Global Business and Management Research: An International Journal

Vol. 14, No. 4s (2022)

Assessing Mental Well-being among University

Students: Factors Associated and Coping Strategies
1Mohd Zulkifli Abdullah*, 2Siti Noorsuriani Ma’on, 3Naliza Solat, 4Mohamad Shahril
Mohamad Besir, 5Nor Zaihan Mat Hasan @ Mat Hussin, 6Geng Yao
1, 2, 4, 5
Faculty of Business and Management, UiTM Puncak Alam, Selangor, Malaysia
3
Faculty of Business and Management, UiTM Jengka, Pahang, Malaysia
6
Ningzia Medical University, Ningxia, China

Email: [email protected]

*Corresponding author

Abstract
During Covid-19 outbreaks, university students were reported to be at heightened risk of having
psychological distress and mental health difficulties. The outbreak of Covid-19 has had a great
impact on the learning of university students. Students were unable to focus on their studies, felt
anxious about their studies, lacked confidence in their studies, and made more mistakes than
usual. Hence, this study has a two-fold objective: (1) identify the factors associated with mental
well-being among university students; and (2) investigate the relationship between mental well-
being and coping styles among university students. A cross-sectional correlational study was
carried out among final year students in one of the public university in Malaysia. Data was
collected within 3-months starting from October to December 2021 through an online survey via
Google form that was randomly sent to the respective respondents. The obtained data were
analysed using IBM SPSS version 26. Descriptive and inferential statistics were performed. A
total of 314 data were valid in analysis. The data analysis indicated that academic workload,
family support, and financial issues predicting depression among the university students.
Furthermore, the association between religion and spiritual coping style is the only indicator of
depression. The study findings may be useful in improving the mental well-being of university
students. Efficient and effective coping strategies in dealing with stress, anxiety and even
depression need more investigation in future studies.

Keywords: Academic workload, coping styles, financial issues, mental well-being

Introduction
The Covid-19 outbreak was first reported to the World Health Organization on December 31,
2019, and was officially declared a public health emergency of international concern on January
30, 2020 (Drissi et al., 2020). In Malaysia, on March 16, 2020, the Prime Minister officially
announced the unprecedented Movement Control Order (MCO) in response to the pandemic.
The outbreak of Covid-19 has had a great impact on the learning of university students. Students
were unable to focus on their studies, felt anxious about their studies, lacked confidence in their
studies, and made more mistakes than usual. Psychological stress makes online learning less
effective and less helpful to students during quarantine, making them more worried about their
academic performance and future study plans (Yassin et al., 2021). In a survey of the mental
health level among the Malaysian public, young people, especially students, women, and people
with poor financial conditions, are more likely to experience mental health symptoms (Wang et.
al., 2021). Studies have shown that 33.3% of undergraduates in Malaysian higher education
institutions are under stress, anxiety, and depression, which creates a high degree of uncertainty
among the student body (Lee, 2020; Huang & Zhao, 2020).
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While university students may be at lower risk for serious complications associated with Covid-
19, they face significant disruption following university closures and social distancing measures.
Increases in depression, anxiety, and irritability were frequently reported. It has been suggested
that emerging adulthood (ages 18–24) may represent a developmental stage with unique
challenges imposed by Covid-19 (Gruber et al., 2020). These challenges may include disrupted
social roles as a result of missing important experiences, returning to living with parents, and
financial difficulties. These factors may explain the greater risk of distress among this population
compared to their non-student counterparts (Wang et al., 2020). According to the World Health
Organization, mental health is a state of well-being in which a person experiences a mental
change in his or her own ability, is able to cope with daily stressors, can work efficiently, and
can serve his or her community.
Mental health is a crucial and necessary part of comprehensive health. The WHO outlined,
"Health is a state of complete physical, mental, and social well-being and not merely the absence
of disease or infirmity." This concept implies that mental health is about more than the absence
of mental diseases or impairments. Rapid social change, tough job circumstances, gender
inequality, social stigma, and an unhealthy lifestyle are also related to poor mental health (WHO,
2018). Since more colleges and academic institutions are converting to remote learning, students
may encounter mental health issues as a result of sudden shifts in their academic schedules and
modes of teaching sessions (Das-Neves et al., 2021). For example, conditions might lead to
tension and worry that will negatively affect the academic success and future career of the
student. There were two objectives of this study: firstly, to identify the factors associated with
mental well-being among university students; and secondly, to investigate the relationship
between mental well-being and coping styles among university students.

Literature Review
Mental Well-being
In general, a person's mental health is determined by their feelings, thoughts, and actions. Mental
well-being is defined by Stewart-Brown (2013) as a pleasant feeling, affect, emotions, and life
satisfaction. Some studies have characterised mental health as the pursuit of joy, life satisfaction,
the experience of positive affect, and the absence of negative affect (Diener, 2000). One of the
United Nations' 17 Sustainable Development Goals prioritises mental health and well-being,
while the World Health Organization's third SDG is to ensure healthy lifestyles and promote
well-being for all people of all ages.
The 2016 National Health and Morbidity Survey (NSMS) undertaken by the Ministry of Health
(MOH) indicated that one in three Malaysians suffer from mental health difficulties, with the
highest frequency among those aged 16 to 19. In addition, Hassan et al. (2018) reported that
roughly 30% of Malaysians aged 16 or older suffer from mental health issues. This is a
worrisome issue because the majority of these children are in college.

