Escalating progression of mental health disorders during the COVID-19 pandemic: Evidence from a nationwide survey

PLoS One. 2021 Mar 25;16(3):e0248916. doi: 10.1371/journal.pone.0248916. eCollection 2021.

Abstract

Since the first nationwide movement control order was implemented on 18 March 2020 in Malaysia to contain the coronavirus disease 2019 (COVID-19) outbreak, to what extent the uncertainty and continuous containment measures have imposed psychological burdens on the population is unknown. This study aimed to measure the level of mental health of the Malaysian public approximately 2 months after the pandemic's onset. Between 12 May and 5 September 2020, an anonymous online survey was conducted. The target group included all members of the Malaysian population aged 18 years and above. The Depression Anxiety Stress Scale (DASS-21) was used to assess mental health. There were increased depressive, anxiety and stress symptoms throughout the study period, with the depression rates showing the greatest increase. During the end of the data collection period (4 August-5 September 2020), there were high percentages of reported depressive (59.2%) and anxiety (55.1%) symptoms compared with stress (30.6%) symptoms. Perceived health status was the strongest significant predictor for depressive and anxiety symptoms. Individuals with a poorer health perception had higher odds of developing depression (odds ratio [OR] = 5.68; 95% confidence interval [CI] 3.81-8.47) and anxiety (OR = 3.50; 95%CI 2.37-5.17) compared with those with a higher health perception. By demographics, young people-particularly students, females and people with poor financial conditions-were more vulnerable to mental health symptoms. These findings provide an urgent call for increased attention to detect and provide intervention strategies to combat the increasing rate of mental health problems in the ongoing COVID-19 pandemic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / pathology*
  • COVID-19 / epidemiology
  • COVID-19 / pathology*
  • COVID-19 / virology
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology
  • Depressive Disorder / pathology*
  • Female
  • Humans
  • Malaysia / epidemiology
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Odds Ratio
  • Pandemics
  • SARS-CoV-2 / isolation & purification
  • Stress, Psychological
  • Surveys and Questionnaires
  • Young Adult

Grants and funding

This research was supported by Universiti Malaya COVID-19 Implementation Research Grant (RG564-2020HWB), which was granted to Ivy Chung. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.