The assessment and validation of the depression, anxiety, and stress scale (DASS-21) among frontline doctors in Pakistan during fifth wave of COVID-19.

Objective: The study aims to document sociodemographic features, address the symptoms and levels of depression, anxiety, and stress among frontline doctors in Pakistan, and validate the depression, anxiety, stress scale (DASS-21) on the context of Pakistan. Method: A cross-sectional survey was conducted throughout the regions of Pakistan on frontline doctors to document their sociodemographic patterns and the levels of depression, anxiety, and stress while dealing with the fifth wave (Omicron-variant) of the coronavirus (SARS-CoV-2) pandemic in Pakistan (December 2021-April 2022). Respondents (N = 319) were recruited through a snowball sampling process. Results: Though previous literature reported declines in psychological symptoms after earlier waves of COVID-19, these DASS-21 findings show that as the pandemic has worn on, frontline doctors in Pakistan are having considerable personal symptoms of depression (72.7%), anxiety (70.2%), and stress (58.3%). Though specifically related to the COVID-19 pandemic, they rated only moderate levels of depression and stress, however they reported severe levels of anxiety. The results also revealed a positive correlation between depression and anxiety (r = 0.696, p < 0.001), depression and stress (r = 0.761, p < 0.001), and anxiety and stress (r = 0.720, p < 0.001). Conclusion: Through the application of all required statistical procedures, DASS-21 is validated in the cultural context of Pakistan among this group of frontline doctors. The findings of this study can provide new directions for the policy makers (government and hospitals' administration) of Pakistan to focus on the mental wellbeing of the doctors under similar enduring public health crises and to protect them from short- or long-term disorders.

The impact of empathy, sensation seeking, anxiety, uncertainty, and mindfulness on the intercultural communication in China during the COVID-19.

Objective: This study seeks to explore factors that have shaped the intercultural communication effectiveness (ICE) of international students (IS) during the COVID-19 pandemic. Theoretical predictions of anxiety uncertainty management (AUM) are considered to assess the ICE of IS who stayed in China throughout the COVID-19 pandemic. The prime causal factors of AUM theory (anxiety, uncertainty, and mindfulness) are included with empathy and sensation, seeking to examine their impact on ICE among IS in China. Methods: A quantitative research design was designed to survey IS via convenience samples from across China with a total of 261 IS from 42 different cultural backgrounds responding to invitations to participate in a Chinese-English survey. Well-established measurement tools were adopted to measure empathy (Cultural Empathy scale), sensation seeking (Brief Sensation Seeking Scale), anxiety (Intercultural Anxiety scale), uncertainty (Intercultural Uncertainty scale), mindfulness (Cognitive and Affective Mindfulness Scale-Revised), and ICE (Perceived Effectiveness of Communication scale). Findings: The findings revealed that anxiety (t = -3.61, p < 0.05) and uncertainty (t = -2.51, p < 0.05) had a negative impact on ICE. However, mindfulness (t = 3.93, p < 0.05), empathy (t = 3.60, p < 0.05), and sensation seeking (t = 7.93, p < 0.05) had a positive influence on ICE. Furthermore, the moderating effect of mindfulness is affirmed in this study. Conclusion: This study has reconfirmed the theoretical reasonings and applicability of AUM theory with the addition of empathy and sensation seeking by IS in the cultural context of China during the COVID-19 pandemic.