Mental Health and Coping Strategies among University Staff during the COVID-19 Pandemic: A Cross–Sectional Analysis from Saudi Arabia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design, Settings, and Subjects
2.2. Ethics Statement and Approval
2.3. Survey Instrument, Outcome Measures and Validation
2.3.1. Outcome Measures
2.3.2. Translation and Validation
2.4. Sampling and Data Collection
2.5. Statistical Analysis
3. Results
3.1. Sample Description
3.2. Psychological Outcomes
3.2.1. Anxiety and Depression
3.2.2. Post-Traumatic Stress Disorder
3.3. Coping Strategies
3.4. Association between Anxiety, Depression, PTSD and Coping Methods
4. Discussion
5. Study Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Overall | Mean Rank | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Anxiety Symptoms Score | Sig. | Effect Size (r/є2) | Depressive Symptoms Score | Sig. | Effect Size (r/є2) | PTSD Symptoms Score | Sig. | Effect Size (r/є2) | ||
Age (Median 36, IQR 15) | 0.045 * | 0.012 | 0.032 * | 0.014 | 0.206 | 0.006 | ||||
≤30 years | 159 (31.7) | 266.46 | 269.15 | 249.20 | ||||||
31–50 years | 301 (60.0) | 239.06 | 238.03 | 247.46 | ||||||
>50 years | 42 (8.4) | 284.04 | 281.24 | 289.15 | ||||||
Gender | <0.001 * | −0.236 | <0.001 * | −0.247 | <0.001 * | −0.187 | ||||
Male | 333 (66.3) | 227.38 | 226.02 | 232.32 | ||||||
Female | 169 (33.7) | 299.02 | 301.16 | 289.29 | ||||||
Education | 0.121 | 0.012 | 0.381 | 0.006 | 0.015 * | 0.021 | ||||
Bachelor | 178 (35.5) | 243.10 | 241.65 | 235.44 | ||||||
Master | 72 (14.3) | 288.89 | 276.53 | 265.51 | ||||||
PhD | 199 (39.6) | 246.16 | 252.08 | 271.08 | ||||||
Other | 53 (10.6) | 248.99 | 248.38 | 212.88 | ||||||
Experience (median 5, IQR 7) years) | <0.001 * | 0.031 | <0.001 * | 0.044 | <0.001 * | 0.036 | ||||
≤5 years | 271 (54.0) | 273.79 | 277.12 | 276.13 | ||||||
6–10 years | 140 (27.9) | 233.03 | 235.28 | 229.85 | ||||||
>10 years | 91 (18.1) | 213.54 | 200.16 | 211.46 | ||||||
Location | 0.732 | 0.001 | 0.661 | 0.002 | 0.831 | 0.001 | ||||
Sakaka | 361 (71.9) | 250.02 | 248.59 | 250.59 | ||||||
Qurryat | 86 (17.1) | 248.58 | 253.69 | 248.37 | ||||||
Tabarjal | 55 (11.0) | 265.80 | 267.18 | 262.38 | ||||||
Family member or relative got COVID-19 | 0.759 | −0.013 | 0.480 | −0.032 | 0.231 | −0.054 | ||||
Yes | 465 (92.6) | 252.05 | 252.77 | 253.67 | ||||||
No | 37 (7.4) | 244.54 | 244.54 | 224.22 | ||||||
Infected with COVID-19? | 0.036 * | −0.094 | 0.147 | −0.065 | 0.192 | −0.058 | ||||
Yes | 265 (52.8) | 264.19 | 260.27 | 259.43 | ||||||
No | 237 (47.2) | 237.31 | 241.69 | 242.63 |
