DOI QR코드

DOI QR Code

Computational Impact Analysis of Mental Health and Stress Coping of University Students amid COVID-19 Pandemic

  • Hussain Saleem (Department of Computer Science, UBIT, University of Karachi) ;
  • Kiran Fatima Mehboob Ali Bana (Bahria University Medical & Dental College, BUMDC) ;
  • Samina Saleem (Karachi University Business School, KUBS, University of Karachi)
  • Received : 2024.06.05
  • Published : 2024.06.30

Abstract

Objectives: To compare the levels of anxiety on GAD-7 scale among undergraduates of dental, medical and engineering students during COVID-19. The secondary objectives were to correlate the factors influencing level of anxiety and to assess the coping strategies practiced by undergraduates' students of Karachi duri.ng COVID-19 outbreak. Methodology: The cross-sectional based survey was conducted online among the medical, dental and engineering undergraduates' university students of private sector in Karachi through purposive sampling technique during COVID-19 lock down period. The GAD-7 validated tool was used along with the demographic variables, related stress factors and the coping skills practiced during this outbreak. Total 571 questionnaires were found completed in all sections. The data was analyzed on SPSS version 23. P-value <0.05 was considered as statistically significant. Results: The mental health of the students was assessed on GADS-7 scale as normal, mild, moderate and severe levels. From the total (n=18-3.2%) were normal, (n=132-23.1%) had mild, (n=343-60.1%) had moderate and (n=78-13.7%) had severe anxiety level on GADS-7. The levels of anxiety on GAD-7 scale were all positively associated with the related stressors at p-value of 0.000. Moreover the results depicted that there was a moderate and positive correlation found (0.456, 0.447, 0.512 and 0.452) for all related stressors and GAD-7 scale. Taking breaks from watching, reading news regarding the outbreak of COVID-19, meditation and engaging in some other activities were the most frequently used coping strategies for all levels of anxiety among three cohorts of undergraduates'. Conclusion: Undergraduates has shown 96.9% drastically increased level of anxiety during the outbreak of COVID 19 pandemic. Taking breaks from watching, reading news regarding the outbreak of COVID-19 was the most frequent behavior practiced by the students.