Measuring Level of Mental Health

The Depression, Anxiety, and Stress Scale (DASS-21; Lovibond & Lovibond, 1995) is one of
the most widely used instruments for assessing mental health, and the results are commonly
reported as a percentage or mean. In general, college students reported high levels of
psychological distress (Bayram & Bilgel, 2008). Moreover, the poor mental health of university
students has been documented in numerous nations, with high rates of depression, anxiety, and
stress (Brown, 2018). According to a recent study of health sciences students at a local
university, the majority of cases of stress (74.6 percent) and depression (66.2%) were of a
normal-to-mild severity, whereas 74.6 percent exhibited moderate-to-extreme anxiety (Fauzi et
al., 2021). During the COVID-19 pandemic in the United Kingdom, Chen and Lucock (2022)
discovered that more than fifty percent of university students experienced anxiety and depression

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at levels above the clinical threshold. Numerous studies examining student depression, anxiety,
and stress have been conducted on health science students (Fauzi et al., 2021; Alsehri, 2021).
However, the respondents in this study were students from a variety of programmes, and this
survey examined how they managed their mental health.

Factors Associated with Mental Well-Being

Researchers have investigated numerous factors that contribute to mental health, including
vulnerable groups such as college students. They frequently encounter obstacles and difficulties
in carrying out their academic responsibilities, which may lead to difficulties in managing their
mental health. According to Archuleta, Dale, and Spann (2013), higher education levels are
associated with increased academic stress, decreased academic support, social segregation during
the transition period, and the possibility of incurring long-term debt. In addition to the amount of
debt, a 2018 survey of over 3000 UK students conducted by Bushi (2018) revealed that 3 out of
5 students were concerned about repaying their loan, 84% were worried about having enough
money to live on, and 50% believed that their mental health suffered due to financial difficulties.
In Malaysia, the leading causes of mental health issues among students were heavy workloads,
financial difficulties, and family problems (Ministry of Health, 2016). According to a study
conducted at UNISZA by Shahira et al. (2018), the most frequently reported event by
respondents was an examination (62.1%), whereas 53.0% of respondents reported being stressed
due to their coursework. Therefore, there is an urgent need to investigate the current factors
associated with the mental wellbeing of university students.
Despite the fact that numerous other factors have been discovered, recent studies have found that
Covid-19 pandemic does affect students' mental health and well-being (Alshehri, 2021; Chen &
Lucock, 2022). Beginning March 18, 2020, a few Movement Control Orders (MCO) and
lockdowns were implemented in Malaysia. Many people, including university students, are also
affected by this. Changes in learning methods and processes (from face-to-face to open and
distance learning) have little impact as well. During the pandemic, many universities were forced
to move their learning and support services online. Universities have moved rapidly to transfer
various courses and programmes from face-to-face to online teaching (Sahu, 2020). As stated by
Rapanta et al. (2020), many students found it difficult to engage effectively; it increased anxiety
and concerns about their academic performance. More than half of students (58%) say they
consider their mental health to be in a worse state since the beginning of the pandemic, compared
to 14% who say their mental health is better (Hewitt, 2020).
A recent study by Lischer et al. (2021) indicates that distance teaching was a challenge for
lecturers, which in turn created stress for the students. The fact that 63% of students find it hard
to stay in touch with others (Minds, 2020) adds to the problems caused by the decision to move
students back to their homes. Findings from China in February 2020 showed that college
students’ anxiety regarding the pandemic was associated with their place of residence, source of
parental income, whether they were living with their parents, and whether a relative or an
acquaintance was infected with Covid-19 (Cao et al., 2020). Meanwhile, in Malaysia, the
unprecedented MCO enforcement has affected these students’ social lives due to strict distancing
policies (Hussin et al., 2021). Many students need to isolate themselves from their friends and
family and need to limit their activities for the first time. As a result of this condition, students
who rely largely on social support have less physical communication, which has a detrimental
impact on their learning motivation. In a study conducted by Al-Kumaim et al. (2021), it was
found that 27.6% of students from public and private universities in Malaysia were not fully self-
motivated and had sought help and advice from others to manage and control their stress during
the Covid-19 period. In addition, Tan (2021) discovered that the students lost motivation and
learning performance when using online learning methods during the MCO period. A survey of
undergraduate students by the Higher Education Policy Institute in the UK found that 58%

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reported a worsening in their mental health because of the pandemic (Hewitt, 2020). Another
study revealed that 80% of college students perceived that Covid-19 had negatively impacted
their mental health. (Mind, 2020).

