Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran

Introduction: Globally, the Coronavirus Disease-2019 (COVID-19) pandemic results in major psychological sequalae across age groups including adolescents. Mental illness rates are high, yet mental help seeking attitude (MHSA) among adolescents is evidently low in developed countries during the pandem...

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Main Author: Mesran, Nur Nadhirah
Format: Thesis
Language:en
Published: 2023
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Online Access:https://ir.uitm.edu.my/id/eprint/94049/1/94049.pdf
https://ir.uitm.edu.my/id/eprint/94049/
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author Mesran, Nur Nadhirah
author_facet Mesran, Nur Nadhirah
author_sort Mesran, Nur Nadhirah
building Tun Abdul Razak Library
collection Institutional Repository
content_provider Universiti Teknologi Mara
content_source UiTM Institutional Repository
continent Asia
country Malaysia
description Introduction: Globally, the Coronavirus Disease-2019 (COVID-19) pandemic results in major psychological sequalae across age groups including adolescents. Mental illness rates are high, yet mental help seeking attitude (MHSA) among adolescents is evidently low in developed countries during the pandemic. However, data is scarce in developing countries, hence, this study aimed to determine the prevalence of psychological distressed students and the mean of MHSA total score; to compare the mean of MHSA total score between psychologically distressed and non-psychologically distressed students and to determine the predictors of MHSA during the COVID-19 pandemic. Methods: A cross sectional study was conducted among Malaysian private college foundation students, aged 18 to 19 years old, from a private college in Klang Valley from 1st December 2021 until 30th March 2022. All college foundation students were invited, and eligible students completed self-administered online questionnaires. Data on psychological distress level, MHSA, sociodemographic, clinical factors, availability, accessibility and affordability of mental health service, mental health literacy and selfstigma of seeking help were collected. An independent T-test analysis was performed to compare the mean of MHSA total score between students who were psychologically distressed and non-psychologically distressed. Multiple linear regression analysis was done to identify predictors of MHSA. Results: 650 students were invited to participate in the study, 409 students responded with response rate of 62.9%. In the end, 345 students completed the questionnaires and included into final analysis. The mean age was 18.7 (± 0.75) years old. More than half were female (64.3%, n=222) and a majority had no past history of mental health illness (95.1%, n=328). Almost half had personal history of COVID-19 infection (49.3%, n=170). The mean of MHSA total score was 50.98 ±10.39. The prevalence of psychologically distressed was 23.2%, (95%CI: 20.4, 26.1), in which those who were psychologically distressed students had a higher mean of MHSA total score than those who were non-psychologically distressed students (53.29 ± 10.48 vs. 50.29 ± 10.29; t (343) = -2.277 p= 0.023).The predictors of MHSA were; self-stigma of help seeking (β=-0.59 (95% CI: -0.76, -0.42) p<0.01); mental health literacy (β=0.22 (95% CI: 0.13, 0.30) p<0.01); and affordability of mental health service facility (β=3.29 (95% CI: 1.42, 5.16) p<0.01). Conclusion: Mental help seeking attitude among Malaysian college foundation students was low during the COVID-19 pandemic, with those who were psychologically distressed had better MHSA than those who were not distressed. Low MHSA may result in lost opportunities for early diagnosis and treatment on mental health problems. Strategies to reduce self-stigma of seeking help for mental illness is vital, while educating college students about mental health and make mental health services affordable are warranted.
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spelling my.uitm.ir-940492024-04-29T02:37:15Z https://ir.uitm.edu.my/id/eprint/94049/ Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran Mesran, Nur Nadhirah Mental health. Mental illness prevention Introduction: Globally, the Coronavirus Disease-2019 (COVID-19) pandemic results in major psychological sequalae across age groups including adolescents. Mental illness rates are high, yet mental help seeking attitude (MHSA) among adolescents is evidently low in developed countries during the pandemic. However, data is scarce in developing countries, hence, this study aimed to determine the prevalence of psychological distressed students and the mean of MHSA total score; to compare the mean of MHSA total score between psychologically distressed and non-psychologically distressed students and to determine the predictors of MHSA during the COVID-19 pandemic. Methods: A cross sectional study was conducted among Malaysian private college foundation students, aged 18 to 19 years old, from a private college in Klang Valley from 1st December 2021 until 30th March 2022. All college foundation students were invited, and eligible students completed self-administered online questionnaires. Data on psychological distress level, MHSA, sociodemographic, clinical factors, availability, accessibility and affordability of mental health service, mental health literacy and selfstigma of seeking help were collected. An independent T-test analysis was performed to compare the mean of MHSA total score between students who were psychologically distressed and non-psychologically distressed. Multiple linear regression analysis was done to identify predictors of MHSA. Results: 650 students were invited to participate in the study, 409 students responded with response rate of 62.9%. In the end, 345 students completed the questionnaires and included into final analysis. The mean age was 18.7 (± 0.75) years old. More than half were female (64.3%, n=222) and a majority had no past history of mental health illness (95.1%, n=328). Almost half had personal history of COVID-19 infection (49.3%, n=170). The mean of MHSA total score was 50.98 ±10.39. The prevalence of psychologically distressed was 23.2%, (95%CI: 20.4, 26.1), in which those who were psychologically distressed students had a higher mean of MHSA total score than those who were non-psychologically distressed students (53.29 ± 10.48 vs. 50.29 ± 10.29; t (343) = -2.277 p= 0.023).The predictors of MHSA were; self-stigma of help seeking (β=-0.59 (95% CI: -0.76, -0.42) p<0.01); mental health literacy (β=0.22 (95% CI: 0.13, 0.30) p<0.01); and affordability of mental health service facility (β=3.29 (95% CI: 1.42, 5.16) p<0.01). Conclusion: Mental help seeking attitude among Malaysian college foundation students was low during the COVID-19 pandemic, with those who were psychologically distressed had better MHSA than those who were not distressed. Low MHSA may result in lost opportunities for early diagnosis and treatment on mental health problems. Strategies to reduce self-stigma of seeking help for mental illness is vital, while educating college students about mental health and make mental health services affordable are warranted. 2023 Thesis NonPeerReviewed text en https://ir.uitm.edu.my/id/eprint/94049/1/94049.pdf Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran. (2023) Masters thesis, thesis, Universiti Teknologi MARA (Kampus Sg. Buloh).
spellingShingle Mental health. Mental illness prevention
Mesran, Nur Nadhirah
Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title_full Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title_fullStr Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title_full_unstemmed Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title_short Predictors associated with mental help seeking attitude among Malaysian college foundation students in the midst of COVID-19 pandemic: a cross sectional study / Nur Nadhirah Mesran
title_sort predictors associated with mental help seeking attitude among malaysian college foundation students in the midst of covid-19 pandemic: a cross sectional study / nur nadhirah mesran
topic Mental health. Mental illness prevention
url https://ir.uitm.edu.my/id/eprint/94049/1/94049.pdf
https://ir.uitm.edu.my/id/eprint/94049/
url_provider http://ir.uitm.edu.my/