Sample 1—Sample 2 | Anxiety | Depression | PTSD | |||
---|---|---|---|---|---|---|
Sig. | Adjusted Sig. # | Sig. | Adjusted Sig. # | Sig. | Adjusted Sig. # | |
Age (years) | ||||||
≤30–31–50 | 0.051 | 0.153 | 0.027 | 0.080 | -- | -- |
≤30–>50 | 0.479 | 1.000 | 0.627 | 1.000 | -- | -- |
31–50–>50 | 0.056 | 0.169 | 0.067 | 0.201 | -- | -- |
Education | ||||||
Bachelor—master | -- | -- | -- | -- | 0.135 | 0.807 |
Bachelor—PhD | -- | -- | -- | -- | 0.016 | 0.098 |
Bachelor—other | -- | -- | -- | -- | 0.316 | 1.000 |
Master—PhD | -- | -- | -- | -- | 0.779 | 1.000 |
Master—other | -- | -- | -- | -- | 0.043 | 0.259 |
PhD—other | -- | -- | -- | -- | 0.009 | 0.053 |
Experience (years) | ||||||
≤5–6–10 | 0.006 | 0.019 * | 0.005 | 0.015 * | 0.002 | 0.006 * |
≤5–>10 | 0.001 | 0.002 * | <0.001 | <0.001 * | <0.001 | <0.001 * |
6–10–>10 | 0.312 | 0.936 | 0.069 | 0.206 | 0.342 | 1.000 |
Variables | Academic Staff (N = 299) | Non-Academic Staff (N = 203) | Sig. | Effect Size (r) | ||
---|---|---|---|---|---|---|
Median (IQR) | Mean Rank | Median (IQR) | Mean Rank | |||
Psychological impairment | ||||||
Anxiety symptoms score | 7 (0, 10) | 260.78 | 5 (0, 9) | 237.83 | 0.078 | −0.079 |
Depression symptoms score | 9 (0, 13) | 260.21 | 7 (0, 12) | 238.67 | 0.098 | −0.074 |
PTSD symptoms score | 22 (4, 37) | 265.92 | 17 (0, 30) | 230.27 | 0.006 * | −0.122 |
Major Brief-COPE domains | ||||||
Avoidant coping | 24 (16, 29) | 266.40 | 21 (15, 26) | 229.56 | 0.005 * | −0.125 |
Approach coping | 25 (18, 30) | 262.40 | 24 (15, 29) | 235.44 | 0.041 * | −0.091 |
Coping methods | ||||||
Self-distraction | 4 (3, 5) | 254.54 | 4 (3, 5) | 247.02 | 0.561 | −0.026 |
Active coping | 4 (3, 5) | 259.96 | 4 (3, 5) | 239.03 | 0.105 | −0.072 |
Denial | 4 (2, 5) | 263.09 | 3 (2, 5) | 234.43 | 0.025 * | −0.100 |
Substance use | 4 (2, 5) | 267.37 | 2 (2, 4) | 228.12 | 0.002 * | −0.139 |
Emotional support | 4 (2, 5) | 259.65 | 4 (2, 5) | 239.49 | 0.116 | −0.070 |
Instrumental support | 4 (2, 5) | 259.78 | 4 (2, 5) | 239.31 | 0.112 | −0.071 |
Behavioural disengagement | 4 (2, 5) | 265.65 | 3 (2, 5) | 231.59 | 0.009 * | −0.117 |
Venting | 4 (2, 5) | 262.54 | 4 (2, 5) | 235.25 | 0.033 * | −0.094 |
Positive reframing | 4 (2, 5) | 259.19 | 4 (2, 5) | 240.18 | 0.139 | −0.066 |
Planning | 4 (2, 5) | 258.59 | 4 (2, 5) | 241.06 | 0.174 | −0.061 |
Humour | 4 (2, 5) | 261.19 | 4 (2, 5) | 237.23 | 0.062 | −0.083 |
Acceptance | 4 (3, 5) | 260.05 | 4 (2, 5) | 238.90 | 0.101 | −0.073 |
Religion | 4 (3, 5) | 254.12 | 4 (2, 6) | 247.64 | 0.616 | −0.022 |
