Psychological Health and its Correlates during the COVID-19 Pandemic in Pakistan: A Survey of Undergraduate Students

Authors

  • Dr Ivan Suneel Associate Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0001-6496-179X
  • Dr Elizabeth Schwaiger Assistant Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0001-6629-6412
  • Dr Abia Nazim Assistant Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan.
  • Shiza Khaqan Lecturer, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0003-2772-7536
  • Afshi Yahya Khan Lecturer, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0002-2372-7312
  • Maryam Munir Assistant Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0003-1073-9469
  • Nazia Asif Takkhar Assistant Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan.
  • Khadija Malik Lecturer, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0003-1131-426X
  • Dr Saima Majeed Associate Professor, Department of Psychology, Forman Christian College (A Chartered University), Lahore, Pakistan. https://orcid.org/0000-0003-3210-1909

DOI:

https://doi.org/10.52053/jpap.v2i2.66

Keywords:

Psychological Health, Psychological Distress, COVID-19 Pandemic, Pakistan, Undergraduate Students

Abstract

With the outbreak of a global pandemic, people were faced with many difficulties such as financial and health issues, including psychological problems. There was a sharp rise in mental health issues as people were advised to observe social distancing resulting in social isolation. The present study examined three measures of psychological distress among the undergraduate student population: depression, anxiety, and stress. It also sought to study differences in academic years and gender on measures of psychological distress. A convenient and snowball sample of 1032 undergraduate students, aged between 17 and 25 years (M=21.81, SD = 1.99), filled out a survey. DASS – 21 was used to collect data on depression, anxiety, and stress among students. Descriptive statistics showed mild to normal levels of stress (M = 9.64), anxiety (M = 8.17) and depression (M = 9.05). Independent t-tests revealed significantly higher levels of psychological distress among women compared to men. Further, a one-way ANOVA and post hoc analyses showed that only juniors had significantly higher levels of stress compared to freshmen. Factors such as social support and religion have been discussed as possible explanations for lower levels of psychological distress in the overall student population. This research highlights resilience among students and future research should focus on investigating the factors which can help in dealing with difficult situations.

 

References

Abid, K., Bari, Y. A., Younas, M., Tahir Javaid, S., & Imran, A. (2020). Progress of COVID-19 Epidemic in Pakistan. Asia Pacific Journal of Public Health, 32(4), 154–156. https://doi.org/10.1177/1010539520927259 DOI: https://doi.org/10.1177/1010539520927259

Alonzi, S., La Torre, A., & Silverstein, M. W. (2020). The psychological impact of preexisting mental and physical health conditions during the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S236–S238. https://doi.org/10.1037/tra0000840 DOI: https://doi.org/10.1037/tra0000840

Al-Maroof, S. R., Salloum, S. A., Ella Hassanien, A. E., & Shaalan, K. (2020). Fear from COVID-19 and technology adoption: The impact of Google Meet during Coronavirus

Pandemic. Interactive Learning Environments, https://doi: 10.1080/10494820.2020.1830121 DOI: https://doi.org/10.1080/10494820.2020.1830121

Arsh, L., Safian, H.A., Zafar, M., & Rizvi, S.A. (2020). Impact of COVID-19 pandemic on mental health of medical students of Rawalpindi medical university: A cross-sectional study. Journal of Rawalpindi Medical College, 24 (1). DOI: https://doi.org/10.37939/jrmc.v24i1.1534 DOI: https://doi.org/10.37939/jrmc.v24i1.1534

Arslan, G. (2021). Understanding wellbeing and death obsession of young adults in the context of the Coronavirus experiences: Mitigating the effect of mindful awareness, Death Studies.https://doi.org/10.1080/07481187.2020.1871122 DOI: https://doi.org/10.1080/07481187.2020.1871122

Asif, H.M., Sattar, H.A. (2020). Impact of COVID-19 pandemic on mental health of university students in Pakistan. Preprints, 2020120367 https//doi: 10.20944/preprints202012.0367.v1).

