Mental Health Outcomes and Their Correlates in The Post-COVID-19 Era Among University Students and Staff in Indonesia
DOI:
https://doi.org/10.55489/njcm.160120254685Keywords:
COVID-19, mental health, quality of life, anxiety, depression, academic community, post-pandemic, COVID-19, Mental health, Quality of life, Anxiety, Depression, Academic community, Post-pandemicAbstract
Background: The COVID-19 pandemic has profoundly affected global health, particularly mental health in academic communities. While its impact on mental health is well-documented, studies on the post-pandemic "new normal" remain scarce. This study examines the prevalence and factors linked to anxiety, depression, and QoL among Indonesian university students, lecturers, and staff post-pandemic.
Methods: This cross-sectional study examines the impact of risk factors on anxiety, quality of life, and depression among university students, staff, and faculty post-Covid-19 vaccination. An online website link was sent to the participants comprising instruments such as PHQ-2, WHOQOL-BREF and GDS. Chi-square tests were used for bivariate analysis, and multivariate logistic regression modelled associated factors.
Results: Poor QoL, depression, and anxiety were reported by 51.68%, 40.83%, and 44.19%, respectively. Unmarried individuals and those without a COVID-19 booster had higher odds of poor QoL (AOR: 3.32; 1.62). Unmarried individuals also faced greater depression risk (AOR: 2.56), while females and those with unvaccinated family members were more prone to anxiety (AOR: 2.42; 1.50).
Conclusion: This study highlights mental health challenges post-pandemic, especially for those with incomplete vaccination and limited social support. It emphasizes the need for targeted interventions and complete vaccination to boost resilience in academic settings.
References
World Health Organization. (2021). COVID-19 weekly epidemiological update, edition 56, 7 September 2021. World Health Organization. https://iris.who.int/handle/10665/345454
Wilder-Smith A, DO F. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med [Internet]. 2020;27(2):taaa020. DOI: https://doi.org/10.1093/jtm/taaa020 PMid:32052841 PMCid:PMC7107565
Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med [Internet]. 2020 Dec 31;383(27):2603-15. DOI: https://doi.org/10.1056/NEJMoa2034577 PMid:33301246 PMCid:PMC7745181
Mental Health and COVID-19: Early Evidence of the Pandemic's Impact [Internet]. World Health Organization; 2022. Available from: https://iris.who.int/bitstream/handle/10665/352189/WHO-2019-nCoV-Sci-Brief-Mental-health-2022.1-eng.pdf
Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, et al. School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review. Lancet Child Adolesc Heal [Internet]. 2020 May;4(5):397-404. DOI: https://doi.org/10.1016/S2352-4642(20)30095-X PMid:32272089
Ridhwan MM, Rezki JF, Suryahadi A, Ramayandi A, Ismail A. The Impact of COVID-19 Lockdowns on Household Income, Consumption and Expectations: Evidence from High-frequency Data in Indonesia. Bull Indones Econ Stud [Internet]. 2024 Jan 2;60(1):67-94. DOI: https://doi.org/10.1080/00074918.2023.2167930
Statistik BP. Pertumbuhan Ekonomi Indonesia Triwulan I 2022. Badan Pus Stat [Internet]. 2022; Available from: https://www.bps.go.id/pressrelease/2022/05/09/1851/ekonomi-indonesia-triwulan-i-2022-tumbuh-5-01-persen.html
Vindegaard N, ME B. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun [Internet]. 2020;89:531-42. DOI: https://doi.org/10.1016/j.bbi.2020.05.048 PMid:32485289 PMCid:PMC7260522
MG M, R DL, Conte C, al. et. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun [Internet]. 2020;89:594-600 DOI: https://doi.org/10.1016/j.bbi.2020.07.037 PMid:32738287 PMCid:PMC7390748
Xiong J, Lipsitz O, Nasri F, al. et. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord [Internet]. 2020;277:55-64. DOI: https://doi.org/10.1016/j.jad.2020.08.001 PMid:32799105 PMCid:PMC7413844
Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry. 2020 Apr 1;63(1):e32. DOI: https://doi.org/10.1192/j.eurpsy.2020.35. PMID: 32234102; PMCID: PMC7156565.
Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020 Aug;52:102066. DOI: https://doi.org/10.1016/j.ajp.2020.102066. Epub 2020 Apr 10. PMID: 32302935; PMCID: PMC7151415.