Keywords

References

  1. Yang C, Qiu X, Fan H, Jiang M, Lao X, Zeng Y, Zhang Z. Coronavirus disease 2019: reassembly attack of coronavirus. International Journal of Environmental Health Research. 2020 Apr 23:1-9.
  2. http://covid.gov.pk/stats/global
  3. Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, Hu Y, Tao ZW, Tian JH, Pei YY, Yuan ML. A new coronavirus associated with human respiratory disease in China. Nature. 2020 Mar;579(7798):265-9.
  4. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry research. 2020 Mar 20:112934.CP
  5. Banerjee D. The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian J. Psychiatr. 2020 doi: 10.1016/j.ajp.2020.102014
  6. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, He L, Sheng C, Cai Y, Li X, Wang J. Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020 Apr 1;7(4):e15-6.
  7. Yang Y, Li W, Zhang Q, Zhang L, Cheung T, Xiang YT. Mental health services for older adults in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020 Apr 1;7(4):e19.
  8. Li SW, Wang Y, Yang YY, Lei XM, Yang YF. Analysis of influencing factors of anxiety and emotional disorders in children and adolescents during home isolation during the epidemic of novel coronavirus pneumonia. Chinese Journal of Child Health. 2020:1-9.
  9. Haider II, Tiwana F, Tahir SM. Impact of the COVID-19 Pandemic on Adult Mental Health. Pakistan Journal of Medical Sciences. 2020 Apr 29;36(COVID19-S4).
  10. Ali KF, Fatima A, Ilyas BF. Impact of Anxiety and Depression on Temporomandibular Joint Disorders among Sample of Dental Undergraduates of Karachi. JPDA. 2016 Oct;25(04):144.
  11. Sufia S. Burnout among Undergraduate Dental Students at a Public Academic Institution in Lahore, Pakistan. JPDA. 2016 Oct;25(04):132.
  12. Toussaint, A., Husing, P., Gumz, A., Wingenfeld, K., Harter, M., Schramm, E., Lowe, B., 2020. Sensitivity to change and minimal clinically important difference of the 7-item generalized anxiety disorder questionnaire (GAD-7). J Affect Disord 265, 395-401.
  13. Budikayanti A, Larasari A, Malik K, Syeban Z, Indrawati LA, Octaviana F. Screening of Generalized Anxiety Disorder in Patients with Epilepsy: Using a Valid and Reliable Indonesian Version of Generalized Anxiety Disorder-7 (GAD-7). Neurology research international. 2019;2019.
  14. Johnson, S.U., Ulvenes, P.G., Oktedalen, T., 2019. Psychometric properties of the general anxiety disorder 7-Item (GAD-7) scale in a heterogeneous psychiatric sample. Frontiers in psychology. 10, 1713.
  15. Moreno, E., Munoz-Navarro, R., Medrano, L.A., Gonzalez-Blanch, C., Ruiz-Rodriguez, P.,Limonero, J.T., Moretti, L.S., Cano-Vindel, A., Moriana, J.A., 2019. Factorial invariance of a computerized version of the GAD-7 across various demographic groups and over time in primary care patients. J. Affect Disord. 252, 114-121.
  16. Sarkar S, Gupta R, Menon V. A systematic review of depression, anxiety, and stress among medical students in India. J Mental Health Hum Behav 2017;22:88-96.
  17. Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria J Med 2017;53:77-84.
  18. Ibrahim N, Al-Kharboush D, El-Khatib L, Al-Habib A, Asali D.Prevalence and predictors of anxiety and depression among female medical students in King Abdulaziz University, Jeddah, Saudi Arabia. Iran J Public Health 2013;42:726-36.
  19. Alkot M. Depression among medical versus non- medical students in Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia. Am J Psychiatry Neurosci 2017;5:1.
  20. Stallman HM. Prevalence of psychological distress in university students - Implications for service delivery. Aust Fam Physician 2008;37:673-7. 20.
  21. Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria J Med 2017;53:77-84. 21.
  22. Amr M, Amin TT, Saddichha S. Depression and anxiety among Saudi university students: Prevalence and correlates. Arab J Psychiatry 2013;24:1-7.
  23. Basnet B, Jaiswal M, Adhikari B, Shyangwa PM. Depression Among Undergraduate Medical Students. Kathmandu Univ med J 2012;39(3):74-
  24. Pal S, Prashant P, Rohilla R. Psychological Distress in Undergraduate Medical Students. International Journal of Physiology. 2019;7(3):178-82.
  25. Gupta S, Choudhury S, Das M, Mondol A, Pradhan R. Factors causing stress among students of a medical college in Kolkata, India. Education for Health. 2015 Jan 1;28(1):92.
  26. Choi IJ. he Inluence of parent-adolescent communication types on adolescent's self-diferentiation, depression and anxiety. he Korean Journal of Clinical Psychology. Poster proceeding. 2006. p. 682-83.
  27. Mane Abhay B, Krishnakumar MK, Niranjan Paul C, Hiremath SG. Differences in perceived stress and its correlates among students in professional courses. J Clin Diagnostic Res 2011;5:1228 33.
  28. Chevvuri R, Naveen N, Yunus GY, Tiwari R, Sharma H, Verma S. Professional environmental stress among dental and engineering students in Bhilai, Chhattisgarh, Central India: A comparative cross-sectional study. Journal of Indian Association of Public Health Dentistry. 2019 Jan 1;17(1):25.
  29. Chenganakkattil S, Jibinbabu K, Hyder S. Comparison of psychological stress, depression and anxiety among medical and engineering students. Int J Res Med Sci. 2017 Apr;5(4):1213-6.
  30. Dutta AP, Pyles MA, Miederhoff PA. Stress in health professions students: myth or reality? A review of the existing literature. J Natl Black Nurses Assoc 2005; 16(1):63-8
  31. Naseem S, Munaf S. Suicidal ideation, depression, anxiety, stress, and life satisfaction of medical, engineering, and social sciences students. Journal of Ayub Medical College Abbottabad. 2017 Jul 30;29(3):422-7.
  32. Schmitter M, Liedl M, Beck J, Rammelsberg P. Chronic stress in medical and dental education. Medical teacher. 2008 Jan 1;30(1):97-9.
  33. Chilukuri H, Bachali S, Naidu JN, Basha AS, Selvam VS. Perceived stress amongst medical and dental students. AP J Psychol Med. 2012 Jul 1;13(2):104-7.
  34. Imran, N., Tariq, K.F., Pervez, M.I. et al. Medical Students' Stress, Psychological Morbidity, and Coping Strategies: a Cross-Sectional Study from Pakistan. Acad Psychiatry 40, 92-96 (2016).
  35. Alhamadi L, Mohamed A, Wahdan A, Hibatulla A. Perceived sources and coping mechanisms of stress among undergraduate dental students in Aden University. Int J of Sci and Res. 2016;5(4):740-4.
  36. Kunwar D, Risal A, Koirala S. Study of depression, anxiety and stress among the medical students in two medical colleges of Nepal. Kathmandu Univ Med J. 2016 Jan;53(1):22-6.
  37. Anuradha R, Dutta R, Raja JD, Sivaprakasam P, Patil AB. Stress and stressors among medical undergraduate students: A cross-sectional study in a private medical college in Tamil Nadu. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2017 Oct;42(4):222.
  38. Reta Y, Samuel T, Mekonnen M. Mental Distress and Associated Factors Among Undergraduate Engineering Students of Hawassa University, Ethiopia. Journal of Multidisciplinary Healthcare. 2020;13:99.
  39. Zhang Z, Tian Y, Zhong F, Li CF, Dong SM, Huang Y, Liu XE, Huang C. Association between oral health-related quality of life and depressive symptoms in Chinese college students: Fitness Improvement Tactics in Youths (FITYou) project. Health and quality of life outcomes. 2019 Dec;17(1):96.
  40. Steiner-Hofbauer, V., Holzinger, A. How to Cope with the Challenges of Medical Education? Stress, Depression, and Coping in Undergraduate Medical Students. Acad Psychiatry (2020).
  41. Lee C-YS, Goldstein SE. Loneliness, stress, and social support in young adulthood: does the source of support matter? J Youth Adolesc. 2016;45(3):568-80. 30.