BadrKhani, P. (2021). Pros and cons of Covid-19 in Iran: How Coronavirus outbreak has affected culture and living style of people in this ancient land. Journal of Human Behavior in the Social Environment. https://doi.org/10.1080/10911359.2020.1825261 DOI: https://doi.org/10.1080/10911359.2020.1825261

Browning, M. H. E. M., Larson, L. R., Sharalevska, I., Rigolon, A., McAnirlin, O., Mullenbach, L., Cloutier, S., Thomsen, J., Reigner, N., Metcalf, E. C., Antonio, A, Helbich, M., Bratman, G. N., &Alvarex, H. O. (2021). Psychological Impacts from COVID-19 among university students: Risk factors across seven states in the United States. https://doi.org/10.1371/journal.pone.0245327 DOI: https://doi.org/10.1371/journal.pone.0245327

Bugh, G. R., Khalaf, S. G., Ochsenwald, W. L., Kingston, P. M., Clovis, F., & Barnett, R. D., (2021, March 10). Lebanon. Encyclopedia Britannica. https://www.britannica.com/place/Lebanon

Calvarese, M. (2015). The effect of gender on stress factors: An exploratory study among university students. Social Sciences, 4(4), 1177-1184. DOI: https://doi.org/10.3390/socsci4041177

Chao, M., Chen, X., Liu, T., & Haibo, Y. (2020). Psychological distress and state boredom during the COVID-19 outbreak in China: The role of meaning in life and media use,

European Journal of Psychotraumatology. https://doi:10.1080/20008198.2020.1769379 DOI: https://doi.org/10.1080/20008198.2020.1769379

Chaturvedi, K., Viswakarma, D.K., & Singh, N., (2021). COVID-19 and its impact on education, social life and mental health of students: A survey, Children and Youth Services Review, 121. https://doi.org/10.1016/j.childyouth.2020.105866. DOI: https://doi.org/10.1016/j.childyouth.2020.105866

Chinazzi, M., Davis, J. T., Ajelli, M., Gioannini, C., Litvinova, M., Merler, S., Pastore y Piontti, A., Mu, K., Rossi, L., Sun, K., Viboud, C., Xiong, X., Yu, H., Halloran, M. E., Longini, I. M., &Vespignani, A. (2020). The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak. Science, 368(6489), 395–400. https://doi.org/10.1126/science.aba9757 DOI: https://doi.org/10.1126/science.aba9757

Dangal, M. R., & Bajracharya, L. S. (2020). Students Anxiety Experiences during COVID-19 in Nepal. Kathmandu University Medical Journal, 18(2), 53-57. DOI: https://doi.org/10.3126/kumj.v18i2.32957

Fan, Y. (2000). A classification of Chinese culture. Cross Cultural Management: An International Journal, 7(2), 3-10. DOI: https://doi.org/10.1108/13527600010797057

Farooq, A., Kayani, A.K., Ahmad, K. (2015). Marriage and family structures in the rural Punjab a shift from conservative to contemporary patterns. International Journal of Social Policy, 35 (5-6): 306-324. DOI: https://doi.org/10.1108/IJSSP-05-2014-0034

Fawaz, M., & Samaha, A. (2021). E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine. Nursing forum, 56(1), 52–57. https://doi.org/10.1111/nuf.12521 DOI: https://doi.org/10.1111/nuf.12521

George, E. S., Kecmanovic, M., Meade, T., & Kolt, G. S. (2020). Psychological distress among carers and the moderating effects of social support. BMC Psychiatry, 20, 1-9. DOI: https://doi.org/10.1186/s12888-020-02571-7

Gao, W., Ping, S., & Liu, X. (2020). Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. Journal of Affective Disorders, 263, 292–300. https://doi.org/10.1016/j.jad.2019.11.121 DOI: https://doi.org/10.1016/j.jad.2019.11.121

Gewin, V. (2020). Five tips for moving teaching online as COVID-19 takes hold. Nature, DOI: https://doi.org/10.1038/d41586-020-00896-7

(7802), 295-296. http://www.nature.com/articles/d41586-020-00896-7

Gomez-Corona, C., Rakotosamimanana, V. R., Saenz-Navajas, M. P., Rodrigues, H., Franco-Luesma, E., Saldana, E., & Valentin, D. (2021). To fear the unknown: COVID-19 confinement fear and food choice, Food Quality and Preference.

https://doi.org/10.1016/j.foodqual.2021.104251 DOI: https://doi.org/10.1016/j.foodqual.2021.104251

Haleem, A., Vaishya, R., Javaid, M. (2020). Effects of Covid 19 pandemic in daily life, Current Medicine Research and Practice. https://doi.org/10.1016/j.cmrp.2020.03.011 DOI: https://doi.org/10.1016/j.cmrp.2020.03.011

