Validation of the Malay Version of the COVID-19 Anxiety Scale in Malaysia

| Posted in: Science Health Sciences

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Validation of the Malay Version of the COVID-19 Anxiety Scale in Malaysia
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Chin Siang Ang, Kai Wei Lee, Meng Chuan Ho, Siok Ping Voon, Siew Mooi Ching, Chai Eng Tan, Fan Kee Hoo, Pei Boon Ooi


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Validation of the Malay Version of the COVID-19 Anxiety Scale in Malaysia

Year: 2022 | Doi: 10.21315/mjms2022.29.3.12

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The COVID-19 pandemic has profoundly affected mental health globally, with many individuals experiencing heightened anxiety and emotional distress due to the prolonged lockdowns and rising infection rates. In Malaysia, the public has shown increasing disillusionment and anxiety related to the pandemic, prompting the need for a tool to assess the psychological impacts of COVID-19 effectively. This study aimed to adapt and validate the Malay version of the COVID-19 Anxiety Scale (M-CAS) to provide a reliable instrument for measuring COVID-19-related anxiety among Malaysian adults.

Validation of the Malay COVID-19 Anxiety Scale (M-CAS)

The M-CAS was developed through a comprehensive process involving translation, content validity assessment by experts, and psychometric evaluation. The study involved 225 participants who completed the M-CAS alongside other validated scales, including the Generalized Anxiety Disorder 7-item Scale (GAD-7) and the Fear of COVID-19 Scale (FCV-19S). The findings showed that the M-CAS demonstrated strong internal consistency (Cronbach’s alpha = 0.890) and a unidimensional factor structure. It exhibited significant correlations with the GAD-7 and FCV-19S, validating its effectiveness as a measure of anxiety specific to the COVID-19 context while distinguishing itself from perceived quality of life measures, as indicated by a lack of correlation with the World Health Organization Quality of Life Scale.

Conclusion

The development and validation of the M-CAS represent a significant advancement in the measurement of COVID-19-related anxiety within the Malaysian population. This scale serves as a practical tool for clinicians and researchers to quickly assess anxiety levels associated with the pandemic and can facilitate timely interventions for those in need. With its psychometric soundness and ease of administration, the M-CAS promises to contribute to ongoing psychological research and the understanding of mental health challenges arising from COVID-19 in Malaysia.

FAQ section (important questions/answers):

What is the COVID-19 Anxiety Scale (M-CAS)?

The COVID-19 Anxiety Scale (M-CAS) is a tool adapted to assess anxiety levels specifically related to COVID-19 among Malaysian adults, aiming to measure the psychological impact of the pandemic.

How was the M-CAS validated in this study?

The M-CAS was validated by conducting a study with 225 participants who completed the scale alongside other psychological measures, showing good internal consistency, convergent, discriminant, and concurrent validity.

What are the main findings regarding the M-CAS?

The M-CAS demonstrated good internal consistency with a Cronbach's alpha of 0.890, a unidimensional factor structure, and significant correlations with established anxiety measures like GAD-7 and the Fear of COVID-19 Scale.

Why is the M-CAS important for Malaysians?

The M-CAS provides a culturally relevant tool for mental health professionals to assess COVID-19 related anxiety among Malaysians, facilitating timely interventions and supporting mental health during the pandemic.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Validation of the Malay Version of the COVID-19 Anxiety Scale in Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Anxiety:
Anxiety refers to a psychological condition characterized by excessive worry, fear, or apprehension. It is a common mental health issue that can be exacerbated by stressful situations, such as the COVID-19 pandemic. Understanding anxiety is vital for effectively assessing and addressing mental health concerns in populations, particularly during distressing times.

2) Table:
A Table in research often refers to a systematic arrangement of data, which facilitates understanding and comparison. It is essential for presenting results in a structured manner, helping readers quickly grasp findings. Tables also serve as visual aids that complement textual information, enhancing clarity and enabling effective communication of research results.

