An online survey on the psychological impact of the COVID-19 pandemic among internet users in Sri Lanka

Background: The COVID pandemic has been reported to be associated with an increase in the rates of depression, stress, and anxiety among people worldwide.Aims: We conducted an online survey using the DASS-21 to detect levels of depression, anxiety and stress among internet users in Sri Lanka.Methods: An open online survey based on a Google form was conducted and the study instruments consisted of questionnaires on socio-demographic details, coping strategies, and the original English and the validated Sinhala versions of the Depression Anxiety and Stress Scale (DASS-21).Results: We found that the prevalence of depression, anxiety, and stress among internet users in Sri Lanka were higher than those reported during pre-pandemic times. Financial loss (p<0.05) and difficulty in accessing essential items (p<0.05) was associated with depression, stress, and anxiety. Younger age, unemployment, being single and not having children were associated with depression and anxiety (p<0.05), while female gender and working away from home were associated with stress (p<0.05).Conclusions: Measures that promote wellbeing are important to reduce the probable mental health impact of future lockdowns.