Self-blame | 4 (2, 5) | 260.71 | 4 (2, 5) | 237.93 | 0.076 | −0.079 |
Coping Strategies | Overall | Mean Rank | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mean ± SD | Median (IQR) | Anxiety | Without Anxiety | Sig. # | Effect Size | Depression | Without Depression | Sig. # | Effect Size | PTSD | Without PTSD | Sig. # | Effect Size | |
Self-distraction | 4.00 ± 1.48 | 4 (3, 5) | 298.74 | 236.50 | <0.001 * | −0.188 | 272.44 | 237.63 | 0.007 * | −0.120 | 295.22 | 234.76 | <0.001 * | −0.191 |
Active coping | 4.34 ± 1.54 | 4 (3, 5) | 287.30 | 240.13 | 0.001 * | −0.142 | 284.21 | 229.84 | <0.001 * | −0.187 | 320.47 | 225.09 | <0.001 * | −0.300 |
Denial | 3.76 ± 1.65 | 4 (2, 5) | 334.13 | 225.26 | <0.001 * | −0.330 | 321.96 | 204.84 | <0.001 * | −0.407 | 351.14 | 213.35 | <0.001 * | −0.437 |
Substance use | 3.53 ± 1.64 | 3 (2, 5) | 334.81 | 225.04 | <0.001 * | 0.340 | 314.00 | 210.11 | <0.001 * | −0.368 | 331.43 | 220.89 | <0.001 * | −0.358 |
Emotional support | 3.77 ± 1.62 | 4 (2, 5) | 331.47 | 226.10 | <0.001 * | −0.319 | 321.87 | 204.90 | <0.001 * | −0.405 | 338.60 | 218.15 | <0.001 * | −0.382 |
Instrumental support | 3.89 ± 1.68 | 4 (2, 5) | 330.86 | 226.30 | <0.001 * | −0.316 | 315.84 | 208.89 | <0.001 * | −0.370 | 339.52 | 217.80 | <0.001 * | −0.385 |
Behavioural disengagement | 3.76 ± 1.63 | 4 (2, 5) | 334.60 | 225.11 | <0.001 * | −0.330 | 330.23 | 199.36 | <0.001 * | −0.456 | 350.79 | 213.48 | <0.001 * | −0.437 |
Venting | 3.84 ± 1.65 | 4 (2, 5) | 336.61 | 224.47 | <0.001 * | −0.340 | 327.64 | 201.08 | <0.001 * | −0.439 | 354.76 | 211.96 | <0.001 * | −0.453 |
Positive reframing | 3.96 ± 1.72 | 4 (2, 5) | 336.71 | 224.76 | <0.001 * | −0.336 | 320.38 | 205.88 | <0.001 * | −0.397 | 345.56 | 215.48 | <0.001 * | −0.412 |
Planning | 3.97 ± 1.61 | 4 (2, 5) | 340.96 | 223.09 | <0.001 * | −0.356 | 317.98 | 207.47 | <0.001 * | −0.382 | 352.33 | 212.89 | <0.001 * | −0.440 |
Humour | 3.83 ± 1.57 | 4 (2, 5) | 332.23 | 225.86 | <0.001 * | −0.322 | 323.78 | 203.63 | <0.001 * | −0.416 | 341.45 | 217.06 | <0.001 * | −0.394 |
Acceptance | 4.15 ± 1.79 | 4 (2, 5) | 307.60 | 233.69 | <0.001 * | −0.223 | 299.85 | 219.48 | <0.001 * | −0.277 | 327.06 | 222.57 | <0.001 * | −0.330 |
Religion | 4.20 ± 1.79 | 4 (2, 5) | 324.22 | 228.41 | <0.001 * | −0.288 | 311.04 | 212.07 | <0.001 * | −0.341 | 342.12 | 216.80 | <0.001 * | −0.394 |
Self-blame | 3.80 ± 1.62 | 4 (2, 5) | 334.01 | 225.30 | <0.001 * | −0.330 | 328.03 | 200.82 | <0.001 * | −0.441 | 358.19 | 210.65 | <0.001 * | −0.468 |
Variables | Avoidant Coping | Approach Coping | ||||
---|---|---|---|---|---|---|