3) Study (Studying):
A study is a systematic investigation aimed at discovering, interpreting, or revising facts. It involves various methods of research, including empirical analysis, observations, and surveys. In mental health contexts, studies help identify trends, validate tools, and understand the psychological impact of events such as epidemics on various populations.

4) Quality:
Quality generally pertains to the standard or degree of excellence of a material or experience. In the context of life, quality refers to individual perceptions of satisfaction and well-being in various life domains, including physical, psychological, and social factors. Assessing quality helps understand how external factors, like pandemics, impact overall life satisfaction.

5) Life:
Life encompasses the existence and experiences of individuals, including their interactions, challenges, and adaptations to environments. The quality of life is often assessed to understand how individuals perceive their well-being. It also includes various factors such as health, social relationships, and emotional stability, which are influenced by numerous external circumstances.

6) Fear:
Fear refers to an emotional response to perceived threats or danger, which can manifest in various ways, such as anxiety. In the context of global events like the COVID-19 pandemic, fear can significantly impact mental health. Understanding fear is crucial to developing instruments like M-CAS to measure anxiety related to COVID-19 specifically.

7) Saya (Shaya):
Saya is the Malay word for 'I' or 'me,' reflecting personal identity in the Malay language. In psychological research in Malaysia, using local language terms like 'saya' enhances accessibility and understanding among participants, ensuring that the study resonates culturally with the target population, thereby improving participant engagement and data quality.

8) Reliability:
Reliability in research refers to the consistency and stability of a measure over time. It ensures that tools used to assess mental health or anxiety yield stable and dependable results. High reliability is critical for validating instruments like the M-CAS, ensuring they accurately reflect the psychological state of respondents.

9) Language:
Language is a system of communication used by individuals to convey thoughts, emotions, and ideas. In research and psychological assessments, the choice of language is vital, as it influences understanding and responses. Instruments should be culturally and linguistically appropriate, enhancing their effectiveness among diverse populations to yield valid results.

10) Death:
Death signifies the end of life and can evoke strong feelings, including anxiety or fear. In psychological terms, the fear of death can lead to significant emotional distress, particularly during crises like a pandemic. Understanding death-related anxieties helps researchers create relevant assessment tools to measure such sentiments in populations.

11) Mental health:
Mental health encompasses emotional, psychological, and social well-being, affecting how individuals think, feel, and act. It is critical for overall quality of life and influenced by various factors, including stressors like pandemics. Assessing mental health conditions, particularly during crises, is essential for timely intervention and support for affected populations.

12) Rules:
Rules define the principles or regulations that govern behavior within particular contexts. In psychological research, rules related to conducting studies ensure ethical considerations are maintained, participants are treated fairly, and valid data is collected. Adhering to established rules is crucial for maintaining the integrity and reliability of research outcomes.

13) Education:
Education involves the process of acquiring knowledge, skills, values, and attitudes through various means, such as teaching and learning. It plays a significant role in shaping mental health outcomes, as educated individuals are often more aware of mental health issues, seek help more readily, and utilize effective coping strategies during crises.

14) Post:
In research, 'post' refers to after a certain event or intervention has occurred. For instance, evaluating post-epidemic mental health can provide insights into the long-term psychological impacts of crises like COVID-19. Understanding post-event conditions is essential for developing strategies aimed at improving mental health outcomes following significant disturbances.

15) Measurement:
Measurement refers to the process of quantifying or assessing attributes, behaviors, or phenomena. In psychology, accurate measurement techniques are vital for evaluating constructs like anxiety. Instruments designed for measurement must demonstrate reliability and validity to ensure they accurately capture the intended psychological constructs and contribute meaningful data for analysis.

16) Police:
Police refer to the governmental body responsible for maintaining law and order, and their involvement can be significant during public crises such as pandemics. The role of police can influence mental health, as enforcement actions may heighten public anxiety. Recognizing their influence helps researchers understand societal stressors during crises.