Coping Strategies
Coping strategies are unique methods that people use to cope with stress. Folkman & Lazarus
(1985) define "coping" as cognitive, emotional, and/or behavioural efforts to address (master,
reduce, or tolerate) a troubled person-environment relationship (Folkman & Lazarus, 1985).
"Coping strategies" are the specific efforts, both behavioural and psychological, that individuals
employ to master, tolerate, reduce, or minimise stressful events (Watson, Logan & Tomar,
2008).
According to prior research, coping styles are the buffering variables in the relationship between
environmental stressors and mental health (Pierce et al., 2020), and the relationship between
stress, coping mechanisms, and mental health is complex (Holmes et al. 2020). Lazarus and
Folkman's (1985) transactional model of stress and coping suggests that people have either
negative or positive reactions to present environmental stressors such as the horrific Covid-19
events. As a result, university students may avoid contact with the current pandemic in an effort
to limit negative internal experiences (Ytre-Arne & Moe, 2021). We hypothesise that avoidance
strategies such as watching television, listening to the radio, and participating in indoor sports
(Shamblaw et al. 2021) are likely to help individuals overcome uncontrollable and anxious
internal experiences such as depression, anxiety, and stress (Yarrington et al. 2021).
Surprisingly, the literature on adaptive coping styles, such as rational and acceptance, discusses
not only their definition but also their functionality (Ogueji et al. 2021). If acceptance of the
global pandemic entails acknowledging the reality of the situation, then university students may
be preoccupied with ruminating about it, resulting in psychological strain such as depression,
anxiety, and stress (Li et al., 2021). However, being rational could also mean resolving the
pandemic and moving on with life, which would improve the adaptability and mental health of
university students (Li et al., 2021).
Cheng (2001) and Siltanen et al. (2019) believe that the benefits of approach coping strategies
are maximised if the individual employs problem-focused coping strategies (e.g., planning and
seeking instrumental support) or emotion-centered coping strategies (e.g., positive reappraisal
and seeking emotional support) based on the perceived controllability of the stressor they are
facing. Cheng and Cheung (2005), on the other hand, found that people who are less flexible in
their coping strategies have a smaller repertoire of strategies that are less effective at adapting to
the specific demands of the situation. Al-Dubai et al. (2011) discovered in their study that
students employed active coping strategies (active coping, religious coping, positive reframing,
planning, and acceptance) more frequently than avoidant strategies (denial, self-blame, and
alcohol or substance use). In addition, Pariat et al. (2014) discuss how prayer, meditation, and
sleep are highly effective coping mechanisms for students with academic stress.
Irshad et al. developed the coping scale for college students in 2015 and revealed the five factor
analysis solutions, which included solution-focused coping, emotion coping, avoidance coping,
seeking coping, and spiritual coping. The development of coping skills will help university
students deal with stressful events and enhance their mental health. According to Jahanara
(2017), health value is the notion that the more people value their health, the more likely they are
to avoid behaviours that may negatively impact their health.

Face-to-face vs Open and Distance (Online) Learning vs Hybrid

In response to transforming student lifestyles and rapidly advancing technologies, universities
are increasingly providing flexible learning environments. Rather than relying solely on
conventional teaching methods, professors can now utilise a variety of online platforms to

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deliver their content and class materials as well as conduct assessments. The Malaysian
Education Blueprint 2015–2025 (Higher Education) emphasised that higher education
institutions must transition from a mass production delivery model to one that leverages
technology-enabled innovations to democratise access to education and provide more
personalised learning experiences for all students. Consequently, many universities have begun
to shift from a teacher-centered model of instruction to one that is more student-centered.
It is essential to determine how students feel about face-to-face classes versus open and distance
(online) learning. Regarding student preferences, numerous studies have found that online
learning has a positive impact (Chang, 2016; Al-Rahmi et al., 2018). Hewit (2020) reports that
more than half of full-time undergraduate students (59 percent) are very or somewhat satisfied
with the online learning that has replaced face-to-face instruction, up from 42 percent in June
2020 and 49 percent in March 2020. In contrast, the majority of respondents in a study conducted
by Chung et al. (2020) during the COVID-19 pandemic did not want to continue their lessons
using online learning methods. Lischer et al. discovered that the majority of students desire a
return to traditional classroom settings (2021). Stack (2015) discovered that traditional learning
enables students to receive immediate feedback from their instructors, which boosts their
learning motivation. Students are accepting of online learning, according to Mustapha and
Devarajoo (2021), but they still prefer face-to-face lessons to compensate for the lack of
interaction in online learning. This supported Eldeeb's (2014) research finding that students
prefer mixed-mode and online-supplemented courses to fully online courses.
Despite the existence of research on mental health, there is a dearth of research among Malaysian
university students. In order to gain a deeper understanding of the underlying factors and
available coping mechanisms for resolving the issue, this study examined a variety of factors
related to mental health issues among these individuals.