Mean Rank | Sig. | Effect Size (r/є2) | Mean Rank | Sig. | Effect Size (r/є2) | |
Age | 0.016 * | 0.017 | 0.155 | 0.007 | ||
≤30 years | 236.73 | 240.35 | ||||
31–50 years | 251.27 | 252.19 | ||||
>50 years | 309.08 | 288.75 | ||||
Gender | <0.001 * | −0.175 | <0.001 * | −0.164 | ||
Male | 233.41 | 234.63 | ||||
Female | 287.15 | 284.15 | ||||
Education | 0.244 | 0.008 | 0.177 | 0.010 | ||
Bachelor | 234.33 | 232.83 | ||||
Master | 262.37 | 263.31 | ||||
PhD | 262.98 | 264.04 | ||||
Other | 251.26 | 251.11 | ||||
Experience | 0.039 * | 0.013 | 0.003 * | 0.023 | ||
≤5 years | 263.77 | 271.24 | ||||
6–10 years | 248.59 | 233.33 | ||||
>10 years | 219.45 | 220.65 | ||||
Location | 0.986 | 0.000 | 0.606 | 0.002 | ||
Sakaka | 251.94 | 254.66 | ||||
Qurryat | 249.15 | 249.49 | ||||
Tabarjal | 252.30 | 233.88 | ||||
Family member got COVID-19 | 0.001 * | −0.149 | 0.012 * | −0.112 | ||
Yes | 257.60 | 256.10 | ||||
No | 174.81 | 193.74 | ||||
Infected with COVID-19? | 0.004 * | −0.128 | 0.159 | −0.063 | ||
Yes | 269.06 | 260.10 | ||||
No | 231.86 | 241.88 |
Sample 1—Sample 2 | Avoidant Coping | Approach Coping | ||
---|---|---|---|---|
Sig. | Adjusted Sig. # | Sig. | Adjusted Sig. # | |
Age (years) | ||||
≤30–31–50 | 0.306 | 0.917 | -- | -- |
≤30–>50 | 0.004 * | 0.012 * | -- | -- |
31–50–>50 | 0.015 * | 0.046 * | -- | -- |
Experience (years) | ||||
≤5–6–10 | 0.314 | 0.941 | 0.012 * | 0.036 * |
≤5–>10 | 0.011 * | 0.034 * | 0.004 * | 0.012 * |
6–10–>10 | 0.135 | 0.404 | 0.516 | 1.000 |
Spearman’s Rho | Anxiety | Depression | PTSD | SD | AC | D | SU | ES | IS | BD | V | PR | P | H | A | R | SB |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Anxiety | 1.000 | ||||||||||||||||
Depression | 0.844 | 1.000 | |||||||||||||||
PTSD | 0.650 | 0.676 | 1.000 | ||||||||||||||
SD | 0.158 | 0.165 | 0.235 | 1.000 | |||||||||||||
AC | 0.215 | 0.227 | 0.373 | 0.608 | 1.000 | ||||||||||||
D | 0.521 | 0.534 | 0.630 | 0.345 | 0.405 | 1.000 | |||||||||||
SU | 0.485 | 0.495 | 0.564 | 0.241 | 0.347 | 0.703 | 1.000 | ||||||||||
ES | 0.495 | 0.511 | 0.567 | 0.437 | 0.513 | 0.665 | 0.611 | 1.000 | |||||||||
IS | 0.489 | 0.484 | 0.570 | 0.407 | 0.508 | 0.636 | 0.595 | 0.692 | 1.000 | ||||||||
BD | 0.519 | 0.561 | 0.628 | 0.350 | 0.440 | 0.749 | 0.680 | 0.722 | 0.679 | 1.000 | |||||||
V | 0.533 | 0.562 | 0.647 | 0.392 | 0.476 | 0.723 | 0.692 | 0.718 | 0.708 | 0.716 | 1.000 | ||||||
PR | 0.505 | 0.527 | 0.621 | 0.413 | 0.477 | 0.667 | 0.605 | 0.710 | 0.703 | 0.721 | 0.738 | 1.000 | |||||
P | 0.518 | 0.495 | 0.634 | 0.416 | 0.527 | 0.628 | 0.533 | 0.681 | 0.703 | 0.663 | 0.684 | 0.759 | 1.000 | ||||
