The Prevalence of Depression, Anxiety and Stress and Their Associated Factors among Malaysian Population: Original Research
Depression, Anxiety & Stress among Community
Vol. 17 No. 1 : 2022 (226-245)
Abstract
The rising prevalence of mental disorders and their impact on the global disease burden is an emergent public health concern. The present study was to assess the prevalence of depression, stress and anxiety level among the Malaysian community by using Depression Anxiety and Stress Scale-21 (DASS-21) and identify their correlates by using the Belief of Depression Questionnaire (BDQ). The cross-sectional study was conducted among the Malaysian community through a convenient sampling method from October to December 2019. The DASS-21 and BDQ scales were used to explore the level of mental health and the respondents’ belief in their condition. The institutional ethics committee’s approval and participants’ written consent had been obtained before the commencement of the study. Spearman’s rank correlation coefficient was used to determine the association between the DASS scores. A total of 462 respondents were recruited into the study. The outcomes revealed that the respondents fell into mild stress levels (mean=14.5 + 10.3), moderate levels of anxiety (mean= 12.1 +±10.0), and mild levels of depression (mean=11.9 + 10.8). The majorly observed symptoms were tiredness (68.4%), reduced energy (46.8%), and dizziness (44.2%). Exercise (82.9%), spirituality (81.2%), and changing “how I think about myself” (79%) were the majorly reported factors considered helpful by the respondents to control or cure their condition. The study reported a higher prevalence of depression, stress, and anxiety among the younger age group, females, Indians, divorced/ unmarried, and lower monthly income respondents. Considering the results, it is essential to develop evidence-based and suitable community-based primary and secondary mental health prevention programmes.
Keywords :
anxiety,
BDQ,
DASS-21,
depression,
Malaysian community,
stress,
Correspondance Address
Dr. Siew Chin Ong. Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia. Tel: +604-6533888 Email: siewchinong@usm.my; oschin99@yahoo.com
References
Abd Majid, H.S., Abd Hamid, H.S., Alwi, A., Sulaiman, M.K. 2019. Psychometric Properties of the English Version of DASS in a Sample of Malaysian Nurses. Jurnal Psikologi Malaysia 33(1): 65-9.
Adamczyk, K., Segrin, C. 2015. Perceived social support and mental health among single vs. partnered Polish young adults. Curr Psychol 34(1): 82-96.
American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders. 5th ed. Vol. 21.
Amir Hamzah, N.S., Nik Farid, N.D., Yahya, A., Chin, C., Su, T.T., Sanjay Rampal, L.R., Dahlui, M. 2019. The prevalence and associated factors of depression, anxiety and stress of first year undergraduate students in a public higher learning institution in Malaysia. J Child Fam Stud 28(12): 3545-57.
Beaufort, I.N., De Weert-Van Oene, G.H., Buwalda, V.A., de Leeuw, J.R.J., Goudriaan, A.E. 2017. The depression, anxiety and stress scale (DASS-21) as a screener for depression in substance use disorder inpatients: a pilot study. Eur Addict Res 23(5): 260-8.
Braithwaite, S.R., Delevi, R., Fincham, F.D. 2010. Romantic relationships and the physical and mental health of college students. Pers Relatsh 17(1): 1-12.
Chang, E.C., Chang, O.D., Lucas, A.G., Li, M., Beavan, C.B., Eisner, R.S., McManamon, B.M., Rodriguez, N.S., Katamanin, O.M., Bourke, E.C. 2019. Depression, loneliness, and suicide risk among Latino college students: a test of a psychosocial interaction model. Soc Work 64(1): 51-60.
Chow, P.I., Fua, K., Huang, Y., Bonelli, W., Xiong, H., Barnes, L.E., Teachman, B.A. 2017. Using mobile sensing to test clinical models of depression, social anxiety, state affect, and social isolation among college students. J Med Internet Res 19(3): e62.
De Las Cuevas, C., de Leon, J. 2019. Development and validation of the patient’s health belief questionnaire on psychiatric treatment. Patient Prefer Adherence 13: 527-36
Dowling, M., Rickwood, D. 2013. Online Counseling and Therapy for Mental Health Problems: A Systematic Review of Individual Synchronous Interventions Using Chat. J Technol Hum Serv 31(1): 1-21.
Flores, J.L., Tuazon, J.A., Hernandez, M.A., Evangelista, L.S. 2017. Prevalence and correlates of depression, anxiety and stress among Filipinos in The Philippines. Circulation 136(Suppl 1): A17228.
Giovazolias, T., Leontopoulou, S., Triliva, S. 2010. Assessment of Greek University Students’ Counselling Needs and Attitudes: An Exploratory Study. Int J Adv Couns 32(2): 101-6.
Glattacker, M., Heyduck, K., Meffert, C., Jakob, T. 2018. Illness beliefs, treatment beliefs and information needs as starting points for patient information: the evaluation of an intervention for patients with depression. J Clin Psychol Med Settings 25(3): 316-33.
Gomez, F. 2016. A guide to the depression, anxiety and stress scale (DASS 21). Central and Eastern Sydney Primary Health Networks.
Hooten, W.M. 2016. Chronic pain and mental health disorders: shared neural mechanisms, epidemiology, and treatment. Mayo Clin Proc 91(7): 955-70.
Hussain, Z., Griffiths, M.D. 2018. Problematic social networking site use and comorbid psychiatric disorders: A systematic review of recent large-scale studies. Front Psychiatry 9: 686.