Hou, F., Bi, F., Jiao, R., Luo, D., & Song, K. (2020). Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China: A cross-sectional study. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09738-7 DOI: https://doi.org/10.1186/s12889-020-09738-7

Ibarra-Vega, D. (2020). Lockdown, one, two, none, or smart. Modeling containing covid-19 infection. A conceptual model. Science of The Total Environment, 730, 138917–138918. https://doi.org/10.1016/j.scitotenv.2020.138917 DOI: https://doi.org/10.1016/j.scitotenv.2020.138917

Itrat, A., Taqui, A.M., Qazi, F., &Qidwai, W. (2007). Family systems: Perceptions of elderly patients and their attendants presenting at a university hospital in Karachi Pakistan. Journal of Pakistan Medical Association, 57 (2):106-109.

Javed, B., Sarwer, A., Soto, E. B., &Mashwani, Z. (2020). The coronavirus (COVID?19) pandemic’s impact on mental health. The International Journal of Health Planning and Management, 35(5), 993–996. https://doi.org/10.1002/hpm.3008 DOI: https://doi.org/10.1002/hpm.3008

Kausar, G., & Anwar, D. (2015). Stress in Pakistani working women. Journal of Culture and Social Development, 5, 58-64.

Kecojevic, A., Basch, C. H., Sullivan, M., & Davi, N. K. (2020). The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study. PloS one, 15(9), e0239696. DOI: https://doi.org/10.1371/journal.pone.0239696

Khalily, M.T. (2011). Mental health problems in Pakistani society as a consequence of violence and trauma: a case for better integration of care. International Journal of Integrated Care, 11. doi: 10.5334/ijic.662 DOI: https://doi.org/10.5334/ijic.662

Khan, A. A., Lodhi, F.S., Rabbani, U., Ahmed, Z., Abrar, S., Arshad, S., Irum, S., & Khan, M.I. (2021). Impact of Corona Virus disease (COVID-19) pandemic on psychological wellbeing of the Pakistani general population. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2020.564364 DOI: https://doi.org/10.3389/fpsyt.2020.564364

Kibbey, M. M., Fedorenko, E. J., & Farris, S. G. (2020). Anxiety, depression, and health anxiety in undergraduate students living in initial US outbreak “hotspot” during COVID-19 pandemic. Cognitive Behavior Therapy, 1-13. DOI: https://doi.org/10.1080/16506073.2020.1853805

Li, C., & Lalani, F. (2020). The rise of online learning during the COVID-19 pandemic. http://weforum.org

Lodhi, F.S., Rabbani, U., Khan, A.A., Raza, Q., Holakouie-Naieni, K., Yaseri, M., Farooq, U., &Montazeri, A. (2021). Factors associated with quality of life among joint and nuclear families: A population-based study. BMC Public Health 21: 234. https://doi.org/10.1186/s12889-021-10265-2 DOI: https://doi.org/10.1186/s12889-021-10265-2

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior research and DOI: https://doi.org/10.1037/t01004-000

therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U DOI: https://doi.org/10.1016/0005-7967(94)00075-U

Majeed, S., Schwaiger, E. M., Nazim, A., & Samuel, I. S. (2021). The Psychological Impact of COVID-19 Among Pakistani Adults in Lahore. Frontiers in Public Health, 9, 201. https://doi.org/10.3389/fpubh.2021.578366 DOI: https://doi.org/10.3389/fpubh.2021.578366

Majeed, S., Ashraf, M. (2020). Psychological impacts of social distancing during COVID-19 pandemic in adolescents of Lahore, Pakistan, Annals of King Edward Medical University, 26, 165-169.

Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401–1415. https://doi.org/10.1016/j.paid.2004.01.01 DOI: https://doi.org/10.1016/j.paid.2004.01.010

Meyer, J., McDowell, C., Lansing, J, Brower, C., Smith, L., Tully, M., & Herring, M. (2020). Changes in physical activity and sedentary behavior in response to COVID-19 and their associations with mental health in 3052 US Adults, International Journal of Environmental Research and Public Health, 17.http:// doi:10.3390/ijerph17186469 DOI: https://doi.org/10.3390/ijerph17186469

Mukhtar, S. (2020). Pakistan’s mental health during the COOVID-19. Asian Journal of Psychiatry, 51: 102127.doi: 10.1016/j.ajp.2020.102127 DOI: https://doi.org/10.1016/j.ajp.2020.102127

Nazim, A., & Khalid, R. (2018). Assessment of adaptive functioning of children with typical developmental attending primary schools in Lahore. International Journal of social Sciences and Educational Studies, 4 (4), 124 – 133. DOI: https://doi.org/10.23918/ijsses.v4i4p124

Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine, 383(6), 510-512. DOI: https://doi.org/10.1056/NEJMp2008017

Riaz, M., Abid, M., &Bano, Z. (2021). Psychological problems in general population during COVID-19 pandemic in Pakistan: Role of cognitive emotion regulation. Annals of Medicine, 53, 1, 189-196. DOI: 10.1080/07853890.2020.1853216. DOI: https://doi.org/10.1080/07853890.2020.1853216

Saleem, T., Gul, S. (2016). Family dysfunctioning and social competence in adolescents: A comparative study of family structures. Pakistan Journal of Physiology, 12 (3):19 – 22.

Salman, M., Asif, N., Mustafa, Z., Khan, T.M., Shehzadi, N., Hussain, K., Tahir, H., Raza, M.H., & Khan, M.T. (2020). Psychological Impact of COVID-19 on Pakistani University Students and How They Are Coping. MedRxiv.doi: https://doi.org/10.1101/2020.05.21.20108647 DOI: https://doi.org/10.1101/2020.05.21.20108647

Scotta, A. V., Cortez, M. V., & Miranda, A. R. (2020). Insomnia is associated with worry, cognitive avoidance and low academic engagement in Argentinian university students during the COVID-19 social isolation, Psychology, Health & Medicine. https://doi.org/10.1080/13548506.2020.1869796 DOI: https://doi.org/10.1080/13548506.2020.1869796

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. http:// doi: 10.2196/21279 DOI: https://doi.org/10.2196/preprints.21279

United Nations. (2020). Policy Brief: Education during COVID-19 and beyond. sg_policy_brief_covid- 9_and_education_august_2020.pdf (un.org)

Wang, J., Korczykowski, M., Rao, H., Fan, Y., Pluta, J., Gur, R. C., ... & Detre, J. A. (2007). Gender difference in neural response to psychological stress. Social cognitive and affective neuroscience, 2(3), 227-239. DOI: https://doi.org/10.1093/scan/nsm018

Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. (2020). Investigating mental health of US college students during the COVID-19 pandemic: cross-sectional survey study. Journal of medical Internet research, 22(9), e22817 DOI: https://doi.org/10.2196/22817

Wang, Z., Koenig, H. G., Ma, H., & Al Shohaib, S. (2016). Religion, purpose in life, social support, and psychological distress in Chinese university students. Journal of religion and health, 55(3), 1055-1064. DOI: https://doi.org/10.1007/s10943-016-0184-0

Wu, Y.-C., Chen, C.-S., & Chan, Y.-J. (2020). The outbreak of COVID-19: An overview. Journal of the Chinese Medical Association, 83(3), 217–220. https://doi.org/10.1097/jcma.0000000000000270 DOI: https://doi.org/10.1097/JCMA.0000000000000270

Zhang, X., Zhao, K., Zhang, G., Feng, R., Chen, J., Xu, D., Liu, X., Ngoubene-Atioky, A.J., Huang, H., Liu, Y., Chen, L., & Wang, W. (2020). Occupational stress and mental health: A comparison between frontline medical staff and non-frontline medical staff during the 2019 Novel coronavirus disease outbreak. Frontiers in Psychiatry, 11:555703. doi: 10.3389/fpsyt.2020.555703 DOI: https://doi.org/10.3389/fpsyt.2020.555703

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Published

2021-12-29

How to Cite

Suneel , D. I. ., Schwaiger , D. E. ., Nazim , D. A. ., Khaqan , S. ., Khan , A. Y. ., Munir , M. ., Takkhar , N. A. ., Malik , K. ., & Majeed, D. S. . (2021). Psychological Health and its Correlates during the COVID-19 Pandemic in Pakistan: A Survey of Undergraduate Students. Journal of Professional & Applied Psychology, 2(2), 156–169. https://doi.org/10.52053/jpap.v2i2.66

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