Diet
- Breast Implant and Reconstruction
- Dementia and Cognitive Impairment Research
- Family Caregiving in Mental Illness
- Health, psychology, and well-being
- Optimism, Hope, and Well-being
- Heart Failure Treatment and Management
- Facial Nerve Paralysis Treatment and Research
- Adolescent and Pediatric Healthcare
- Digital Mental Health Interventions
Duke-NUS Medical School
2016-2025
National Cancer Centre Singapore
2017-2025
SingHealth
2020-2024
Signature Research (United States)
2022
National Council for Palliative Care
2021
The University of Melbourne
2020
Austin Health
2020
Peninsula Health
2020
Eastern Health
2016-2020
Monash Health
2016-2020
Aim The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses systems globally. primary objective was examine changes in proportion of HCWs reporting anxiety, over six months during peak Singapore. secondary extent that characteristics, HCW-perceived factors, HCW personal resources were associated with burnout. Method A sample (doctors, nurses, allied health professionals,...
Abstract Background Major depressive disorder (MDD) and generalized anxiety (GAD) are leading causes of disability premature mortality. At a global level, over 300 million people estimated to suffer from major disorders, equivalent 4·4% the world’s population. Pandemic era stressors have increased rates for depression by upwards 25%. The goal this study is estimate prevalence economic burden symptoms in Singapore after peak COVID-19 pandemic. Methods An existing web panel was queried between...
Abstract Objectives Amidst the COVID-19 pandemic, healthcare workers (HCWs) may be at greater risk of suffering from psychological distress compared to general population. This study aimed investigate effects mindfulness practice as delivered using Headspace on and cognitive outcomes among HCWs in Singapore. Methods A total 80 were recruited randomly assigned engage either 3 weeks (10 min/day) or an active control condition ( Lumosity ; involving playing games). Participants administered...
Understanding goals of care for terminally ill patients at the end life is crucial to ensure that receive consistent with their preferences.
The challenge of a cancer diagnosis may eventually lead to the experience positive psychological changes, also referred as posttraumatic growth. As most research on growth in patients has been conducted Western countries, little is known about such changes non-Western countries. Therefore, purpose this cross-sectional study was investigate prevalence Malaysian sample patients. Secondly, we examined association with patients' report distress and their use coping strategies.The 113...
Depression and reduced quality of life are often reported in patients with upper-extremity lymphedema secondary to breast cancer treatment. Little is known about how pain body image influence depression lymphedema. The current study examined the association intensity integrity beliefs depressive symptoms extent which dissatisfaction mediated these associations.A cross-sectional sample treatment completed self-report questionnaires pain, image, symptoms. Hierarchical regression analyses tests...
Abstract Objective The process of cancer‐related breast reconstruction is typically multi‐staged and can take months to years complete, yet few studies have examined patient psychosocial well‐being during the process. We investigated effects timing stage on body image quality life at specific time points Methods In this cross‐sectional study, 216 patients were grouped into four reconstructive stages: pre‐reconstruction, completed 1, 2, final stages. Multiple regression analyses roles...
Abstract Background Cancer can impact the psychological well‐being of both patients and their informal caregivers. We investigated joint trajectories distress among Singaporean advanced cancer patients–caregiver dyads. also examined predictors trajectory group membership. Methods This study utilised data from 299 with solid caregivers over 33 months (12 times points). Group‐based modelling was used to examine patient anxiety, depression, caregiver anxiety depression scores using Hospital...
Coping and beliefs are cornerstones to our understanding of adjustment chronic pain. This study sought test the hypothesis that maladaptive pain-related coping more strongly related measures patient than adaptive beliefs.A sample 106 veterans with mixed pain diagnoses in a multidisciplinary treatment program were administered coping, composite scores computed reflect responses. Correlations between outcomes (pain intensity, interference, depression) examined. Hierarchical multiple...
Patients with advanced cancer often experience poor health-related quality-of-life (HRQoL) due to and treatment-related side-effects. With India's palliative care landscape in its infancy, there is a concern that patients, especially individuals who are from disadvantaged populations HRQoL outcomes. We aim assess of patients terms general well-being (physical, functional, emotional, social/family well-being), pain experiences, psychological state, spiritual well-being, determine the...
Background Frontline health care workers are experiencing a myriad of physical and psychosocial challenges amid the COVID-19 pandemic. There is growing recognition that digital technologies have potential to improve well-being frontline workers. However, there has been limited development wellness interventions using mobile (mHealth) technology. More importantly, little research conducted on how perceive mHealth-based support promote their well-being. Objective This study aimed explore...
Introduction The health, psychological and socioeconomic vulnerabilities of low-wage migrant workers have been magnified in the COVID-19 pandemic, especially high-income receiving countries such as Singapore. We aimed to understand worker concerns coping strategies during pandemic address these crisis inform on comprehensive support needed after crisis. Methods In-depth semi-structured interviews were carried out with diagnosed COVID-19. participants recruited from a mass quarantine facility...
Gynecologic cancer is associated with long-term effects that can be both physical and emotional. We examined symptom prevalence body image disturbance in patients gynecologic their association quality of life. Predictors clinically-relevant were examined.A sample Singapore (n = 104) was assessed for prevalence, life, dissatisfaction. Clinical factors extracted from medical records.The most frequently reported symptoms fatigue, abdominal bloatedness, weight gain, constipation, hot flashes,...
Nurses' burnout and psychological well-being are a significant concern during the pandemic.The aim of this study is to (i) examine level burnout, anxiety, depression, perceived stress self-rated health for nurses at two time-points, 2020 2021, (ii) socio-demographic characteristics, work-related factors workplace support in relation burnout.This cross-sectional with longitudinal approach. A convenience sample registered who worked an acute care tertiary hospital Singapore were surveyed...
Reconstruction as part of treatment for breast cancer is aimed at mitigating body image concerns after mastectomy. Although algorithms have been developed to objectively assess reconstruction outcomes, associations between quantified aesthetic appearance and patient-reported outcomes not examined. Further, the role investment in explaining a patient's well understood. We investigated extent which symmetry were associated with dissatisfaction patients undergoing cancer-related...
Advanced cancer significantly impacts quality of life patients and families as they cope with symptom burden, treatment decision-making, uncertainty costs treatment. In Singapore, information about the experiences advanced financial cost incur for end-of-life care is lacking. Understanding this needed to inform practice policy ensure continuity affordability at end life. The primary objectives Cost Medical Care Patients Serious Illness in Singapore (COMPASS) cohort study are describe changes...
We aimed to study anxiety and burnout among Division of Radiological Sciences (RADSC) staff during the COVID-19 pandemic identify potential risk protective factors. These outcomes were compared with non-RADSC staff.A cross-sectional online was conducted between 12 March 20 July 2020 in largest public tertiary hospital receiving cases. Burnout assessed Physician Work-Life Scale Generalized Anxiety Disorder-7 Scale, respectively. Workplace factors examined as using multivariable ordinary least...
Objectives: This study examined the prevalence of anxiety, depression, and job burnout among frontline healthcare workers (HCWs) across six Southeast Asian countries (Indonesia, Malaysia, Philippines, Singapore, Thailand, Vietnam) during COVID-19 pandemic in 2021. We also investigated associated risk protective factors. Methods: Frontline HCWs (N = 1381) from participating participated between 4 January 14 June The participants completed self-reported surveys on anxiety (GAD-7), depression...