Abstract
Malaysia is one of the countries transitioning from the pandemic phase to an endemic phase of Covid19. The spread of Covid-19 had a significant impact on university students, affecting their mental health just as it did for many others. This study investigates depression, anxiety, and stress symptom levels among Malaysian university students and the coping strategies used to prevent or reduce these psychological distress symptoms. A web-based questionnaire was developed using Google Forms to collect data from students who were selected non-randomly from three public universities and one from a private university in Malaysia. Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Perceived Stress Scales-10 (PSS-10) were used for measuring depression, anxiety, and stress respectively. The coping strategies were measured using five strategies: seeking social support for emotional reasons, seeking social support for instrumental reasons, acceptance, mental disengagement, and humanitarian. The study findings indicated that 60.7% had depression symptoms, 30.4% had anxiety symptoms, and 86.3% had stress symptoms at moderate-to-severe levels. Acceptance was the most preferred coping strategy among the students while seeking social support for instrumental reasons was the least preferred coping strategy. Students with severe depression levels used mental disengagement coping strategies more than those with mild symptoms. Mental disengagement coping strategy was associated with severe anxiety symptoms compared to mild and minimal symptoms. Seeking social support for emotional reasons was also associated with moderate anxiety symptoms compared to mild anxiety symptoms.
Keywords
- Depression Search this journal for Depression (opens in a new tab)
- Anxiety Search this journal for Anxiety (opens in a new tab)
- Stress Search this journal for Stress (opens in a new tab)
- Coping Strategies Search this journal for Coping Strategies (opens in a new tab)
- Covid-19 Pandemic Search this journal for Covid-19 Pandemic (opens in a new tab)
References
- Acoba E. F. (2024). Social support and mental health: the mediating role of perceived stress. Frontiers in Psychology, 15, 1330720. https://doi.org/10.3389/fpsyg.2024.1330720
- Alotaibi, N. M., Alkhamis, M. A., Alrasheedi, M., Alotaibi, K., Alduaij, L., Alazemi, F., Alfaraj, D., & Alrowaili, D. (2024). Psychological Disorders and Coping among Undergraduate College Students: Advocating for Students' Counselling Services at Kuwait University. International journal of environmental research and public health, 21(3), 245. https://doi.org/10.3390/ijerph21030245
- Asif, S., Mudassar, A., Shahzad, T. Z., Raouf, M., & Pervaiz, T. (2020). Frequency of depression, anxiety and stress among university students. Pakistan journal of medical sciences, 36(5), 971–976. https://doi.org/10.12669/pjms.36.5.1873
- Baloch, G. M., Kamaludin, K., Chinna, K., Sundarasen, S., Nurunnabi, M., Khoshaim, H. B., Hossain, S. F. A., Sukayt, A. A., & Baloch, L. G. (2021). Coping with COVID-19: The Strategies Adapted by Pakistani Students to Overcome Implications. International journal of environmental research and public health, 18(4), 1799. https://doi.org/10.3390/ijerph18041799
- Brown, B., Mbewe, A., & Forcheh, N. (2023). Levels of interest among prospective and enrolled undergraduate students in learning through online and blended modes. South African Journal of Higher Education, 37(3), 20-42. https://doi.org/10.20853/37-3-4848
- Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual review of psychology, 61, 679–704. https://doi.org/10.1146/annurev.psych.093008.100352
- Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology, 56(2), 267–283. https://doi.org/10.1037//0022-3514.56.2.267
- Chan, S.F., & La Greca, A.M. (2013). Perceived Stress Scale (PSS). In Encyclopaedia of Behavioral Medicine; Springer: New York, NY, USA, 2013; pp. 1454–1455.
- Chaudhary, A.P., Sonar, N.S., Jamuna, T.R., Banerjee, M., Yadav, S. (2021). Impact of the COVID-19 pandemic on the mental health of college students in India: Cross-sectional web-based study. JMIRx Med, 2(3), e28158. https://doi.org/10.2196/28158
- Chen, H., Feng, H., Liu, Y., Wu, S., Li, H., Zhang, G., Yang, P., & Zhang, K. (2023). Anxiety, depression, insomnia, and PTSD among college students after optimizing the COVID-19 response in China. Journal of Affective Disorders, 337, 50–56. https://doi.org/10.1016/j.jad.2023.05.076
- Cheung, T., Wong, S. Y., Wong, K. Y., Law, L. Y., Ng, K., Tong, M. T., Wong, K. Y., Ng, M. Y., & Yip, P. S. (2016). Depression, anxiety and symptoms of stress among Baccalaureate Nursing students in Hong Kong: A cross-sectional study. International journal of environmental research and public health, 13(8), 779. https://doi.org/10.3390/ijerph13080779
- Cohen, S., Gianaros, P. J., & Manuck, S. B. (2016). A stage model of stress and disease. Perspectives on psychological science: a journal of the Association for Psychological Science, 11(4), 456–463. https://doi.org/10.1177/1745691616646305
- Esia-Donkoh, K., Yelkpieri, D., & Esia-Donkoh, K. (2011). Coping with stress: Strategies adopted by students at the Winneba Campus of University of Education, Winneba, Ghana. US-China Education Review B 2, 290–299.
- Etikan, I. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics. 5(1):1.
- Freire, C., Ferradás, M. D. M., Regueiro, B., Rodríguez, S., Valle, A., & Núñez, J. C. (2020). Coping strategies and self-efficacy in university students: A person-centered approach. Frontiers in Psychology, 11, 841. https://doi.org/10.3389/fpsyg.2020.00841
- Fuzi, S. F., Jama, S. R., Jusoh, N., Zainudin, S. N., Halim, B. A., Zahidi, N. E., & Hassan, W. H. W. (2024). Predictors of severe anxiety among Bumiputera students. Information Management and Business Review, 16(1(I)), 64–75. https://doi.org/10.22610/imbr.v16i1(i).3661
- Hysenbegasi, A., Hass, S. L., & Rowland, C. R. (2005). The impact of depression on the academic productivity of university students. The journal of mental health policy and economics, 8(3), 145–151.
