Perceived stress, depression, and associated factors among people in Northeastern Bangladesh 10.55131/jphd/2025/230208

Main Article Content

Md. Gias Uddin Khan
Tarik Aziz
Ayatullah Al Musabi Akanda
Md. Shahgahan Miah

Abstract

This study explores the socioeconomic correlates of depressive symptoms and perceived stress using 622 items of cross-sectional data collected by survey interviews from adults living in Sylhet City, Bangladesh using random sampling. The study uses the Center for Epidemiologic Studies Depression (CES-D) scale to assess the intensity of depression and Cohen’s Perceived Stress Scale (PSS) to measure the level of perceived stress. The study applies both simple linear and multivariate analysis. The CES-D scale of 21.6 and the PSS score of 18.79 confirm that the people in the study area are generally depressed while their stress level is moderate. Both the univariate and multivariate analyses indicate that having a profession as a day laborer, having a loan burden, occupying a lower position on the community ladder, and making household decisions are highly associated with both depressive symptoms and perceived stress. In contrast, having more family expenditure and regular jobs like public service are linked with lower levels of stress and depression. The findings of the study may contribute to the formation of stress and depression mitigation policies in the country, eventually increasing the working efficiency of the people.

Article Details

How to Cite
1.
Khan MGU, Tarik Aziz, Akanda AAM, Miah MS. Perceived stress, depression, and associated factors among people in Northeastern Bangladesh: 10.55131/jphd/2025/230208. J Public Hlth Dev [internet]. 2025 Apr. 30 [cited 2025 Jun. 22];23(2):103-18. available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/272801
Section
Original Articles
Author Biographies

Md. Gias Uddin Khan, Department of Economics, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

Department of Economics, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

Tarik Aziz, Department of Economics, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

Department of Economics, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

Ayatullah Al Musabi Akanda, Department of Economics, Govt. Ashek Mahmud College, Jamalpur, Bangladesh.

Department of Economics, Govt. Ashek Mahmud College, Jamalpur, Bangladesh.

Md. Shahgahan Miah, Department of Anthropology, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

Department of Anthropology, Shahjalal University of Science and Technology, Sylhet-3114, Bangladesh.

References

Kessler RC, Bromet, EJ. The Epidemiology of Depression across Cultures. Annual Reviews Public Health. 2013;34:119-138. doi: 10.1146/annurev-publhealth-031912-114409

Aafat SMY, Shams S, Chowdhury MMR, Chowdhury EZ, Hoque M, Bari M. Adaptation and Validation of the Bangla Version of the Depression Literacy Questionnaire. Journal of Psychiatry. 2017;20:4. doi: 10.4172/ 2378-5756.1000412

Le Fevre M, Kolt, GS, Matheny J. Eustress. Distress and their interpretation in primary and secondary occupational stress management interventions: which way first? J Managerial Psychology. 2006: 21(6):547-565. doi: 10.1108/0268 3940610684391

LeMoult J. From Stress to Depression: Bringing Together Cognitive and Biological Science. Curr Dir Psychol Sci. 2020;29(6):592-598. doi: 10.1177/ 0963721420964039

WHO; Depressive disorder (depression) [Internet]. 2023 [Cited 2024 Jul 27]. Available from: https:// www.who.int/news-room/fact-sheets/detail/depression

Lim GY, Tam WW, Lu Y, Ho CS, Zhang MW, Ho RC. Prevalence of depression in the community from 30 countries between 1994 and 2014. Sci. Rep. 2018;8:2861. doi: 10.1038/ s41598-018-21243-x

Hossain MD, Ahmed HU, Chowdhury WA, Niessen LW, Alam DS. Mental disorders in Bangladesh: a systematic review. BMC Psychiatry. 2014;30: 14(216). doi: 10.1186/s12888-014-0216-9

Cano MT, Pennington DL, Reyes S, Pineda, BS, Llamas JA, Periyakoil VS, et al. Factors associated with smoking in low-income persons with and without chronic illness. Tobacco Induced Diseases. 2021;19:59. doi:10.18332/tid/138241

Grahek I, Shenhav A, Musslick S, Krebs RM, Koster EHW. Motivation and cognitive control in depression. Neurosci Biobehav Rev. 2019;102: 371-381. doi: 10.1016/j.neubiorev. 2019.04.011

WHO; Depression [Internet]. 2020. [Cited 2024 Jul 15]. Available from: https://www.who.int/news-room/fact-sheet/detail/ depression

Reile R, Sisask M. Socio-economic and demographic patterns of mental health complaints among the employed adults in Estonia. PLoS One. 2021;16(10): e0258827.

Santos, MJd, Kawamura HC, Kassouf AL. Socioeconomic Conditions and Risk of Mental Depression: An Empirical Analysis for Brazilian Citizens. Economics Research International. 2012;2012(1):278906. doi: 10.1155/2012/278906

Mutyambizi C, Booysen F, Stornes P, Eikemo TA. Subjective social status and inequalities in depressive symptoms: a gender-specific decomposition analysis for South Africa. Int J Equity Health. 2019; 18(1):87. doi:10.1186/s12939-019-0996-0

Hamad R, Fernald LC, Karlan DS, Zinman J. Social and economic correlates of depressive symptoms and perceived stress in South African adults. J Epidemiol Community Health. 2008;62(6):538-544. doi: 10.1136/jech.2007.06619

Anjuma A, Hossain S, Sikder MT, Uddin ME, Rahim DA. Investigating the prevalence of and factors associated with depressive symptoms among urban and semi-urban school adolescents in Bangladesh: a pilot study. Int Health. 2022;14(4):354-362. doi: 10.1093/inthealth/ihz092

