Prevalence and risk factors associated with psychological distress among children in Penang, Malaysia: A stratified multistage cluster study.

Mental health is a state of mind influences one thinking, feeling and acting from inside and outside that are vital for children's normal growth and development. Psychological distress may results in serious mental health problem if left untreated. Hence, early diagnosis can largely improve the condition from being deteriorating. This study determined the prevalence of psychological distress and its associated risk factors among children in Penang, Malaysia. The study applied stratified multistage cluster sampling for the recruitment of children, and their socio-demographics background, health and lifestyle practices, and the prevalence and risk factors of psychological distress were succinctly studied. The study provides a fundamental platform for informing parents and policy makers about psychological distress, and the need to strategize potential health intervention for achieving optimum human well-being.•Stratified multistage cluster sampling was useful to study the prevalence and risk factors of psychological distress in a children population.•DASS-Y is robust for brief dimensional measure of depression, anxiety and stress among children.