Methodology
Population and Sample
A cross-sectional correlation research design was employed to examine the formulated research
objectives. Data was collected within 3-months starting from October to December 2021 through
an online survey via Google form that was randomly sent to the respective respondents. The
sampling frame was based on a list of final-year students in various faculties at the UiTM Puncak
Alam Campus, Selangor, Malaysia. The characteristics or criteria of the respondents were full-
time students in UiTM Puncak Alam, involved in ODL for the current semester, and students in
semester 3 onwards. A total of 314 responses were received and recorded after 3 months.

Instrument Design
The survey question was adapted from the established questionnaire. Survey items were
modified to align with the research questions of the present study. Mental well-being that is
represented by depression, anxiety, and stress was measured using by DASS-21 (DASS-
21; Lovibond & Lovibond, 1995). Items examining the independent variables including
academic workload (Smith, 2021), online learning methods (Saha et al., 2021), social interaction
(Baber, 2021), social support from family and friends (Laksmita et al., 2020), financial issues
(Wahab & Othman, 2021), and changes in the learning process (Muthuprasad et al., 2021) were
taken from previous studies. The coping styles including rational, avoidant, detached, and
emotional were adapted from Folkman and Lazarus (1985), while religious and spiritual coping
styles were adapted from Pargament, Feuille, and Burdzy (2011).
The questionnaire utilised a 5-point Likert scale with the following values: 1 (strongly disagree)
to 5 (strongly agree) measuring predictors of mental well-being and coping styles besides a 5-
point Likert scale with the following values: 1 (never) to 5 (always) measuring the mental well-
being (depression, anxiety, and stress).

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Data Analysis
The statistical program of IBM SPSS version 26 was used for data analysis of collected data.
Percentages, mean, and standard deviations were the descriptive statistics used. After ensuring
that the data was multicollinear and normal, multiple linear regressions (entry technique) were
used to determine which variables could explain the influencing factors towards mental health
well-being. The acceptable significance level was established at p 0.05. Prior to that, the validity
constructs were tested using factor analysis.

Results and discussion

Profile of Respondents
A total of 314 students were valid for data analysis. Majority was female (89.5%, n=281).
Regarding to educational background, the majority of respondents were social sciences students.
More than half of respondents were students from the Faculty of Business and Management
(65.9%), followed by students from the Faculty of Accountancy (8.9%, n=28), while 6.1%
(n=19) were students from the Faculty of Hotel Management & Tourism. Students from Science
and Technology such as Faculty of Health Sciences, Faculty of Pharmacy, and Faculty of Art &
Design were represented by 19.1% or 60 respondents who took part in this study.
Exploring the sampling distribution based on the current location of the respondents, majority of
respondents (71.7%, n=225) lived in family houses while 24.5% (n=77) stayed at the university
hostel (most of them involved in hybrid learning or mixed methods learning). Only 3.8% of the
respondents lived with friends and others. Next, regarding the living arrangements of the
students, most of the respondents stayed with family and relatives (80.3%, n=252), while 17.5%
(n=55) of them stayed with friends. Only 2.2% (n=7) stayed alone during the pandemic.
In the context of the types of personality traits among respondents, it was found 37.3% (n= 117)
of respondents claimed themselves as Agreeableness types (trust, morality, altruism, cooperation,
modesty, sympathy), while 18.8% (n=59) were Extraversion types (friendliness, gregariousness,
assertiveness, activity level, excitement seeking, cheerfulness). Besides, 15.9% (n=50) of them
were openness types (imagination, artistic interest, emotionality, adventurousness, intellect,
liberalism), while 16.6% (n=52) were conscientiousness types (self-efficacy, orderliness,
dutifulness, achievement striving, self-discipline, cautiousness). Another 11.4% chose neurotic
types such as anxiety, anger, depression, self-consciousness, immoderation, and vulnerability for
their personality traits. It is important to study personality types that will reflect how they handle
stressful, hectic, uncertain, and struggling situations.
Regarding perceptions of teaching and learning approaches (face-to-face vs ODL), almost half of
respondent (49%) preferred the face-to-face approach for the quality of the learning process,
34.1% preferred the hybrid approach, and 16.9% preferred the ODL approach. Nearly 60%
(n=188) respondents voted for a face-to-face approach, 25.8% (n=81) chose a hybrid approach,
and only 14.2% (n=45) preferred the ODL approach. Overall, 39.2% (n=123) students preferred
hybrid approaches for their teaching and learning in university, followed by face-to-face
approaches (36.3%, n=114) and ODL approaches (24.5%, n=77). It can be concluded that a face-
to-face approach is important and effective for teaching and learning in universities.

