Mental Health of University Students in Northern Malaysia

Authors

  • Theingi Maung Maung AIMST University, Malaysia
  • Phyo Thet Naing Win Freelance Researcher, Yangon, Myanmar
  • Win Oo Mahidol University, Salaya, Thailand

DOI:

https://doi.org/10.55489/njcm.140320232674

Keywords:

AIMST, Anxiety, Depression, Stress, University students

Abstract

Context/Background: Today, poor mental health is one of the most neglected diseases although it is one of the leading causes of disabilities in both developed and developing countries. This mental health issue becomes a problem among university students too. This study was aimed to determine the prevalence and associated factors of depression, anxiety, and stress (DAS) among university students.

Methodology: A cross-sectional study was carried out in a private university of northern Malaysia during 2020. A random sample of 161 students were included and DASS-21 was used to determine the prevalence of DAS. Multiple logistic regression analysis was performed to examine the associated factors.

Results: The prevalence of DAS among students were 34.8%, 42.2%, and 33.5%, respectively. In contrast to years 2 and 4, the prevalence of all types of mental disorders were lower in years 1 and 3. The students’ living area, residence, academic year, and parental income were significantly associated with anxiety whereas the age group of the students and parent’s income did so for depression. The variables; age group, academic year and parent’s income were identified as significant determinants for the presence of stress among students.

Conclusions: The significant extent of the mental health problems was detected among university students in Malaysia. Despite the small sample, this analysis indicates that opportunities exist to improve campus-based mental health education and psychological support among university students.

References

World Health Organization. Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level: Report by Secretariat 2011. Available at: https://apps.who.int/gb/ebwha/pdf_files/EB130/B130_9-en.pdf. Accessed December 15th 2022.

Teh CK, Ngo CW, Zulkifli RA, et al. (2015) Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study. Open J Epidemiol. 2015; 5:260-8. Doi: https://doi.org/10.4236/ojepi.2015.54030

World Health Organization. World mental health report: transforming mental health for all 2022. Geneva, Switzerland: WHO; 2022. p 272.

World Health Organization. Comprehensive mental health action plan 2013-2030. Geneva, Switzerland: WHO; 2021. p 30.

United Nations: Department of Economic and Social Affairs. Mental Health and Development. Available at: https://www.un.org/development/desa/disabilities/issues/mental-health-and-development.html. Accessed December 18th 2022.

Raaj S, Navanathan S, Tharmaselan M, et al. Mental disorders in Malaysia: an increase in lifetime prevalence. BJPsych International. 2021;18(4):97-9. https://doi.org/10.1192/bji.2021.4. Doi: https://doi.org/10.1192/bji.2021.4 PMid:34747937 PMCid:PMC8554924

Buchanan JL. Prevention of depression in the college student population: A review of the literature. Arch Psychiatr Nurs. 2012;26(1):21-42. Doi: https://doi.org/10.1016/j.apnu.2011.03.003 PMid:22284078

Ramón-Arbués E, Gea-Caballero V, Granada-López JM, et al. The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students. Int. J. Environ. Res. Public Health. 2020;17:7001. Doi: https://doi.org/10.3390/ijerph17197001 PMid:32987932 PMCid:PMC7579351

Asif S, Mudassar A, Shahzad TZ, et al. Frequency of depression, anxiety and stress among university students. Pak J Med Sci. 2020;36(5):971-6. Doi: https://doi.org/10.12669/pjms.36.5.1873

Hossain MM, Alam MA, Masum MH. Prevalence of anxiety, depression, and stress among students of Jahangirnagar University in Bangladesh. Health Sci Rep. 2022;5:e559. Doi: https://doi.org/10.1002/hsr2.559

Kamruzzaman M, Hossain A, Islam MA, et al. Prevalence of depression, anxiety, stress, and their associated factors among university students in Bangladesh. Doi: https://doi.org/10.21203/rs.3.rs-1530510/v1

