Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic

Background: COVID-19 pandemic triggers significant increase in prevalence of stress worldwide. However, the extent and factors associated with psychological distress during COVID-19 in the local population are not adequately explored. Objective: The present study aimed to determine the prevalence a...

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Main Author:	Asmail@Ismail, Amalina
Format:	Thesis
Language:	English
Published:	2024
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/61206/1/Amalina%20Asmail%40Ismail-E.pdf
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id	my-usm-ep.61206
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spelling	my-usm-ep.612062024-11-14T01:35:31Z Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic 2024 Asmail@Ismail, Amalina R Medicine RA440-440.87 Study and teaching. Research RC554-569.5 Personality disorders. Behavior problems Including sexual problems, drug abuse,suicide, child abuse Background: COVID-19 pandemic triggers significant increase in prevalence of stress worldwide. However, the extent and factors associated with psychological distress during COVID-19 in the local population are not adequately explored. Objective: The present study aimed to determine the prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during COVID-19 pandemic. Methodology: This is a retrospective record review of adult population aged 18 to 60 years old who were screened for mental health well-being from January 2021 until March 2022 in the state of Kedah. Simple random sampling was applied to obtain the sample size of 562. The participants’ mental health status was assessed using the online platform Depression, Anxiety, Stress Scale-21 (DASS-21). Simple and multiple logistic regression analyses were conducted to determine the factors associated with negative emotional state of stress. Results: The prevalence of negative emotional state of stress was 45.7% (95% CI 41.6%, 49.8%). The majority of them did not have stress (54.3%), followed by severe stress (12.3%), moderate (11.9%), mild (11.7%) and very severe stress (9.8%). The significant factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during COVID-19 pandemic were sex, occupation and Movement Control Order (MCO) period. Female has 3.04 odds more stress compared to male (Adj OR 3.035 95% CI: 2.007 to 4.591, p-value <0.001), being unemployed has 2.17 more odds to experience stress compared to being employed (Adj OR 2.171 95% CI: 1.480 to 3.185, p-value <0.001) and being under MCO were 61.7% less likely to have stress compared to not being under MCO (Adj OR 0.383 95% CI: 0.264 to 0.555, p-value <0.001). Conclusion: The overall prevalence of negative emotional state of stress among adult population during COVID-19 pandemic in Kedah was 45.7%, higher than other studies. Being female and unemployed were associated with stress, while the MCO period was a protective factor against stress. By tailoring interventions and strategies based on the identified characteristics and vulnerabilities of these groups such as cognitive behavioral therapy (CBT) and mindfulness-based interventions, it is possible to implement more targeted and impactful approaches to alleviate negative emotional states of stress. 2024 Thesis http://eprints.usm.my/61206/ http://eprints.usm.my/61206/1/Amalina%20Asmail%40Ismail-E.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine R Medicine R Medicine
spellingShingle	R Medicine R Medicine R Medicine Asmail@Ismail, Amalina Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
description	Background: COVID-19 pandemic triggers significant increase in prevalence of stress worldwide. However, the extent and factors associated with psychological distress during COVID-19 in the local population are not adequately explored. Objective: The present study aimed to determine the prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during COVID-19 pandemic. Methodology: This is a retrospective record review of adult population aged 18 to 60 years old who were screened for mental health well-being from January 2021 until March 2022 in the state of Kedah. Simple random sampling was applied to obtain the sample size of 562. The participants’ mental health status was assessed using the online platform Depression, Anxiety, Stress Scale-21 (DASS-21). Simple and multiple logistic regression analyses were conducted to determine the factors associated with negative emotional state of stress. Results: The prevalence of negative emotional state of stress was 45.7% (95% CI 41.6%, 49.8%). The majority of them did not have stress (54.3%), followed by severe stress (12.3%), moderate (11.9%), mild (11.7%) and very severe stress (9.8%). The significant factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during COVID-19 pandemic were sex, occupation and Movement Control Order (MCO) period. Female has 3.04 odds more stress compared to male (Adj OR 3.035 95% CI: 2.007 to 4.591, p-value <0.001), being unemployed has 2.17 more odds to experience stress compared to being employed (Adj OR 2.171 95% CI: 1.480 to 3.185, p-value <0.001) and being under MCO were 61.7% less likely to have stress compared to not being under MCO (Adj OR 0.383 95% CI: 0.264 to 0.555, p-value <0.001). Conclusion: The overall prevalence of negative emotional state of stress among adult population during COVID-19 pandemic in Kedah was 45.7%, higher than other studies. Being female and unemployed were associated with stress, while the MCO period was a protective factor against stress. By tailoring interventions and strategies based on the identified characteristics and vulnerabilities of these groups such as cognitive behavioral therapy (CBT) and mindfulness-based interventions, it is possible to implement more targeted and impactful approaches to alleviate negative emotional states of stress.
format	Thesis
qualification_level	Master's degree
author	Asmail@Ismail, Amalina
author_facet	Asmail@Ismail, Amalina
author_sort	Asmail@Ismail, Amalina
title	Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
title_short	Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
title_full	Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
title_fullStr	Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
title_full_unstemmed	Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic
title_sort	prevalence and factors associated with negative emotional state of stress among adult population in kedah, malaysia during covid-19 pandemic
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2024
url	http://eprints.usm.my/61206/1/Amalina%20Asmail%40Ismail-E.pdf
_version_	1818647377160962048

Prevalence and factors associated with negative emotional state of stress among adult population in Kedah, Malaysia during covid-19 pandemic

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