SK B, RK W, LE S, al. et. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8 PMid:32112714
Hamel L, Salganicoff A. Is there a mental health pandemic accompanying the COVID-19 pandemic? JAMA Netw Open [Internet]. 2020;3(12):e2035975. DOI: https://doi.org/10.1001/jamanetworkopen.2020.35975
Twenge JM, Joiner TE. Mental distress among U.S. adults during the COVID-19 pandemic. JAMA Netw Open [Internet]. 2020;3(7):e2019689. DOI: https://doi.org/10.1001/jamanetworkopen.2020.19689
Huarcaya-Victoria J, CA AR, Barzola-Farfán W, al. et. One-year follow-up of depression, anxiety, and quality of life of Peruvian patients who survived COVID-19. Qual Life Res [Internet]. 2023;32(1):139-49. DOI: https://doi.org/10.1007/s11136-022-03208-w PMid:35939252 PMCid:PMC9358105
YJ Z, SF Z, Li W, al. et. Mental health status and quality of life in close contacts of COVID-19 patients in the post-COVID-19 era: a comparative study. Transl Psychiatry [Internet]. 2021;11(1). DOI: https://doi.org/10.1038/s41398-021-01623-0 PMid:34601497 PMCid:PMC8487227
Pappa S, Barmparessou Z, Athanasiou N, al. et. Depression, Insomnia and Post-Traumatic Stress Disorder in COVID-19 Survivors: Role of Gender and Impact on Quality of Life. J Pers Med [Internet]. 2022;12(3). DOI: https://doi.org/10.3390/jpm12030486 PMid:35330485 PMCid:PMC8950533
Son C, Hegde S, Smith A, al. et. Effects of COVID-19 on college students' mental health in the United States: Interview survey study. J Med Internet Res [Internet]. 2020;22(9):e21279. DOI: https://doi.org/10.2196/21279 PMid:32805704 PMCid:PMC7473764
MS S. Methodology series module 3: Cross-sectional studies. Indian J Dermatol 2016;61(3)261-264. DOI: https://doi.org/10.4103/0019-5154.182410 PMid:27293245 PMCid:PMC4885177
Kroenke K, RL S, JB W. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care [Internet]. 2003;41(11):1284-92. DOI: https://doi.org/10.1097/01.MLR.0000093487.78664.3C PMid:14583691
Taherdoost H. Validity and reliability of the research instrument; how to test the validation of a questionnaire/ survey in a research. Int J Acad Res Manag. 2016;5(3):28-36. DOI: https://doi.org/10.2139/ssrn.3205040
Skevington SM, Lotfy M, O'Connell KA. The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Qual Life Res [Internet]. 2004 Mar;13(2):299-310. DOI: https://doi.org/10.1023/B:QURE.0000018486.91360.00 PMid:15085902
Olusina AK, Ohaeri JU. Subjective quality of life of recently discharged Nigerian psychiatric patients. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2003 Dec 1;38(12):707-14. DOI: https://doi.org/10.1007/s00127-003-0691-7 PMid:14689175
JA Y, TL B, TL R, al. et. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res [Internet]. 1982;17(1):37-49. DOI: https://doi.org/10.1016/0022-3956(82)90033-4 PMid:7183759
Zhang Z. Missing data imputation: focusing on single imputation. Ann Transl Med. 2016 Jan;4(1):9. PMID: 26855945; PMCID: PMC4716933.
Montero-López E, Peralta-Ramírez MI, Ortego-Centeno N, Callejas-Rubio JL, Ríos-Fernández R, Santos-Ruiz A. Psychological and quality of life effects of vaccination against COVID-19 in patients with systemic autoimmune diseases. Lupus. 2022 Dec;31(14):1808-1815. DOI: https://doi.org/10.1177/09612033221134203. Epub 2022 Nov 10. PMID: 36355914; PMCID: PMC9659700.
Trent M, Seale H, Chughtai AA, Salmon D, MacIntyre CR. Trust in government, intention to vaccinate and COVID-19 vaccine hesitancy: A comparative survey of five large cities in the United States, United Kingdom, and Australia. Vaccine. 2022 Apr 14;40(17):2498-2505. DOI: https://doi.org/10.1016/j.vaccine.2021.06.048. Epub 2021 Jun 23. PMID: 34218963; PMCID: PMC8220944.