Factor Analysis
A principal component factor analysis with varimax rotation was used to examine the
dimensionality of the independent variables; academic workload, online learning methods,
changes in the learning process, social interaction, family support, friend support, and financial
issues as shown in Table 1. The results of factor analysis indicated the existence of seven factors
as originally conceptualized. However, some items must be removed due to high cross-loadings
or items loaded under different components. The KMO value of.843 indicates the correlation
matrix is suitable for factor analysis to be conducted. The MSA values are in the range of.733

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and.922, indicating sampling adequacy for each item. The total percentage of variance explained
for this model is 55.768 per cent. Examining each component, the first component explains
17.912 per cent of the total variance. This component has seven items reflecting financial issues;
thus, the name is retained. The second component contains six items concerning the changes in
the learning process, while the third component comprises seven items about academic workload,
therefore the names are used. The fourth component has six items representing social interaction,
while the fifth and sixth components consist of four items regarding family support and friend
support. The last component consists of three items; thus, the names are retained as online
learning methods for subsequent analysis.
A principal component factor analysis with varimax rotation was also performed for the mental
well-being variables, as illustrated in Table 2. The results indicate the existence of three factors,
explaining 63.255 percent of the total variance. The KMO value of.958 shows the suitability of
the correlation matrix for factor analysis to be conducted. The MSA values that range from.943
to.979 denote the sampling adequacy for each item. The three components each contain seven
items that represent stress, depression, and anxiety. These three variables are used in the
subsequent analyses.
For the coping styles variables, a principal component factor analysis with varimax rotation was
also accomplished as illustrated in Table 3. The results indicate the existence of four factors
explaining 63.583 percent of the total variance. The KMO value of .941 shows the suitability of
the correlation matrix for factor analysis to be conducted. The MSA values that range from .829
to .937 indicate the sampling adequacy for each item. The first and second components each
contain five items that represent emotional, rational, and coping styles. The third component has
four items that reflect religion and spiritual coping style. The last component consists of three
items concerning avoidant coping style. These four variables are used in the subsequent analyses.

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Table 1: Results of Factor Analysis for the Independent Variables (n=314)

Component

1 2 3 4 5 6 7
The time allocated to online classes and academic work is not
.668
enough during online learning.
The course content is excessive during online learning. .711
I believe that the amount of work assignments is too much since
.790
online learning.
I am unable to catch up if I get behind on my work during
.602
online learning.
I have not had enough time to relax after doing academic work
.703
since online learning.
The test/examination questions are increasingly difficult since
.506
online learning.
The test/examination times are very stressful to me since online
.540
learning.
Compatible devices for online learning sessions are enough. .724
Technology used is efficient for online learning. .769
Training and technical support from institutions is well-given. .586
Online classes help me comprehend the course materials
.572
compared with face to face learning.
Online environment makes it easier for me to communicate
.657
with my lecturers and friends than a face to face environment.
I am comfortable communicating with classmate and lecturers
.756
during online classes.
I am willing to actively communicate with my lecturers during
.738
online classes.
An online environment makes it easier for me to communicate
.805
with my lecturer.
I feel online classes has help in increasing my productivity as a
.708
student.
There is a lack of interaction/communication among students in
.696
the online classroom.
Online learning seems impersonal and isolated as compared to
.757
traditional classroom.
I am afraid of feeling isolated in the online classroom. .643
There is a lack of social context cues in the online classroom. .795
There is a lack of student collaboration in the online classroom. .731
I will prefer to learn in person than online classroom as there is
.678
no social interaction.
My family really tries to help me. .843
I get the emotional help and support I need from my family. .864
I can talk about my problems with my family. .843
My family is willing to help me make decisions. .871
My friends really try to help me. .762
I can count on my friends when things go wrong. .819
I have friends with whom I can share my joys and sorrows. .870
I can talk about my problems with my friends. .755
My parent's jobs are affected by COVID-19 pandemic. .824
My parents' source of income was affected during MCO. .841
My family is facing a shortage of raw materials due to financial
.882
problems.
My parents' current economic status is insufficient to support all
.841
of the dependents.
I am facing difficulty accessing the internet due to financial
.737
problems.
I am facing financial problems in paying tuition and college
.838
fees.
I am facing financial problems in buying teaching materials
.791
such as physical books and ebooks.
% variance explained (55.768%) 17.912 9.632 8.843 5.918 5.303 4.887 3.273
MSA .733-.922
Kaiser-Meyer-Olkin Measure of Sampling Adequacy. .843
Bartlett's Test of
Approx. Chi-Square 10081.96
Sphericity
7
df 1378
Sig. .000
Extraction Method: Principal Component Analysis. Rotation Method: Varimax with Kaiser Normalization

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Table 2: Results of Factor Analysis of Mental Well-Being (n=314)