Ithnain, N., Ghazali, S.E., Jaafar, N. 2018. Relationship between smartphone addiction with anxiety and depression among undergraduate students in Malaysia. Int J Health Sci Res 8: 163-71.
Iturralde, E., Adams, R.N., Barley, R.C., Bensen, R., Christofferson, M., Hanes, S.J., Maahs, D.M., Milla, C., Naranjo, D., Shah, A.C. 2017. Implementation of depression screening and global health assessment in pediatric subspecialty clinics. J Adolesc Health 61(5): 591-8.
James, P., Hart, J.E., Banay, R.F., Laden, F., Signorello, L.B. 2017. Built environment and depression in low-income African Americans and Whites. Am J Prev Med 52(1): 74-84.
Kokaliari, E. 2018. Quality of life, anxiety, depression, and stress among adults in Greece following the global financial crisis. Int Soc Work 61(3): 410-24.
Lugova, H., Andoy-Galvan, J.A., Patil, S.S., Wong, Y.H., Baloch, G.M., Suleiman, A., Nordin, R., Chinna, K. 2021. Prevalence and associated factors of the severity of depression, anxiety and stress among low-income community-dwelling adults in Kuala Lumpur, Malaysia. Community Ment Health J: 1-10.
Manaf, M.R.A., Qureshi, A.M., Lotfizadeh, M., Ganasegeran, K., Yadav, H., Al-Dubai, S. 2016. Factors associated with anxiety and depression among outpatients in Malaysia: A cross-sectional study. Malays J Public Health Med 16(3): 181-7.
Ministry of Health Malaysia. 2015. Institute for Public Health. National Health and Morbidity Survey 2015 (NHMS 2015). Vol. II: Non-Communicable Diseases, Risk Factors & Other Health Problems. Ministry of Health Malaysia.
Mirzaei, M., Ardekani, S.M.Y., Mirzaei, M., Dehghani, A. 2019. Prevalence of depression, anxiety and stress among adult population: results of yazd health study. Iran J Psychiatry 14(2): 137.
Naeem, F., Sarhandi, I., Gul, M., Khalid, M., Aslam, M., Anbrin, A., Saeed, S., Noor, M., Fatima, G., Minhas, F., Husain, N., Ayub, M. 2014. A multicentre randomised controlled trial of a carer supervised culturally adapted CBT (CaCBT) based self-help for depression in Pakistan. J Affect Disord 156: 224-7.
Nahas, A.R.M.F., Elkalmi, R.M., Al-Shami, A.M., Elsayed, T.M. 2019. Prevalence of depression among health sciences students: Findings from a public university in Malaysia. J Pharm Bioallied Sci 11(2): 170.
Nanthakumar, S., Bucks, R.S., Skinner, T.C., Starkstein, S., Hillman, D., James, A., Hunter, M. 2017. Assessment of the Depression, Anxiety, and Stress Scale (DASS-21) in untreated obstructive sleep apnea (OSA). Psychol Assess 29(10): 1201.
Negi, A.S., Khanna, A., Aggarwal, R. 2019. Spirituality as predictor of depression, anxiety and stress among engineering students. J Public Health: 1-14.
Omair, A. 2014. Sample size estimation and sampling techniques for selecting a representative sample. J Health Specialties 2(4): 142.
Pillay, N., Ramlall, S., Burns, J.K. 2016. Spirituality, depression and quality of life in medical students in KwaZulu-Natal. S Afr J Psychiatr 22(1): 731.
Ramli, M., Ariff, M., Zaini, Z. 2007. Translation, validation and psychometric properties of Bahasa Malaysia version of the Depression Anxiety and Stress Scales (DASS). ASEAN J Psychiatr 8(2): 82-9.
Rotenstein, L.S., Ramos, M.A., Torre, M., Segal, J.B., Peluso, M.J., Guille, C., Sen, S., Mata, D.A. 2016. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA 316(21): 2214-2236.
Saravanan, C., Mohamad, M., Alias, A. 2019. Coping strategies used by international students who recovered from homesickness and depression in Malaysia. Int J Intercult Relat 68: 77-87.
Saxena, S., Funk, M., Chisholm, D. 2013. World health assembly adopts comprehensive mental health action plan 2013-2020. Lancet 381(9882): 1970-1.
Segrin, C., Domschke, T. 2011. Social support, loneliness, recuperative processes, and their direct and indirect effects on health. Health Commun 26(3): 221-32.
Selvaganapathy, K., Rajappan, R., Dee, T.H. 2017. The effect of smartphone addiction on craniovertebral angle and depression status among university students. Int J Integr Med Sci 4(5): 537-42.
Sidi, H. 2020. The Psychological Sequelae during Mental Health and COVID-19 Pandemic: Learning from the Past for Today’s Coping Styles. Med & Health 15(1): 1-4.
Talib, M.A., Abdollahi, A. 2017. Spirituality moderates hopelessness, depression, and suicidal behavior among Malaysian adolescents. J Relig Health 56(3): 784-95.
Yahaya, S.N., Wahab, S.F.A., Yusoff, M.S.B., Yasin, M.A.M., Rahman, M.A.A. 2018. Prevalence and associated factors of stress, anxiety and depression among emergency medical officers in Malaysian hospitals. World J Emerg Med 9(3): 178-86.