- Irfan, M., Shahudin, F., Hooper, V. J., Akram, W., & Abdul Ghani, R. B. (2021). The Psychological Impact of Coronavirus on University Students and its Socio-Economic Determinants in Malaysia. Inquiry: a journal of medical care organization, provision and financing, 58, 469580211056217. https://doi.org/10.1177/00469580211056217
- Kamaludin, K., Chinna, K., Sundarasen, S., Khoshaim, H. B., Nurunnabi, M., Baloch, G. M., Sukayt, A., & Hossain, S. F. A. (2020). Coping with COVID-19 and movement control order (MCO): experiences of university students in Malaysia. Heliyon, 6(11), e05339. https://doi.org/10.1016/j.heliyon.2020.e05339
- Kassim, M. A. M., Pang, N. T. P., Mohamed, N. H., Kamu, A., Ho, C. M., Ayu, F., Rahim, S. S. S. A., Omar, A., & Jeffree, M. S. (2022). Relationship between fear of COVID-19, psychopathology and sociodemographic variables in Malaysian population. International journal of mental health and addiction, 20(3), 1303–1310. https://doi.org/10.1007/s11469-020-00444-4
- Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
- Lopes, A. R., & Nihei, O. K. (2021). Depression, anxiety and stress symptoms in Brazilian university students during the COVID-19 pandemic: Predictors and association with life satisfaction, psychological well-being and coping strategies. PloS one, 16(10), e0258493. https://doi.org/10.1371/journal.pone.0258493
- Morales-Rodríguez, F. M., & Pérez-Mármol, J. M. (2019). The role of anxiety, coping strategies, and emotional intelligence on general perceived self-efficacy in university students. Frontiers in Psychology, 10, 1689. https://doi.org/10.3389/fpsyg.2019.01689
- Odriozola-González, P., Planchuelo-Gómez, Á., Irurtia, M. J., & de Luis-García, R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research, 290, 113108. https://doi.org/10.1016/j.psychres.2020.113108
- Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General psychiatry, 33(2), e100213. https://doi.org/10.1136/gpsych-2020-100213
- Ramadianto, A.S., Kusumadewi, I., Agiananda, F., & Raharjanti, N. W. (2022). Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry 22(92). https://doi.org/10.1186/s12888-022-03745-1
- Rehman, U., Shahnawaz, M. G., Khan, N. H., Kharshiing, K. D., Khursheed, M., Gupta, K., Kashyap, D., & Uniyal, R. (2021). Depression, anxiety and stress among Indians in times of Covid-19 lockdown. Community Mental Health Journal, 57(1), 42–48. https://doi.org/10.1007/s10597-020-00664-x
- Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., Rasoulpoor, S., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and health, 16(1), 57. https://doi.org/10.1186/s12992-020-00589-w
- Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse education in practice, 46, 102809. https://doi.org/10.1016/j.nepr.2020.102809
- Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. Journal of medical Internet research, 22(9), e21279. https://doi.org/10.2196/21279
- Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
- TheStar. (2022). Malaysia will transition into the endemic phase from April 1. TheStar. Available: https://www.thestar.com.my/news/nation/2022/03/08/pm-msia-will-enter-endemic-phase-from-april-1.
- Villani, L., Pastorino, R., Molinari, E., Anelli, F., Ricciardi, W., Graffigna, G., & Boccia, S. (2021). Impact of the COVID-19 pandemic on the psychological well-being of students in an Italian university: a web-based cross-sectional survey. Globalization and health, 17(1), 39. https://doi.org/10.1186/s12992-021-00680-w
- Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the general population in China. International journal of environmental research and public health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
- Wong, S. S., Wong, C. C., Ng, K. W., Bostanudin, M. F., & Tan, S. F. (2023). Depression, anxiety, and stress among university students in Selangor, Malaysia during COVID-19 pandemics and their associated factors. PloS one, 18(1), e0280680. https://doi.org/10.1371/journal.pone.0280680
- Yu, C. Y., Wong, S. Y., Liew, N. W. C., Joseph, N., Zakaria, Z., Nurulfiza, I., Soe, H. J., Kairon, R., Amin-Nordin, S., & Chee, H. Y. (2022). Whole genome sequencing analysis of SARS-CoV-2 from Malaysia: From alpha to Omicron. Frontiers in medicine, 9, 1001022. https://doi.org/10.3389/fmed.2022.1001022
- Zhao, J., Zhao, H. & Zhou, A. (2023). Negative Parenting Styles and Psychological Crisis in Adolescents: Testing a Moderated Mediating Model of School Connectedness and Self-Esteem. Behavioral sciences (Basel, Switzerland). 13. 10.3390/bs13110929.
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Copyright (c) 2024 Bushra Abdul Halim, Siti Fairus Fuzi, Siti Ramizah Jama, Siti Nursyahira Zainudin, Nordianah Jusoh Hussain, Nurul Emyza Zahidi, Wan Hartini Wan Hassan (Author)

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Keywords
- Depression Search this journal for Depression (opens in a new tab)
- Anxiety Search this journal for Anxiety (opens in a new tab)
- Stress Search this journal for Stress (opens in a new tab)
- Coping Strategies Search this journal for Coping Strategies (opens in a new tab)
- Covid-19 Pandemic Search this journal for Covid-19 Pandemic (opens in a new tab)
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Vol. 16 No. 4(S)I (2024)
Digital Payments, Game-Based Learning & Knowledge Behaviour
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