Component

1 2 3
I found it hard to wind down. .503
I tended to over-react to situations. .582
I felt that I was using a lot of nervous energy. .683
I found myself getting agitated. .666
I found it difficult to relax. .598
I was intolerant of anything that kept me from getting on with what I was doing. .659
I felt that I was rather touchy. .643
I was aware of dryness of my mouth. .613
I experienced breathing difficulty (e.g., excessively rapid breathing,
.689
breathlessness in the absence of physical exertion).
I experienced trembling (e.g., in the hands). .800
I was worried about situations in which I might panic and make a fool of
.569
myself.
I felt I was close to panic. .673
I was aware of the action of my heart in the absence of physical exertion (e.g.,
.653
sense of heart rate increase, heart missing a beat).
I felt scared without any good reason. .557
I couldn’t seem to experience any positive feeling at all. .679
I found it difficult to work up the initiative to do things. .643
I felt that I had nothing to look forward to. .787
I felt downhearted and blue. .688
I was unable to become enthusiastic about anything. .724
I felt I wasn’t worth much as a person. .797
I felt that life was meaningless. .746
% variance explained (63.255%) 52.193 6.465 4.596
MSA .943-.979
Kaiser-Meyer-Olkin Measure of Sampling Adequacy. .958
Bartlett's Test of Sphericity Approx. Chi-Square 4344.259
df 210
Sig. .000
Extraction Method: Principal Component Analysis. Rotation Method: Varimax with Kaiser Normalization.

Table 3: Results of Factor Analysis of Coping Styles (n=314)

Component

1 2 3 4
I work out a plan to deal with what has happened. .714
I try to find out more information to help make a
.735
decision about things.
I think about how someone I respect would handle the
.731
situation and try to do the same.
I try to find a logical way of explaining the problem. .678
I feel independent of the circumstances. .515
I become miserable or depressed. .806
I feel that no one understands. .874
I become lonely or isolated. .903
I feel helpless – there’s nothing you can do about it. .869
I daydream about times in the past when things were
.685
better.
I feel that time will sort things out. .755
I trust in fate that things have a way of working out for
.708
the best.
I try to think about or do something else. .607
I look for a stronger connection with God. .858
I seek God’s love and care. .908
I try to put my plans into action together with God. .911
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I try to see how God might be trying to strengthen me

.836
in this situation.
% variance explained (63.583%) 28.333 20.038 9.500 5.711
MSA .829-.937
Kaiser-Meyer-Olkin Measure of Sampling Adequacy. .868
Bartlett's Test of 3488.468
Approx. Chi-Square
Sphericity
df 190
Sig. .000
Extraction Method: Principal Component Analysis. Rotation Method: Varimax with Kaiser Normalization.

The findings of this study consists of two sections; section 1 focused on the factors associated
with mental well-being, while section 2 focused on the relationship between mental well-being
and coping styles.

Objective 1: The factors associated with mental well-being

Reliability, Correlation & Regression Result
Table 4 shows the reliability analysis results, which show that all items are reliable for measuring
the intended variables: academic workload (=.829), online learning methods (=.732), changes in
learning process (=.863), social interaction (=.834), family support (=.909), friend support
(=.772), financial issues (=.922), stress (=.884), anxiety (=.872), and depression (=.9). The result
shows that all independent variables are significantly associated with stress. However, the
strength of relationships between variables is moderate to low. The highest correlation is between
academic workload and stress (r=.324; p<.01) and the lowest correlation is between online
learning methods and stress (r=-.128; p<.05).
Besides, based on the results in Table 4, which also revealed four factors associated with anxiety,
such as academic workload, family support, friend support, and financial issues. However, the
relationships are slightly low. The highest relationship is between family support and anxiety (r=-
.287; p<.01) while the lowest relationship is between financial issues and anxiety (r=.180; p<.01).
All independent variables are significantly associated with depression. The highest relationship is
between family support and depression (r=-.427; p<.01) and the lowest relationship is between
online learning methods and depression (r=-.180; p<.01). The result in table 4 also shows that all
dependent variables (stress, anxiety, and depression) are correlated with each other with a slightly
stronger relationship than before.

Table 4: Results of Correlation & Reliability Analysis (n=314)

No Variables SD 1 2 3 4 5 6 7 8 9 10
Mean
1 Academic
3.63 .675 (.829)
Workload
2 Online Learning
3.54 .686 -.187** (.732)
Methods
3 Changes in
3.10 .769 -.254** .381** (.863)
Learning Process
4 Social
3.72 .684 .334** -.180** -.399** (.834)
Interaction
5 Family Support 3.55 .924 -.116* .278** .245** -.171** (.909)
6 Friends Support 3.84 .698 -.019 .331** .228** -.052 .562** (.772)
7 Financial Issues 2.62 .899 .023 -.158** .038 .084 -.115* -.113* (.922)
8 Stress 2.85 .817 .324** -.128* -.169** .177** -.303** -.169** .162** (.884)
9 Anxiety 2.71 .877 .230** -.067 -.080 .101 -.287** -.192** .180** .827** (.872)
10 Depression 2.71 .896 275** -.180** -.208** .187** -.427** -.300** .229** .836** .732** (.9)
Notes: **. Correlation is significant at the 0.01 level (2-tailed), *. Correlation is significant at the 0.05 level (2-
tailed); N=314; Cronbach’s alphas in the parentheses along the diagonal.