Huang H, Liu S, Cui X, Zhang J, Wu H. Factors associated with quality of life among married women in rural China: a cross-sectional study. Qual Life Res. 2018 Dec;27(12):3255-3263. DOI: https://doi.org/10.1007/s11136-018-1944-y PMid:30032339
Holt-Lunstad J, al. et. Social relationships and mortality risk: A meta-analytic review. PLOS Med [Internet]. 2010;7(7):e1000316. DOI: https://doi.org/10.1371/journal.pmed.1000316 PMid:20668659 PMCid:PMC2910600
Meng T, He Y, Zhang Q, Yu F, Zhao L, Zhang S, Chen Z, Wang S, Gong J, Liu J. Analysis of features of social anxiety and exploring the relationship between childhood major adverse experiences and social anxiety in early adulthood among Chinese college students. J Affect Disord. 2021 Sep 1;292:614-622. DOI: https://doi.org/10.1016/j.jad.2021.05.105 PMid:34153832
SW I, Sudiyanto A, Fanani M. The Effect of Logotherapy Medical Ministry on Depression and Quality of Life in Post-Stroke Patients. J Kesehat [Internet]. 2022;2022.
Ausín B, González-Sanguino C, Castellanos MÁ, Muñoz M. Gender-related differences in the psychological impact of confinement as a consequence of COVID-19 in Spain. J Gend Stud. 2020;30(1):29-38. DOI: https://doi.org/10.1080/09589236.2020.1799768
Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015 Jul;40(4):219-21. DOI: https://doi.org/jpn.150205. PMID: 26107348; PMCID: PMC4478054.
Robles TF, Kiecolt-Glaser JK. The physiology of marriage: pathways to health. Physiol Behav [Internet]. 2003 Aug;79(3):409-16. DOI: https://doi.org/10.1016/S0031-9384(03)00160-4 PMid:12954435
McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res [Internet]. 2011 Aug;45(8):1027-35. DOI: https://doi.org/10.1016/j.jpsychires.2011.03.006 PMid:21439576 PMCid:PMC3135672
Nolen-Hoeksema, S. Gender Differences in Depression. Current Directions in Psychological Science 2001;10(5), 173-176. DOI: https://doi.org/10.1111/1467-8721.00142
Nyer M, Farabaugh A, Fehling K, Soskin D, Holt D, Papakostas GI, et al. RELATIONSHIP BETWEEN SLEEP DISTURBANCE AND DEPRESSION, ANXIETY, AND FUNCTIONING IN COLLEGE STUDENTS. Depress Anxiety [Internet]. 2013 Sep;30(9):873-80. DOI: https://doi.org/10.1002/da.22064 PMid:23681944 PMCid:PMC3791314
Choueiry N, Salamoun T, Jabbour H, El Osta N, Hajj A, Rabbaa Khabbaz L. Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study. Romigi A, editor. PLoS One [Internet]. 2016 Feb 22;11(2):e0149643. DOI: https://doi.org/10.1371/journal.pone.0149643 PMid:26900686 PMCid:PMC4762701
Viegas V, D'Silva J, Henriques J. Impact of Police Work on Police Officers' Spouses: a Study of Marital Quality and Quality of Life. J Police Crim Psychol [Internet]. 2023 Sep 1 [cited 2024 Nov 23];38(3):529-38. DOI: https://doi.org/10.1007/s11896-022-09569-9
McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res. 2011 Aug;45(8):1027-35. DOI: https://doi.org/10.1016/j.jpsychires.2011.03.006 Epub 2011 Mar 25. PMID: 21439576; PMCID: PMC3135672.
Huang Y O. COVID-19 vaccine coverage and its association with anxiety and depression: Evidence from a nationwide survey. J Affect Disord;291131-137. 2021
Lim, R. P., Purnomo, D., & Sari, D. K. (2021). Pengaruh Pengguna Instagram Terhadap Kesehatan Mental Instagramxiety Pada Remaja Di Kota Salatiga. Komuniti: Jurnal Komunikasi dan Teknologi Informasi, 13(1), 47-66. DOI: https://doi.org/10.23917/komuniti.v13i1.13757
Izzatika, M., Syakurah, R. A., & Bonita, I. (2021). Indonesia's mental health status during the Covid-19 pandemic. Indigenous: Jurnal Ilmiah Psikologi, 6(2), 78-92. DOI: https://doi.org/10.23917/indigenous.v6i2.14024
Khoirunissa, H. A., & Nugroho, Y. S. (2024, July). Exploring Algorithmic Approaches for Academic Interest Classification in Application: UMS Study Case. In International Conference on Education for All (Vol. 2, No. 1, pp. 180-193).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Noor Alis Setiyadi, Irfanul Chakim, Ekha Rifki Fauzi, Okti Sri Purwanti, Sari Andajani, Nina Lianawati, Lord Joseas Conwi, Kittipong Sornlorm
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.