H | 0.476 | 0.515 | 0.582 | 0.364 | 0.421 | 0.609 | 0.624 | 0.603 | 0.650 | 0.680 | 0.695 | 0.674 | 0.639 | 1.000 | |||
A | 0.361 | 0.377 | 0.489 | 0.448 | 0.506 | 0.462 | 0.395 | 0.539 | 0.595 | 0.509 | 0.567 | 0.639 | 0.681 | 0.595 | 1.000 | ||
R | 0.451 | 0.459 | 0.564 | 0.433 | 0.495 | 0.519 | 0.413 | 0.579 | 0.678 | 0.582 | 0.617 | 0.705 | 0.763 | 0.605 | 0.741 | 1.000 | |
SB | 0.509 | 0.541 | 0.616 | 0.420 | 0.466 | 0.661 | 0.599 | 0.662 | 0.656 | 0.676 | 0.724 | 0.682 | 0.694 | 0.714 | 0.605 | 0.625 | 1.000 |
Model | Unstandardized Coefficients | Standardized Coefficients | 95% CI for B | Sig. | ||
---|---|---|---|---|---|---|
B | SE | Beta | Lower Bound | Upper Bound | ||
Regression model for probable anxiety | ||||||
Self-distraction | −0.142 | 0.173 | −0.040 | −0.482 | 0.197 | 0.411 |
Active coping | −0.472 | 0.176 | −0.138 | −0.818 | −0.127 | 0.007 * |
Denial | 0.447 | 0.190 | 0.140 | 0.074 | 0.820 | 0.019 * |
Substance use | 0.291 | 0.178 | 0.091 | −0.058 | 0.640 | 0.102 |
Emotional support | 0.200 | 0.198 | 0.061 | −0.190 | 0.589 | 0.315 |
Instrumental support | 0.105 | 0.191 | 0.033 | −0.270 | 0.479 | 0.584 |
Behavioural disengagement | 0.253 | 0.207 | 0.078 | −0.153 | 0.660 | 0.222 |
Venting | 0.289 | 0.212 | 0.090 | −0.128 | 0.706 | 0.174 |
Positive reframing | −0.039 | 0.198 | −0.013 | −0.427 | 0.349 | 0.844 |
Planning | 0.374 | 0.224 | 0.115 | −0.065 | 0.814 | 0.095 |
Humour | 0.200 | 0.196 | 0.060 | −0.185 | 0.585 | 0.307 |
Acceptance | −0.276 | 0.170 | −0.093 | −0.609 | 0.058 | 0.105 |
Religion | 0.476 | 0.188 | 0.162 | 0.107 | 0.845 | 0.012 * |
Self-blame | 0.364 | 0.197 | 0.112 | −0.024 | 0.752 | 0.066 |
Regression model for probable depression | ||||||
Self-distraction | −0.346 | 0.227 | −0.072 | −0.791 | 0.100 | 0.128 |
Active coping | −0.408 | 0.230 | −0.089 | −0.861 | 0.045 | 0.077 |
Denial | 0.570 | 0.249 | 0.133 | 0.081 | 1.059 | 0.022 * |
Substance use | 0.333 | 0.233 | 0.077 | −0.125 | 0.790 | 0.153 |
Emotional support | 0.220 | 0.260 | 0.050 | −0.291 | 0.730 | 0.398 |
Instrumental support | −0.091 | 0.250 | −0.021 | −0.582 | 0.401 | 0.717 |
Behavioural disengagement | 0.547 | 0.271 | 0.126 | 0.014 | 1.080 | 0.044 * |
Venting | 0.613 | 0.278 | 0.143 | 0.067 | 1.160 | 0.028 * |
Positive reframing | 0.086 | 0.259 | 0.021 | −0.423 | 0.595 | 0.741 |
Planning | −0.061 | 0.293 | −0.014 | −0.638 | 0.516 | 0.835 |
Humour | 0.324 | 0.257 | 0.072 | −0.181 | 0.828 | 0.208 |
Acceptance | −0.231 | 0.222 | −0.058 | −0.668 | 0.206 | 0.299 |
Religion | 0.637 | 0.246 | 0.161 | 0.153 | 1.121 | 0.010 * |