17) Calculation:
Calculation involves the use of mathematical methods to derive values or determine relationships. In research studies, accurate calculations are crucial for analyzing data, determining validity, and ensuring the reliability of results. Well-defined calculations contribute to the credibility of research findings and enable researchers to draw valid conclusions from their data.

18) Depression:
Depression is a common mental disorder characterized by persistent feelings of sadness and loss of interest. It can be triggered or exacerbated by stressful events like pandemics, warranting the need for effective measurement tools to assess its prevalence and severity in populations. Understanding depression helps in developing intervention strategies for at-risk individuals.

19) Attending:
Attending refers to the act of being present or engaging in activities, especially in learning or therapeutic settings. In mental health contexts, attending can relate to seeking help or participating in treatment. Understanding who is attending therapy or support groups can aid researchers in assessing the efficacy and accessibility of mental health resources.

20) Epidemic:
An epidemic refers to a sudden outbreak of disease that spreads rapidly among populations. Understanding the psychological impacts of epidemics like COVID-19 is critical for mental health research, as these events can significantly influence collective anxiety, fear, and other emotional responses, highlighting the necessity for effective assessment tools.

21) Science (Scientific):
Science is a systematic enterprise that builds and organizes knowledge in the form of testable explanations and predictions about the universe. In psychology, scientific methods enable researchers to study mental health conditions, develop assessment tools, and evaluate treatment outcomes rigorously, ensuring that findings contribute to knowledge and practice effectively.

22) Barber:
Barber may refer to a profession involved in grooming and personal care. In the context of mental health, professions such as barbers can serve as informal support systems, providing social interaction that can positively influence clients' mental health. Recognizing these roles underscores the importance of community and social connections in well-being.

23) Roman (Roma):
Roman could refer to various contexts, including historical, cultural, or language-related aspects. In research, understanding cultural and historical contexts is vital as they influence perceptions, behaviors, and responses, especially related to mental health. This understanding helps tailor assessments and interventions in culturally sensitive ways that resonate with specific populations.

24) Field:
Field typically refers to a specific area of study or professional practice. In psychology, fields can include clinical, counseling, or educational psychology. Understanding different fields is critical for developing specific assessment tools, such as the M-CAS, tailored to address unique needs and demographic characteristics relevant to the targeted population.

25) Cina:
China, as a country, serves as a significant point of reference in global public health discussions, especially during epidemics like COVID-19. Understanding how different regions, including China, respond to health crises can inform other countries, including Malaysia, about effective strategies and public health policy implementations to mitigate psychological impacts.

26) Hari (Harin):
Hari is the Malay word for 'day.' Understanding local languages, including their meanings, enhances accessibility in communication during psychological assessments. Utilizing relevant terms ensures that research instruments resonate with participants, fostering inclusivity and understanding, which ultimately supports accurate data collection and meaningful interactions in research settings.

27) Viru:
Viru could relate to viruses that cause diseases. In the context of mental health, discussions around specific viruses, including COVID-19, illustrate the relationship between public health and psychological well-being. Understanding community perceptions of viruses can inform interventions and highlight the importance of mental health during health crises.

28) Mental disorder:
A mental disorder is a health condition characterized by alterations in thinking, mood, or behavior that negatively impact functioning. Understanding mental disorders is essential for developing effective interventions and assessments, such as the M-CAS, to address the psychological repercussions of widespread stressors and support affected individuals during crises.

29) Discussion:
Discussion in research reflects the interpretation and implications of findings. It helps in contextualizing results, drawing connections to existing literature, and proposing future studies. The discussion section is vital for articulating the relevance of outcomes, including understanding mental health impacts related to phenomena like COVID-19 and enhancing relevant practices or policies.

30) Similarity:
Similarity refers to the degree to which two or more entities share common characteristics. In psychological assessments, recognizing similarities in populations helps tailor intervention strategies and develop culturally relevant tools. For instance, adapting assessment measures like M-CAS based on similarities in anxiety reactions across different contexts can improve its effectiveness.

