scholarly journals Burden and factors associated with Perceived stress among the general population in Pakistan during the Corona-virus disease 2019

Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Apsara Ali Nathwani ◽  
Romaina Iqbal ◽  
...  

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.

2021 ◽  
Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Apsara Ali Nathwani ◽  
Romaina Iqbal ◽  
...  

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. A validated tool of perceived-stress scale-10 was used to screen perceived stress levels. Multiple Ordinal Regression was used to identify the factors associated 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. During the complete 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. 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 extremely 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.


2021 ◽  
Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Apsara Ali Nathwani ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Romaina Iqbal ◽  
...  

Abstract Background Psychological impact of the COVID 19 pandemic has been expected and widely predicted, but its associated factors are not measured predominantly in low- and middle-income countries. This study aims to determine the burden and factors associated with generalized-anxiety-disorder in the Pakistani population amidst the COVID 19 pandemic Methods We conducted a web-based cross-sectional survey on 1679 Pakistani residents who had access to the study questionnaire broadcasted via the Google form. Generalized-anxiety-disorder was screened through a validated tool of the Generalized-Anxiety-Disorder 7 scale. Multiple Ordinal Regression was used to identify the factors associated generalized anxiety disorder and the results were reported as adjusted odds ratios with 95% confidence intervals. Results Most of the participants (70.8%; n = 1189) were screened positive for generalized-anxiety-disorder, out of which moderate and severe symptoms were seen in 22% (n = 365) and 18% (n = 301) of them, respectively. The mean score for generalized-anxiety was 8.57(SD = ± 5.88). A significant interaction was seen between gender and perceived stress, indicating that females with high perceived stress had 30 times greater odds of generalized-anxiety as compared to females with low perceived stress (95% CI: 20.02, 44.46). Additionally, during the complete down, the odds of generalized-anxiety among respondents who frequently watched news were 1.72(95% CI: 1.06, 2.77) times compared to participants who rarely watched the news. Furthermore, participant’s current psychiatric illness, anxiousness about uncertainty, fear of getting infected from COVID, fear of loved one getting infected from COVID 19, worrying when the first case of COVID 19 was reported, indulgence in recreational activities, and current health status were found to be significantly associated with generalized-anxiety. Conclusion Study findings indicate an alarming increase in generalized anxiety adversely affecting the psychological well-being of respondents. Immediate interventions for offering psychological support need to be implemented to curtail the rapidly increasing morbidity due to anxiety related to the pandemic.


2021 ◽  
Vol 9 ◽  
Author(s):  
Rainer Reile ◽  
Lembe Kullamaa ◽  
Reeli Hallik ◽  
Kaire Innos ◽  
Maarja Kukk ◽  
...  

Objective: To study the population-level mental health responses during the first wave of coronavirus disease 2019 (COVID-19) outbreak in Estonia and analyze its socio-demographic, behavioral, and health-related variations among general population.Methods: This study used nationally representative data on 4,606 individuals, aged 18–79 years from a rapid-response cross-sectional survey conducted in April 2020. Point prevalence and mutually adjusted prevalence rate ratios for perceived stress from log-binomial regression analysis were presented for socio-demographic, behavioral, and health-related variables.Results: This study found that 52.2% of population aged 18–79 reported elevated stress levels in relation to COVID-19 outbreak. Higher levels of perceived stress were found in women, in younger age groups, in Estonians, and in those with higher self-perceived infection risk, presence of respiratory symptoms, and less than optimal health, according to self-reports.Conclusion: Although, the potential long-term health effects of the current crisis are yet unknown, the alarmingly high stress levels among people indicate that the COVID-19 pandemic might have had a widespread effect on people's mental health.


Author(s):  
Nonvignon Marius Kêdoté ◽  
Ghislain Emmanuel Sopoh ◽  
Steve Biko Tobada ◽  
Aymeric Joaquin Darboux ◽  
Pérince Fonton ◽  
...  

Perceived stress at work is an important risk factor that affects the mental and physical health of workers. This study aims to determine the prevalence and factors associated with perceived stress in the informal electronic and electrical equipment waste processing sector in French-speaking West Africa. From 14 to 21 November 2019, a cross-sectional survey was carried out among e-waste workers in five countries in the French-speaking West African region, and participants were selected by stratified random sampling. Participants were interviewed on socio-demographic variables and characteristics related to e-waste management activities using a questionnaire incorporating Cohen’s Perceived Stress Scale (10-item version). Factors associated with perceived stress were determined by multivariate logistic regression. A total of 740 e-waste workers were interviewed. The mean age of the workers was 34.59 ± 11.65 years, with extremes of 14 and 74 years. Most of the interviewees were repairers (43.11%). The prevalence of perceived stress among the e-waste workers was 76.76%. Insufficient income, number of working days per week, perceived violence at work, and the interference of work with family responsibilities or leisure were the risk factors that were the most associated with perceived stress. The high prevalence of perceived stress and its associated factors call for consideration and improvement of the working conditions of e-waste workers.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marion Dutour ◽  
Anna Kirchhoff ◽  
Cécile Janssen ◽  
Sabine Meleze ◽  
Hélène Chevalier ◽  
...  