Khan A, Ahmed R, Burton NW. Prevalence and correlates of depressive symptoms in secondary school children in Dhaka city, Bangladesh. Ethn Health. 2020;25(1):34-46. doi: 10.1080/13557858.2017.1398313

Islam S, Akter R, Sikder T, Griffiths MD. Prevalence and Factors Associated with Depression and Anxiety Among First-Year University Students in Bangladesh: A Cross-Sectional Study. Int J Ment Health Addiction. 2022;20:1289-1302. doi: 10.1007/s11469-020-00242-y

Kamruzzaman M, Hossain A, Islam MA, Ahmed S, Kabir E, Khan MN. Exploring the prevalence of depression, anxiety, and stress among university students in Bangladesh and their determinants. Clinical Epidemiology and Global Health. 2024;28:101677. doi: 10.1016/j.cegh. 2024.101677

Roy N, Paul KD, Tamanna SS, Paul AK, Almerab MM, Mamun MA. Prevalence and risk factors of depression, anxiety, and stress among the Bangladeshi construction workers: A cross-sectional study. PLoS One. 2024;19(8):e0307895. doi:10.1371/journal.pone.0307895

Roy N, Paul KD, Tamanna SS, Paul AK, Almerab MM, Mamun MA. Prevalence and risk factors of depression, anxiety, and stress among the Bangladeshi construction workers: A cross-sectional study. PLoS One. 2024;19(8):e0307895. doi:10.1371/journal.pone.0307895

Piotrowski MC, Lunsford J, Gaynes BN. Lifestyle psychiatry for depression and anxiety: Beyond diet and exercise. Lifestyle Med. 2021;2: e21. doi.org/10.1002/lim2.2

Chowdhury U, Suvro MAH, Farhan SMD, Uddin MJ. Depression and stress regarding future career among university students during COVID-19 pandemic. PLoS ONE. 2022;17(4): e0266686. doi: 10.1371/journal. pone.0266686

Nasreen HE, Alam MA, Edhborg M. Prevalence and Associated Factors of Depressive Symptoms Among Disadvantaged Adolescents: Results from a Population-Based Study in Bangladesh. J Child Adolesc Psychiatr Nurs. 2016;29(3):135-144. doi: 10.1111/jcap.12150

Mohit MA, Maruf MM, Ahmed H, Alam MT. Depression and Physical Illnesses: an Update. Bangladesh Med J. 2011;40(1):53-8.

Selim N, Cultural Dimensions of Depression in Bangladesh: A Qualitative Study in Two Villages of Matlab. J Health Popul Nutr. 2010;28(1):95-106.

Mamun MA, Hossain MS, Griffiths MD. Mental Health Problems and Associated Predictors Among Bangladeshi Students. Int J Ment Health Addiction. 2022;20:657-671. doi: 10.1007/s11469-019-00144-8.

Hossain MK, Islam MN, Uddin MT. Level of Depression and Associated Factors among the Elderly in Sylhet District, Bangladesh. Int J Stat Sci. 2021;21(1):75-94.

Saha M, Paul S, Shil BC, Parveen I, Al- Mamun A, Majumder M, Chowdhury MS, Hossain HS. Status of Mental Health Among Left Behind Wives of Migrant Workers in North-East Part of Bangladesh. J Health Med Sci. 2019;2(1):103-108. doi: 10.31014/ AIOR.1994.02.01.26

Magfur I, Hasan MM, Imam R, Mamun AA, Islam MM, Singha ST. Depression, anxiety and stress among first year medical students in Sylhet division. Bang J Psychiatry. 2024; 37(2):25–31. doi: 10.3329/bjpsy. v37i2.72759

BBS. Population & Housing Census. [Internet]. 2022. [Cited 2024 Jul 15]. Available from: https://bbs.portal.gov. bd/sites/default/files/files/bbs.portal.gov.bd/page/b343a8b4_956b_45ca_872f_4cf9b2f1a6e0/2023-09-27-09-50-a3672cdf61961a45347ab8660a3109b6.pdf

Sparling TM, Waid JL, Wendt AS, Gabrysch S. Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition. Public Health Nutr. 2020; 23(4):660–673. doi: 10.1017/ S1368980019003495

Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement. 1977; 1(3):385-401. doi: 10.1177/014662 167700100306

Gellis ZD. Assessment of a brief CES-D measure for depression in homebound medically ill older adults. J Gerontol Soc Work. 2010; 53(4):289-303. doi: 10.1080/ 01634371003741417

Klein EM, Brähler E, Dreier M, Reinecke L, Müller, KW, Schmutzer G, et al. The German version of the Perceived Stress Scale – psychometric characteristics in a representative German community sample. BMC Psychiatry. 2016;16:159. doi: 10.1186/ s12888-016-0875-9

Vilagut G, Forero CG, Barbaglia G, Alonso J. Screening for Depression in the General Population with the Center for Epidemiologic Studies Depression (CES-D): A Systematic Review with Meta-Analysis. PLoS ONE. 2016; 11(5):e0155431. doi: 10.1371/journal. pone.0155431

Dozeman E, van Schaik DJ, van Marwijk HW, Stek ML, Beekman AT, van der Horst HE. Feasibility and effectiveness of activity-scheduling as a guided self-help intervention for the prevention of depression and anxiety in residents in homes for the elderly: a pragmatic randomized controlled trial. Int. Psychogeriatr. 2011;23(6): 969-978. doi: 10.1017/S104161021 1000202.