Self-blame | 0.695 | 0.259 | 0.159 | 0.187 | 1.203 | 0.007 * |
Regression model for probable PTSD | ||||||
Self-distraction | −1.426 | 0.517 | −0.117 | −2.442 | −0.409 | 0.006 * |
Active coping | 0.571 | 0.526 | 0.049 | −0.462 | 1.605 | 0.278 |
Denial | 1.813 | 0.568 | 0.165 | 0.697 | 2.930 | 0.002 * |
Substance use | 0.544 | 0.532 | 0.049 | −0.500 | 1.589 | 0.306 |
Emotional support | −0.365 | 0.593 | −0.033 | −1.531 | 0.801 | 0.538 |
Instrumental support | −0.357 | 0.571 | −0.033 | −1.478 | 0.764 | 0.532 |
Behavioural disengagement | 1.716 | 0.620 | 0.155 | 0.499 | 2.933 | 0.006 * |
Venting | 1.640 | 0.635 | 0.149 | 0.392 | 2.888 | 0.010 * |
Positive reframing | −0.297 | 0.591 | −0.028 | −1.459 | 0.865 | 0.615 |
Planning | 2.078 | 0.670 | 0.185 | 0.761 | 3.394 | 0.002 * |
Humour | 0.892 | 0.586 | 0.077 | −0.260 | 2.044 | 0.129 |
Acceptance | −0.070 | 0.508 | −0.007 | −1.068 | 0.927 | 0.890 |
Religion | 0.955 | 0.563 | 0.095 | −0.151 | 2.060 | 0.090 |
Self-blame | 1.298 | 0.590 | 0.116 | 0.138 | 2.458 | 0.028 * |
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Mallhi, T.H.; Khan, N.A.; Siddique, A.; Salman, M.; Bukhari, S.N.A.; Butt, M.H.; Khan, F.U.; Khalid, M.; Mustafa, Z.U.; Tanveer, N.; et al. Mental Health and Coping Strategies among University Staff during the COVID-19 Pandemic: A Cross–Sectional Analysis from Saudi Arabia. Sustainability 2023, 15, 8545. https://doi.org/10.3390/su15118545
Mallhi TH, Khan NA, Siddique A, Salman M, Bukhari SNA, Butt MH, Khan FU, Khalid M, Mustafa ZU, Tanveer N, et al. Mental Health and Coping Strategies among University Staff during the COVID-19 Pandemic: A Cross–Sectional Analysis from Saudi Arabia. Sustainability. 2023; 15(11):8545. https://doi.org/10.3390/su15118545
Chicago/Turabian StyleMallhi, Tauqeer Hussain, Nimra Aslam Khan, Amina Siddique, Muhammad Salman, Syed Nasir Abbas Bukhari, Muhammad Hammad Butt, Faiz Ullah Khan, Mohammad Khalid, Zia Ul Mustafa, Nida Tanveer, and et al. 2023. "Mental Health and Coping Strategies among University Staff during the COVID-19 Pandemic: A Cross–Sectional Analysis from Saudi Arabia" Sustainability 15, no. 11: 8545. https://doi.org/10.3390/su15118545
APA StyleMallhi, T. H., Khan, N. A., Siddique, A., Salman, M., Bukhari, S. N. A., Butt, M. H., Khan, F. U., Khalid, M., Mustafa, Z. U., Tanveer, N., Ahmad, N., Ahmad, M. M., Rahman, H. U., & Khan, Y. H. (2023). Mental Health and Coping Strategies among University Staff during the COVID-19 Pandemic: A Cross–Sectional Analysis from Saudi Arabia. Sustainability, 15(11), 8545. https://doi.org/10.3390/su15118545