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A multiple regression analysis was performed to determine factors that contribute to students’
mental well-being that are represented by stress, anxiety, and depression. The regression model
for the first model (stress as the dependent variable) is acceptable, with an R 2 of.195, indicating
that the independent variables explain 19.5 percent of the variance. The F value of 10.583 is
significant, denoting that the data fits the model very well. The Durbin-Watson coefficient of
1.967 shows the absence of an autocorrelation problem in the regression model. Looking at the
contribution of independent variables in explaining stress, there are three factors that are
significant at 0.01 (academic workload, family support, and financial issues).
For the second model (anxiety as a dependent variable), the regression model is acceptable with
an R2 of .15 which indicates 15 per cent of the variance is explained by the independent
variables. The F value of 7.734 is significant, demonstrating that the data fits the model well.
Durbin Watson of 2.037 states the absence of an autocorrelation problem in the regression
model. Looking at the contribution of independent variables in explaining anxiety, there are three
factors that are significant at the 0.0 level, namely academic workload, family support, and
financial issues.
With an R2 of.276 indicating that the independent variables explain 27.6 percent of the variance,
the regression model for the third model (depression as a dependent variable) is acceptable. The
F value of 16.672 is significant, denoting that the data fits the model very well. Durbin Watson
2.114 shows the absence of an autocorrelation problem in the regression model. Looking at the
contribution of independent variables in explaining depression, there are three factors that are
significant at the 0.01 level (academic workload, family support, and financial issues).

Table 5: Summary Results of Regression Analysis (n=314)

Standardized Beta Values
Variables Stress Anxiety Depression
Academic Workload .282** .218** .216**
Online Learning Methods .038 .08 .038
Changes in Learning Process -.047 .007 -.067
Social Interaction .017 -.011 .02
Family Support -.244** -.231** -.32**
Friends Support -.013 -.069 -.091
Financial Issues .132** .154** .183**
R .441 .388 .525
R2 .195 .15 .276
Adjusted R2 .176 .131 .26
F values 10.583 7.734 16.672
Sig. F values .000 .000 .000
Durbin Watson 1.967 2.037 2.114
** Sig. at the 0.01 level

Objective 2: Relationship between mental well-being and coping styles

Reliability and Correlation Result
Table 6 illustrates the results of reliability analysis that point out that all items are reliable to
measure the proposed variables; stress (α=.884), anxiety (α=.872), depression (α=.9), rational
(α=.783), avoidant (α=.719), emotional (α=.899) and religion & spiritual (α=.94). Analysis of
correlations shows that rational coping is strongly linked to depression (r = -.187; p<.01).
However, the strength of the relationship is low. All variables related to mental well-being are
significantly associated with avoidant and emotional coping styles. The highest relationship is
between depression and emotional (r=.748; p<.01) and the lowest relationship is between anxiety
and avoidant (r=.195; p<.01). Besides, the only indication of depression is the relationship with
religion & spiritual coping style. (r=-.176; p<.01). However, the strength of the relationship is
low.

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Table 6: Results of Correlation & Reliability Analysis (n=314)

No Variables Mean SD 1 2 3 4 5 6 7
1 Stress 2.85 .817 (.884)
2 Anxiety 2.71 .877 .827** (.872)
3 Depression 2.71 .896 .836** .732** (.9)
4 Rational 3.66 .558 -.087 -.064 -.187** (.783)
5 Avoidant 3.39 .676 .252** .195** .227** .292** (.719)
6 Emotional 3.13 .919 .693** .627** .748** -.189** .318** (.899)
7 Religion & (.94)
4.28 .670 -.107 -.062 -.176** .471** -.099 .443**
Spiritual
Notes: **. Correlation is significant at the 0.01 level (2-tailed); *N=314; Cronbach’s alphas in the parentheses along
the diagonal.