Abstract Background The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization’s decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work. Methods We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of “not stressed” (≤20), “borderline” (21 ≤ PSS-10 ≤ 26), and “stressed” (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made. Results Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40–3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model. Conclusion The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sumayah AlJhani ◽  
Deemah Alateeq ◽  
Afnan Alwabili ◽  
Ahmad Alamro

Purpose The coronavirus disease (COVID-19) pandemic has multiple consequences, including social distancing and the shift of education from in-person to online learning, which may have a psychological impact on students, especially those in medical colleges. This study aims to explore the effect of online learning on medical students’ mental health during the COVID-19 pandemic across Saudi Arabia. Design/methodology/approach A descriptive, nationwide, cross-sectional survey was conducted during the COVID-19 pandemic, after students in medical colleges moved to online learning. It included socio-demographic characteristics, online learning-related questions, perceived stress scale and generalized anxiety disorder-7. Findings The participants represented various academic levels within the basic science phase (44.9%) and clinical phase (55.1%) and various regions, including the central (55.3%), western (18.8%), northern (13.4%), southern (8.8%) and eastern (3.7%) regions. Moderate to high perceived stress was reported by 94.4% of students. Two-thirds of the students reported generalized anxiety symptoms, ranging from moderate to severe in 47% of them. A significant positive correlation was found between stress and anxiety. Women, age > 25, first-year students, students facing oral and objective structured clinical examinations, students with excellent and pass grades and those facing difficulties had higher levels of stress and anxiety. In addition, being non-Saudi, married or having a history of psychiatric illness was associated with higher levels of anxiety. Originality/value Stress and anxiety were highly expressed among participants using online learning. In addition to studying the efficacy of online learning, it is important to focus on its effect on medical students’ mental health, due to the highly competitive and demanding environment of medical colleges.


Author(s):  
Matheus Lopes Cortes ◽  
José Andrade Louzado ◽  
Marcio Galvão Oliveira ◽  
Vanessa Moraes Bezerra ◽  
Sóstenes Mistro ◽  
...  

Background: Ultra-processed foods are industrial formulations made from food extracts or constituents with little or no intact food and often containing additives that confer hyper-palatability. The consumption of these products increases the risk of chronic non-communicable diseases. Stressed people may engage in unhealthy eating as a way to cope. This study aimed to verify whether ultra-processed food consumption was associated with perceived stress levels in industrial and retail workers from Vitoria da Conquista, Brazil. Methods: This was a cross-sectional study carried out between July 2017 and August 2018. During the study period, 1270 participants completed a survey administered by an interviewer. Stress levels were assessed using the Perceived Stress Scale. Information regarding weekly ultra-processed food consumption was collected. Ultra-processed foods were classified into four groups: sugary drinks; sugary foods; fast foods; and canned foods, frozen foods, or processed meat. The Student’s t-test or one-way analysis of variance was used to assess the differences in stress levels and ultra-processed food consumption. Ordinal regression was used to determine the association between the degrees of stress and ultra-processed food consumption levels. Results: Factors such as a young age, being unmarried, smoking, high-risk alcohol consumption, negative health perception, and high perceived stress level indicated higher rates of ultra-processed food consumption. Ordinal regression analysis showed that high stress levels were associated with increased odds of higher ultra-processed food consumption (odds ratio: 1.94; 95% CI: 1.54–2.45). Conclusions: These findings could help identify appropriate target areas for interventions aimed at mental health promotion and healthier food consumption.


2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Deemah A. AlAteeq ◽  
Razan Alotaibi ◽  
Raneem Al Saqer ◽  
Njoud Alharbi ◽  
Maram Alotaibi ◽  
...  