31) Knowledge:
Knowledge consists of information, awareness, or understanding acquired through experience or education. In mental health research, accumulating knowledge about psychological constructs, such as anxiety related to COVID-19, is fundamental for developing robust assessment tools and informing effective treatment approaches to address specific populations' mental health concerns.

32) Inference:
Inference involves drawing conclusions based on evidence and reasoning. In research, making inferences from data is crucial for understanding relationships between variables, particularly in mental health assessments. It allows researchers to interpret findings and informs the design of interventions aimed at mitigating anxiety or addressing psychological effects of crises.

33) Suffering:
Suffering refers to the experience of physical or psychological pain. In psychological contexts, understanding suffering is vital for assessing mental health states and the impact of stressors like pandemics on individuals. Recognizing the nuances of suffering can guide the development of supportive interventions and enhance empathetic approaches to care.

34) Gathering:
Gathering refers to the act of collecting or convening, often in social settings. During health crises, gathering dynamics can influence mental health, leading to feelings of isolation or anxiety due to restrictions. Understanding the implications of gatherings and their limitations can guide mental health strategies and community support initiatives.

35) Training:
Training involves teaching or developing skills through instruction or practice. In mental health contexts, training of healthcare providers is essential for equipping them to recognize and address anxiety, particularly during crises. Effective training ensures that interventions are sensitive to the psychological needs of diverse populations, enhancing overall mental health outcomes.

36) Channel:
Channel refers to a medium through which information is conveyed. In the context of mental health, channels of communication can influence public understanding and response to crises. Utilizing appropriate channels to disseminate psychological resources supports community engagement and helps mitigate distress by providing timely and accurate information.

37) Disease:
Disease refers to a pathological condition that disrupts normal bodily functions, impacting an individual's physical and mental health. Understanding disease dynamics, especially during pandemics, is crucial for assessing its psychological impact on populations. This knowledge helps inform public health measures and mental health supports aligned with the realities faced by communities.

38) Nature:
Nature refers to the inherent qualities or characteristics of something. In psychological research, understanding the nature of mental health issues, including anxiety, is essential for effective measurement and intervention development. Grasping the nuances of individual experiences within their environments helps tailor supportive strategies to better address unique mental health needs.

39) Indian:
Indian refers to anything related to the nation of India or its people. In psychological research, understanding the cultural aspects of specific ethnic groups, such as Indian Malaysians, is essential. Acknowledging cultural nuances aids in developing assessments that accurately reflect the experiences of diverse populations and ensures culturally competent mental health support.

40) Worry (Worried, Worrying):
Worry encompasses the cognitive process of experiencing anxiety about potential future events. It is often a central feature of anxiety disorders and can exacerbate mental health challenges during crises. Understanding worry is crucial for developing effective psychological assessments and interventions aimed at managing anxiety related to health crises like the COVID-19 pandemic.

41) Lepa:
Lepa, in the given context, appears undefined, possibly representing a cultural or localized term. Understanding local languages and terms is vital for effective communication and ensuring relevance in psychological assessments. Culturally specific terms can enhance participation and comprehension during mental health research, ultimately leading to better-informed interventions.

42) Sign:
Sign refers to an indication or evidence of something. In psychological research, signs can denote symptoms or behaviors indicative of mental health conditions. Recognizing and interpreting signs associated with anxiety, especially during significant stressors like a pandemic, is essential for developing relevant assessment tools and timely interventions for at-risk populations.

43) Pur:
Poor typically denotes a lack of quality or deficiency in resources. In mental health discussions, individuals facing poor mental health conditions or poor access to psychological services require targeted interventions. Understanding the implications of 'poor' conditions helps researchers and practitioners design evidence-based strategies to support and improve mental health outcomes for these populations.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Validation of the Malay Version of the COVID-19 Anxiety Scale in Malaysia’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

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