Burden and factors associated with Perceived stress among the general population in Pakistan during the Corona-virus disease 2019
Abstract Background: The COVID-19 pandemic has paved the way for psychological crises, especially in resource-limited settings where mental health infrastructure is already crippled. This study aims to determine the prevalence and factors associated with perceived stress in the Pakistani population during the Covid-19 pandemic. Methods: A web-based cross-sectional survey was conducted on 1679 Pakistani residents who received the study questionnaire's Google form link. We used a validated tool of perceived-stress scale-10 to screen perceived stress levels. Multiple Ordinal Regression was used to identify the factors associated with perceived stress, and the results are reported as adjusted odds ratios with 95% confidence intervals. Results: The mean score of perceived stress was 19.32 (SD=+6.67). Most of the participants screened positive for moderate (69%) and high levels (14%) of stress, respectively. A significant interaction was seen between generalized-anxiety and the phase of the lockdown. The odds of high-perceived stress among severely anxious participants were 44.67(95% CI: 21.33, 93.53) times than participants with no/minimal generalized anxiety during the complete lockdown. Moreover, the odds of high levels of perceived-stress among moderately anxious respondents were 15.79(95% CI: 10.19-24.28) times compared to participants with no/minimal anxiety during the smart lockdown. Conclusion: This study evidences that the pandemic was highly distressing for the Pakistani population causing the maximum level of perceived-stress in more than half of the population. Adequate and timely interventions are needed before high-stress levels culminate into psychological disorders.