Yu Y, Yan W, Yu J, et al. Prevalence and Associated Factors of Complains on Depression, Anxiety, and Stress in University Students: An Extensive Population-Based Survey in China. Front. Psychol. 2022;13:842378. Doi: https://doi.org/10.3389/fpsyg.2022.842378 PMid:35418921 PMCid:PMC8995560

Wang C, Wen W, Zhang H, et al. Anxiety, depression, and stress prevalence among college students during the COVID-19 pandemic: A systematic review and meta-analysis. J Am Coll Health. 2021;1:1-8. Doi: https://doi.org/10.1080/07448481.2021.1960849

Malaysian DASS21 Questionnaire. Available at: http://www2.psy.unsw.edu.au/dass/malaysian/DASS%2021_BahasaMalaysia_Musa.doc. Accessed December 18th 2022.

DASS21 Questionnaire. Available at: https://maic.qld.gov.au/wp-content/uploads/2016/07/DASS-21.pdf. Accessed December 19th 2022.

Musa R, Fadzil MA, Zain Z. Translation, validation and psychometric properties of Bahasa Malaysia version of the Depression Anxie-ty and Stress Scales (DASS). ASEAN Journal of Psychiatry. 2007;8 (2):82-89.

Singh M, Goel NK, Sharma MK, et al. Prevalence of Depression, Anxiety and Stress among Students of Punjab University, Chandigarh. Natl J Community Med. 2017; 8(11):666-671.

Hamaideh SH, Al-Modallal H, Hamdan-Mansour A, Tanash M. Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and "home-quarantine". Nurs Open. 2022;9:1423-1431. Doi: https://doi.org/10.1002/nop2.918 PMid:33988913 PMCid:PMC8242644

Wong SS, Wong CC, Ng KW, et al. Depression, anxiety, and stress among university students in Selangor, Malaysia during COVID-19 pandemics and their associated factors. PLoS ONE. 2023;18(1): e0280680. Doi: https://doi.org/10.1371/journal.pone.0280680 PMid:36696454 PMCid:PMC9876377

Astutik E, Sebayang SK, Puspikawati SI, et al. Depression, anxiety, and stress among students in newly established remote uni-versity campus in Indonesia. Mal J Med Health Sci. 2020;16(1): 270-277.

Mutinta G. Mental distress among university students in the Eastern Cape Province, South Africa. BMC Psychol. 2022;10:204. Doi: https://doi.org/10.1186/s40359-022-00903-8 PMid:35982493 PMCid:PMC9389753

Huda MN, Billah M, Sharmin S, et al. Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate?. BMC Psychol. 2021;9:80. Doi: https://doi.org/10.1186/s40359-021-00587-6 PMid:33993887 PMCid:PMC8126148

Cheung K, Tam KY, Tsang H, et al. Depression, anxiety and stress in different subgroups of first-year university students from 4-year cohort data. J. Affect. Disord. 2020; 274:305-314. Doi: https://doi.org/10.1016/j.jad.2020.05.041 PMid:32469820

The Role of Accommodation Environments In Student Mental Health and Wellbeing. Available at: https://campusafrica.co.za/announcements/the-role-of-accommodation-environments-in-student-mental-health-and-wellbeing/ Accessed February 20th 2023.

Worsley JD, Harrison P, Corcoran R. The role of accommodation environments in student mental health and wellbeing. BMC Public Health (2021) 21:573. Doi: https://doi.org/10.1186/s12889-021-10602-5 PMid:33757482 PMCid:PMC7986561

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Published

2023-03-31

How to Cite

1.
Maung Maung T, Win PTN, Oo W. Mental Health of University Students in Northern Malaysia. Natl J Community Med [Internet]. 2023 Mar. 31 [cited 2024 Nov. 25];14(03):155-60. Available from: https://njcmindia.com/index.php/file/article/view/2674

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Original Research Articles