| Literature DB >> 35742134 |
Syaheedatul Iman Dinsuhaimi1, Asrenee Ab Razak1, Ahmad Tajudin Liza-Sharmini2, Wan Mohd Zahiruddin Wan Mohammad3, Azhany Yaakub2, Azizah Othman4, Aziah Daud3, Kamarul Imran Musa3, Nani Draman5, Alwi Besari6.
Abstract
Lockdown implementation during COVID-19 pandemic has caused many negative impacts in various aspect of life, including in the academic world. Routine disruption to teaching and learning environment has raised concerns to the wellbeing of university staff and students. This study aimed to examine the subjective wellbeing of the university community in Northern Malaysia during lockdown due to COVID-19 pandemic and the factors affecting it. An online cross-sectional survey involving 1148 university staff and students was conducted between March and April 2020. The research tools include the Personal Wellbeing Index (PWI) to assess subjective wellbeing and the Depression, Anxiety and Stress 21 (DASS-21) scale for psychological distress. While we found the subjective wellbeing score in our study population was stable at 7.67 (1.38), there was high prevalence of anxiety, depression, and stress with 27.4%, 18.4%, and 11.5%, respectively. The students reported higher levels of psychological distress compared to staff. The PWI score was seen to be inversely affected by the depression and stress score with a reduction in the PWI score by 0.022 (95% CI -0.037 to -0.007) and 0.046 (95% CI -0.062 to -0.030) with every one-unit increment for each subscale, respectively. Those who perceived to have more difficulty due to the lockdown also reported low subjective wellbeing. Thus, it is crucial to ensure policies and preventative measures are in place to provide conducive teaching and learning environment. Additionally, the detrimental psychological effects especially among students should be addressed proactively.Entities:
Keywords: COVID-19; lockdown; subjective wellbeing; university community
Year: 2022 PMID: 35742134 PMCID: PMC9222925 DOI: 10.3390/healthcare10061083
Source DB: PubMed Journal: Healthcare (Basel) ISSN: 2227-9032
Characteristics of participants (n = 1148).
| Demographic Characteristics | Frequency (%) |
|---|---|
| Sex | |
| Age | 34.57 (8.88) * |
| Marital status | |
| Ethnicity | |
| Religion | |
| Education level | |
| Campus | |
| Student | 246 (21.4) |
| Current education intake ( | |
| Healthcare workers | |
| Frontliner | |
| History of psychiatry illness | |
| Family history of psychiatry illness | |
| Stay during lockdown | |
| Exposure to COVID-19 | |
| Positive COVID-19 | |
| Loss of family members to COVID-19 | |
| Receiving COVID-19 aid | |
| Receiving moral support during lockdown | |
* Mean (SD).
Level of depression, anxiety, and stress (DASS-21) among university staff (n = 902).
| Psychological Status | Depression | Anxiety | Stress |
|---|---|---|---|
| Frequency (%) | |||
| Normal | 679 (75.3) | 618 (68.5) | 755 (83.7) |
| Mild | 85 (9.4) | 60 (6.7) | 65 (7.2) |
| Moderate | 85 (9.4) | 131 (14.5) | 42 (4.7) |
| Severe | 25 (2.8) | 42 (4.7) | 29 (3.2) |
| Very severe | 28 (3.1) | 51 (5.7) | 11 (1.2) |
Level of depression, anxiety, and stress (DASS-21) among university students (n = 246).
| Psychological Status | Depression | Anxiety | Stress |
|---|---|---|---|
| Frequency (%) | |||
| Normal | 145 (58.9) | 145 (58.9) | 179 (72.8) |
| Mild | 28 (11.4) | 11 (4.5) | 17 (6.9) |
| Moderate | 38 (15.4) | 38 (15.4) | 22 (8.9) |
| Severe | 13 (5.3) | 14 (5.7) | 19 (7.7) |
| Very severe | 22 (8.9) | 38 (15.4) | 9 (3.7) |
Personal Wellbeing Index score among university community (n = 1148).
| Domains | Level of Satisfaction |
|---|---|
| Mean (SD) | |
| Standard of living | 7.75 (1.71) |
| Personal health | 7.98 (1.68) |
| Achieving in Life | 7.49 (1.70) |
| Personal Relationships | 7.74 (1.64) |
| Personal Safety | 7.55 (1.71) |
| Community-Connectedness | 7.50 (1.63) |
| Future Security | 7.44 (1.75) |
| Spirituality or Religion | 7.86 (1.65) |
| Subjective wellbeing (mean of 8 domains) | 7.67 (1.38) |
Factors associated with subjective wellbeing.
