Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]

Background: In Malaysia, B40 communities are those with a median monthly household earning of under RM 3166. With the prolonged COVID-19 pandemic and the resulting lockdown, the livelihoods of those in these areas has been severely impacted. This has increased their vulnerability to psychological af...

Full description

Bibliographic Details
Main Authors: Sapna Shridhar Patil, Chuah Shao Qi, Daniel Mahalingam Owen Devan, Gan Sing Joo
Format: Article
Language:English
Published: F1000 Research Ltd 2021-07-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/10-693/v1
_version_ 1827324853868298240
author Sapna Shridhar Patil
Chuah Shao Qi
Daniel Mahalingam Owen Devan
Gan Sing Joo
author_facet Sapna Shridhar Patil
Chuah Shao Qi
Daniel Mahalingam Owen Devan
Gan Sing Joo
author_sort Sapna Shridhar Patil
collection DOAJ
description Background: In Malaysia, B40 communities are those with a median monthly household earning of under RM 3166. With the prolonged COVID-19 pandemic and the resulting lockdown, the livelihoods of those in these areas has been severely impacted. This has increased their vulnerability to psychological afflictions and has led to a poorer perception of their quality of life (QoL) in comparison to the rest of the population. We investigated the association between perceived levels of depression, anxiety and stress and their impact on quality of life (QoL) among B40 residents in a low-cost urban housing area in Kuala Lumpur, Malaysia. Methods: A cross-sectional study was conducted between July 2020 and February 2021 in the Seri Pantai housing settlement. The validated Malay versions of the depression, anxiety, and stress scale-21 (DASS-21) and the World Health Organization Quality of Life, brief (WHOQOL-BREF) were distributed to the participants using Google forms. The statistical significance of the association between subscales of depression, anxiety, stress and QoL domains were assessed using the Pearson’s correlation test. Results: Of the 180 participants, the majority were Malays (87.2%) and females (82.2%).  The average scores were the highest for stress (5.66 ± 4.59) and the score in the environment domain of QoL (59.27 ± 17.23) was the lowest. A statistically significant negative correlation was found between the subscales of DASS-21 and the four domains of the QoL, with the social relationships and psychological domains showing a highly significant association (p < 0.001). The strongest correlation was observed between the psychological domain and depression (r= -.520) followed by psychological domain and stress (r= -.496). Conclusion: The strongest correlation was observed between psychological domain and depression. This suggests a need to address potential devastating mental health consequences of the COVID-19 pandemic and its effect on the QoL of residents in B40 communities.                                                                                    
first_indexed 2024-03-07T14:03:57Z
format Article
id doaj.art-60b323727afc4636932e57fff0807d24
institution Directory Open Access Journal
issn 2046-1402
language English
last_indexed 2024-03-07T14:03:57Z
publishDate 2021-07-01
publisher F1000 Research Ltd
record_format Article
series F1000Research
spelling doaj.art-60b323727afc4636932e57fff0807d242024-03-07T01:00:00ZengF1000 Research LtdF1000Research2046-14022021-07-011055136Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]Sapna Shridhar Patil0https://orcid.org/0000-0002-5401-2678Chuah Shao Qi1https://orcid.org/0000-0003-3674-3730Daniel Mahalingam Owen Devan2Gan Sing Joo3https://orcid.org/0000-0003-3287-6501School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, 47500, MalaysiaSchool of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, 47500, MalaysiaSchool of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, 47500, MalaysiaSchool of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, 47500, MalaysiaBackground: In Malaysia, B40 communities are those with a median monthly household earning of under RM 3166. With the prolonged COVID-19 pandemic and the resulting lockdown, the livelihoods of those in these areas has been severely impacted. This has increased their vulnerability to psychological afflictions and has led to a poorer perception of their quality of life (QoL) in comparison to the rest of the population. We investigated the association between perceived levels of depression, anxiety and stress and their impact on quality of life (QoL) among B40 residents in a low-cost urban housing area in Kuala Lumpur, Malaysia. Methods: A cross-sectional study was conducted between July 2020 and February 2021 in the Seri Pantai housing settlement. The validated Malay versions of the depression, anxiety, and stress scale-21 (DASS-21) and the World Health Organization Quality of Life, brief (WHOQOL-BREF) were distributed to the participants using Google forms. The statistical significance of the association between subscales of depression, anxiety, stress and QoL domains were assessed using the Pearson’s correlation test. Results: Of the 180 participants, the majority were Malays (87.2%) and females (82.2%).  The average scores were the highest for stress (5.66 ± 4.59) and the score in the environment domain of QoL (59.27 ± 17.23) was the lowest. A statistically significant negative correlation was found between the subscales of DASS-21 and the four domains of the QoL, with the social relationships and psychological domains showing a highly significant association (p < 0.001). The strongest correlation was observed between the psychological domain and depression (r= -.520) followed by psychological domain and stress (r= -.496). Conclusion: The strongest correlation was observed between psychological domain and depression. This suggests a need to address potential devastating mental health consequences of the COVID-19 pandemic and its effect on the QoL of residents in B40 communities.                                                                                    https://f1000research.com/articles/10-693/v1Malaysian B40 community Quality of Life DASS-21 WHOQOL-BREF Association COVID-19 pandemiceng
spellingShingle Sapna Shridhar Patil
Chuah Shao Qi
Daniel Mahalingam Owen Devan
Gan Sing Joo
Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
F1000Research
Malaysian B40 community
Quality of Life
DASS-21
WHOQOL-BREF
Association
COVID-19 pandemic
eng
title Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
title_full Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
title_fullStr Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
title_full_unstemmed Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
title_short Association between depression, anxiety, stress and perceived quality of life in a Malaysian B40 urban community during the COVID-19 lockdown: A cross-sectional study [version 1; peer review: 2 approved]
title_sort association between depression anxiety stress and perceived quality of life in a malaysian b40 urban community during the covid 19 lockdown a cross sectional study version 1 peer review 2 approved
topic Malaysian B40 community
Quality of Life
DASS-21
WHOQOL-BREF
Association
COVID-19 pandemic
eng
url https://f1000research.com/articles/10-693/v1
work_keys_str_mv AT sapnashridharpatil associationbetweendepressionanxietystressandperceivedqualityoflifeinamalaysianb40urbancommunityduringthecovid19lockdownacrosssectionalstudyversion1peerreview2approved
AT chuahshaoqi associationbetweendepressionanxietystressandperceivedqualityoflifeinamalaysianb40urbancommunityduringthecovid19lockdownacrosssectionalstudyversion1peerreview2approved
AT danielmahalingamowendevan associationbetweendepressionanxietystressandperceivedqualityoflifeinamalaysianb40urbancommunityduringthecovid19lockdownacrosssectionalstudyversion1peerreview2approved
AT gansingjoo associationbetweendepressionanxietystressandperceivedqualityoflifeinamalaysianb40urbancommunityduringthecovid19lockdownacrosssectionalstudyversion1peerreview2approved