Abstract Background University students use caffeine to cope with stress in spite of its adverse effects. The purpose of this study is to explore caffeine consumption among university students in Saudi Arabia, as well as its correlation with stress and caffeine intoxication. This cross-sectional study examined a convenience sample of 547 students at Princess Nourah Bint Abdulrahman University (PNU). A self-administrated questionnaire was used to assess caffeine consumption in milligrams per day, stress was assessed by the perceived stress scale (PSS), and caffeine intoxication was assessed using the DSM-5 criteria. Results The mean total caffeine consumption was 424.69 ± 385.31 mg/day. High levels of caffeine consumption were found among students of non-health colleges and students who were undiagnosed with psychiatric disorders (p values <0.040 and 0.027, respectively). A significant positive correlation was found between caffeine consumption and perceived stress (p<0.045). Only 13.26% of all participants fulfilled the DSM-5 criteria for caffeine use disorder. The majority of participants showed moderate and high stress levels (69.9% and 18.7%). Conclusion This study revealed high caffeine consumption and perceived stress levels among female undergraduate students with a significant positive association between them. The results emphasize the importance of educational campaigns about caffeine consumption and intoxication. They also encourage the development of stress management programs. Longitudinal studies need to be designed for evidence-based intervention.


2022 ◽  
pp. 263394472110586
Author(s):  
Anjana Nalina Kumari Kesavan Nair ◽  
Jisharaj Vijayakumari Rajasekharan Nair ◽  
Siji Vincent Swarnabai ◽  
Reshma Rajan Sudha ◽  
Alice Metilda Mendez ◽  
...  

Introduction The impact of SARS-CoV-2 is not only on physical health but also on mental health. This pandemic raised concerns of fear, anxiety, and stress among patients affected with the disease. Quarantine and home isolation might have created psychological distress and helplessness in patients due to social and economic reasons. This study aimed in assessing the level of perceived stress and factors associated with it among SARS-CoV-2-affected young adults who were under home isolation. Methodology A cross-sectional study was conducted among 147 SARS-CoV-2-affected young adults who were under home isolation during June 2021 to August 2021. A semi-structured proforma was created using KoBo Toolbox for humanitarian response for data collection. Perceived Stress Scale (PSS-10) was used for measurement of stress among COVID-19 patients. The questionnaire was shared in online platform. Data was analyzed using Statistical Package for Social Sciences version 23.0. Significance of association was tested using chi square test and independent sample t test. Logistic regression was done to predict the factors associated with perceived stress. Results Out of the 147 study participants, 56.5% were females and 43.5% were males. Symptoms were present in 94 (63.9%) of patients. The mean age of the study participants was 26 (10.5) years. The mean PSS score was 17.5 (6.4). Among the cases under home isolation, 24.5% had low stress levels, 68% had moderate stress levels, and 7.5% had severe stress levels. Feeling of loneliness during home isolation (odds ratio [OR]: 4.7, 95% confidence interval [CI] [1.9-11.63], P = .008), presence of elderly or under-5 children in the same house (OR: 15.45, 95% CI [2.03-117.5], P = .001), and presence of cough ( P = .05) were found to be significantly associated with higher PSS scores. Age and sleep were negatively correlated with stress score. Conclusion One-third of the study participants had moderate to severe levels of perceived stress. Age, sleep hours, presence of cough, presence of under-5 children or elderly in the same house, and feeling of loneliness during home isolation were found to be significantly associated with high perceived stress level scores.


2021 ◽  
Author(s):  
Hany ElGindi ◽  
Reham Shalaby ◽  
April Gusnowski ◽  
Wesley Vuong ◽  
Shireen Surood ◽  
...  

BACKGROUND During the COVID-19 pandemic, threats to mental health, psychological safety, and well-being are evident, particularly among the first responders and the healthcare staff. OBJECTIVE This study aimed to examine the prevalence and the potential predictors of the likely stress, generalized anxiety disorder, and major depressive disorder among healthcare workers (HCW). METHODS A cross-sectional survey was used through a survey link sent to gather demographic information and responses on several self-report scales, including the Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9) among the various HCW groupings who subscribed to the Text4Hope program. RESULTS This study revealed that the HCW expressed an estimated high prevalence of moderate/high stress rates 840 (81.2%), while the likelihood of moderate/severe anxiety and depressive symptoms were 369 (38.6%), and 317 (32.7%), respectively, during COVID-19 pandemic. Nurses and other HCW were significantly more likely to report depressive symptoms, compared to physicians, (F (2, 159.47) =15.89, 95% CI= (-5.05) -(-2.04). Younger age groups of HCW (≤30 y) were more prone to report likely stress, anxiety, and depressive symptoms, compared to HCW 41-50y and >50y (Odd’s ratio range: 1.82- 3.03). Similarly, females and those who reported a lack of social support (separated/divorced and single) among HCW, had a higher likelihood to report likely stress and depressive symptoms, respectively (OR=1.8 and 1.6). CONCLUSIONS This cross-sectional study revealed the significant impact of COVID-19 pandemic on mental health and indicated significant vulnerability among groups of HCW in Alberta. CLINICALTRIAL Ethical approval for this research was obtained through the University of Alberta Health Research Ethics Board (Pro00086163).


Sign in / Sign up

Export Citation Format

Share Document