| Variables | Simple Linear Regression | Multiple Linear Regression | |||
|---|---|---|---|---|---|
| Crude b | Adjusted b | t-Stat | |||
| Gender | |||||
| Male | 1 | ||||
| Female | 0.080 | 0.387 | |||
| (−0.101, 0.261) | |||||
| Age (years) | 0.035 | <0.001 * | 0.016 | 3.861 | <0.001 ** |
| (0.026, 0.043) | (0.008, 0.025) | ||||
| Status | |||||
| Single/divorced | 1 | ||||
| Married | 0.650 | <0.001 * | 0.189 | 2.167 | 0.030 ** |
| (0.483, 0.818) | (0.018, 0.359) | ||||
| Ethnicity | |||||
| Malay | 1 | ||||
| Non-Malay | −0.258 | 0.064 * | |||
| (−0.532, 0.015) | |||||
| Education level | |||||
| Secondary school | 1 | ||||
| Certificate/Diploma | 0.191 | 0.078 * | |||
| (−0.021, 0.402) | |||||
| Degree | 0.047 | 0.725 | |||
| (−0.217, 0.312) | |||||
| Masters/PhD | 0.493 | 0.002 * | |||
| (0.187, 0.799) | |||||
| Campus | |||||
| Main campus/Engineering | 1 | ||||
| Health | 0.183 | 0.080 * | |||
| (−0.022, 0.387) | |||||
| Student/Staff | |||||
| Student | 1 | 1 | |||
| Staff | −0.722 | <0.001 * | −0.206 | −2.199 | 0.028 ** |
| (−0.904, −0.539) | (−0.390, −0.022) | ||||
| History of psychiatry illness | |||||
| No | 1 | ||||
| Yes | −1.617 | <0.001 * | |||
| (−2.184, −1.051) | |||||
| Family history of psychiatry | |||||
| No | 1 | ||||
| Yes | −0.232 | 0.211 * | |||
| (−0.595, 0.131) | |||||
| Head of family | |||||
| No | 1 | ||||
| Yes | 0.202 | 0.024 * | |||
| (0.027, 0.377) | |||||
| Living arrangements | |||||
| Own house | 1 | ||||
| Family’s house | −0.398 | <0.001 * | |||
| (−0.585, −0.211) | |||||
| Rented house/room | −0.423 | <0.001 * | |||
| (−0.620, −0.225) | |||||
| Student accommodation/quarters | −1.066 | <0.001 * | |||
| (−1.393, −0.739) | |||||
| Healthcare worker | |||||
| No | 1 | ||||
| Yes | 0.443 | <0.001 * | |||
| (0.272, 0.613) | |||||
| Frontliner | |||||
| No | 1 | ||||
| Yes | 0.176 | 0.034 * | |||
| (0.013, 0.339) | |||||
| Perceived level of difficulty due to lockdown | |||||
| No/little | 1 | 1 | |||
| Moderate to extremely | −0.522 | <0.001 * | −0.363 | −5.384 | <0.001 ** |
| (−0.673, −0.371) | (−0.496, −0.231) | ||||
| Exposure to COVID-19 | |||||
| No | 1 | ||||
| Yes | −0.208 | 0.040 * | |||
| (−0.407, −0.010) | |||||
| Receive aid | |||||
| No | 1 | ||||
| Yes | −0.332 | 0.003 * | |||
| (−0.549, −0.116) | |||||
| Receive moral support | |||||
| No | 1 | ||||
| Yes | 0.036 | 0.661 | |||
| (−0.125, 0.197) | |||||
| DASS-21 | |||||
| Depression score | −0.075 | <0.001 * | −0.046 | −5.717 | <0.001 ** |
| (−0.083, −0.067) | (−0.062, −0.030) | ||||
| Anxiety score | −0.069 | <0.001 * | |||
| (−0.078, −0.60) | |||||
| Stress score | −0.069 | <0.001 * | −0.022 | −2.864 | 0.004 ** |
| (−0.077, −0.061) | (−0.037, −0.007) | ||||
* Significant variables with p < 0.25 were included in the multiple linear regression analysis ** Variables with p < 0.05 were retained for the final model. R2 = 28.8%. Stepwise, backward and forward multiple linear regression method applied. Model assumptions are fulfilled. There were no interactions amongst independent variables. No multicollinearity detected.