Discussion
Objective 1: Factors associated with mental well-being
The results of this study revealed that three independent variables, i.e., academic workload,
family support, and financial issues, significantly affected stress, anxiety, and depression among
respondents. Academic workload can be defined as an excessive number of tasks assigned in
comparison to a person's talents, resources, and time available to complete a task (Mudassar &
Saquib, 2016). During the Covid-19 outbreak, the teaching and learning approach was changed
from face-to-face to an ODL approach. In addition, the course assessments and evaluations are
also revised by the academicians in line with the ODL approach. For example, most lecturers
have transformed the student’s assessment from the written test to the assignments such as case
study analysis and report. The students also agreed that they faced academic workload issues
during ODL sessions, such as the time allocated to online classes and academic work not being
enough, the course content being more excessive than before, the number of work assignments is
too much, there is no enough time to relax after doing academic work, and the test/examination
times are very stressful as compared to the traditional approach. Changes to student assessment
and evaluation increase the academic burden for students, putting them in stressful situations that
affect their stress, anxiety, and depression levels. The excessive workload in academics among
university students is a result of the teaching and learning approach being transformed to ODL.
The findings of this study are supported by recent studies by Koudela-Hamila et al. (2022) and
Larcombe, Baik, and Finch (2022). Academic stress and burden are linked to a wide range of bad
things, such as bad effects on mental health, performance, and well-being.
Besides, family support also become one of the important factors that contributes to mental well-
being among university students. The results discovered that family support such as provide the
emotional help and support that student’s need, sharing the problems with family members and
the willingness of family in making decisions related academic matters during the Covid-19
outbreaks are significantly affect to student’s stress, anxiety and depression. If the students
gained the support from family, then their mental well-being are better. In contrast, the level of
mental well-being will decrease if the students are not received support from their family. The
role of family support towards university students is very important since most of respondents
live with their family during Covid-19 outbreaks. An empirical study conducted by Li and Xu
(2022) revealed that family support is a protective factor for attitudes toward social distancing
and in preserving positive mental health during the Covid-19 pandemic among university
students. The results also showed that after the effects of demographic variables were controlled,
perceived support from family members made unique contributions to their attitudes about social
distancing and positive mental health both directly and indirectly.
The next factor affecting a student’s mental well-being is financial issues. During the Covid-19
outbreaks, many people encountered financial problems due to MCO and lockdown. In
Malaysia, the government has announced a plan to shut down all economic sectors to control the
spread of the virus in the community. Consequently, self-employed people, especially those
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involved in their own businesses and manufacturing workers, lost their incomes. Most of them
are self-sponsored students, and most of them are affected because they depend on the monetary
support from their parents. The financial issues, such as parents' jobs being affected by the
Covid-19 pandemic, parents' source of income being affected during MCO and lockdown, family
facing a shortage of raw materials due to financial problems, parents' current economic status is
insufficient to support all of the dependents, facing difficulty accessing the internet due to
financial problems, and facing financial problems in paying the tuition fees and buying teaching
materials such as physical books and ebooks, significantly affect students' stress, anxiety, and
depression. The findings from a recent study by Kokkinos, Tsouloupas and Voulgaridou (2022)
demonstrated that there were significant direct effects of perceived Covid-19 impact on
participants’ financial status on satisfaction with life and indirect effects of perceived Covid-19
impact on participants’ financial status and academic performance, respectively, on satisfaction
with life through general mental health.

Objective 2: Relationship between mental well-being and coping styles

In assessing the result of the relationship between mental well-being and coping styles, avoidant
and emotional coping styles show a significant association with three dimensions of mental well-
being such as stress, anxiety, and depression. The strength of the relationship between emotional
coping style and mental well-being is slightly moderate. However, the relationship between
avoidant coping style and mental well-being is low. The findings indicate that when students are
confronted with stress, anxiety, and depression, they tend to use their emotions to cope with it,
such as becoming miserable or depressed, feeling that no one understands, becoming lonely or
isolated, and feeling helpless like there’s nothing they can do about it. The second coping style
that is significantly associated with mental well-being is avoidant. Respondents applied the
avoidant coping strategy such as feeling that time will sort things out; trusting in fate that things
have a way of working out for the best; and trying to think about or do something else when
faced with stressful situations, anxiety, and depression. Efficient use of emotions as a coping
strategy allows efficient problem solving that subsequently results in functioning mental well-
being, while negative emotions such as anger, frustration, hate, and denial during Covid-19 are
potentially devastating reactions to stress and thus may lead to impaired mental health (Nabi et.
al. 2022). Another study conducted by Hussong et al. (2021) found that expressing emotions
among young people, such as university students, might also lead to lower depression, anxiety,
and stress levels in painful situations.
Surprisingly, both rational and religious & spiritual coping styles significantly contribute to
depression only. Rational coping refers to a technique for dealing with stress that involves facing
the stressor and working to overcome it (Ramachandran, 2012). The result revealed that the
students are more likely to use positive coping styles such as rational techniques when they
encounter depression. The rational coping techniques include working out a plan to deal with
what has happened; trying to find out more information to help make a decision about things;
thinking about how someone else would handle the situation and trying to do the same; trying to
find a logical way of explaining the problem; and feeling independent of the circumstances.
Besides, university students also tend to adopt religion and spiritual coping styles when faced
with depression during the Covid-19 pandemic. It is essential to note in this study that the
majority of the respondents were Muslims. Unfortunately, religion and spiritual practise have
been significantly associated with depression only. The examples of religion and spiritual
techniques such as looking for a stronger connection with God, seeking God’s love and care,
trying to put my plans into action together with God, and trying to see how God might be trying
to strengthen me in this situation.

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Conclusion
Globally, mental health has been significantly vital in recent years; yet, it has been affected by
the COVID-19 pandemic’s negative consequences. Mental health wellbeing imbalances can lead
to serious health problem if not properly addressed. Thus, having a clear understanding of the
key contributing factors to mental health wellbeing and associated coping strategies styles is
critical. Knowledge gained from the findings of this study could be helpful in enhancing the
mental well-being of university students. Academic workload, family support, and financial
issues were the significant factors associated with mental health wellbeing. Nevertheless,
avoidant, and emotional coping styles were found to be significantly associated to mental health
wellbeing. Hence, the efficient and effective coping strategies in dealing with stress, anxiety and
even depression are essential and worth to be investigated further in future research.

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