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Psychological assessment Perceived stress (PS) PSS is one of the validated and widely accepted scales used for psychological assessment

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Serious psychological distress was assessed using a set of questions from the six-item Kessler (K6) scale ( that asks sampled adults to assess the frequency of six characteristics (sadness, nervousness, restlessness, hopelessness, feeling that everything was an effort, and worthlessness) experienced within the previous 30 days