• Muhammad Zubir Yusof Department of Community Medicine, Kullliyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
  • Muhamad Azlan Ezuan Razali Department of Community Medicine, Kullliyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
  • Muhamad Faiz Aiman Mohd Rawi Department of Community Medicine, Kullliyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
  • Mohamad Luqman sabarani Department of Community Medicine, Kullliyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
Keywords: employees, depression, anxiety, stress, COVID-19


Workplace mental health is becoming significant in higher education. Employment is one of the factors that can impair an employee's mental health, restricting their capacity to function well. This study aimed to assess mental health status among employees in a higher institution in Kuantan and its association with sociodemographic and job characteristics. An online survey was distributed using a random email list from September 2020 to October 2020. The employees were given the validated Malay versions of the Depression, Anxiety and Stress 21 (DASS-21) and the Job Content Questionnaire. Depression, anxiety, and stress were prevalent in 26.5%, 36.2% and 21.3% of these workers, respectively. Individuals who lived alone during the COVID-19 movement control order reported having stress symptoms (p = 0.04). Job insecurity was linked to anxiety (adjusted odd ratio [AOR] = 4.1, 95% Confidence Interval [CI] = 1.4, 11.71, p = 0.01), whereas employees with poor supervisor support had a significantly increased risk of depression (AOR = 7.4, 95% CI = 1.99, 27.5, p = 0.003), anxiety (AOR = 4.7, 95% CI = 1.15, 13.69, p = 0.03), and stress (AOR = 9.3, 95% CI = 2.09, 41.84, p = 0.003) compared to their counterpart. Our research concluded that this group of employees frequently reported depression, anxiety, and stress. The results also highlight that supervisor support and job security are significantly related to mental health problems. Employee depression, anxiety, and stress may be addressed by policies that encourage better supervisor support and job security.


Chan, C. M. H., Ng, S. L., In, S., Wee, L. H. & Siau, C. S. Predictors of psychological distress and mental health resource utilization among employees in Malaysia. Int. J. Environ. Res. Public Health 18, 314 (2021).

Yusof, M. Z. et al. Prevalence of occupational diseases among small and medium industry workers in Malaysia: A systematic review. J. Clin. Heal. Sci. 4, 4–30 (2019).

Tummers, L., Steijn, B., Nevicka, B. & Heerema, M. The effects of leadership and job autonomy on vitality: Survey and experimental evidence. Rev. public Pers. Adm. 38, 355–377 (2018).

Kassim, M. S. A. Bin, Ismail, A. & Ismail, R. A review of occupational stress prevalence and its predictors among selected working populations in Malaysia. Malaysian J. Public Heal. Med. 18, 1–6 (2018).

Yeshaw, Y. & Mossie, A. Depression, anxiety, stress, and their associated factors among Jimma University staff, Jimma, Southwest Ethiopia, 2016: a cross-sectional study. Neuropsychiatr. Dis. Treat. 13, 2803 (2017).

Tai, K. L., Ng, Y. G. & Lim, P. Y. Systematic review on the prevalence of illness and stress and their associated risk factors among educators in Malaysia. PLoS One 14, e0217430 (2019).

Mukosolu, O., Ibrahim, F., Rampal, L. & Ibrahim, N. Prevalence of job stress and its associated factors among Universiti Putra Malaysia staff. Malays J Med Heal. Sci 11, 27–38 (2015).

Ismail, N. H. & Noor, A. Occupational stress and its associated factors among academician in a research university, Malaysia. Malaysian J. Public Heal. Med. 16, 81–91 (2016).

Slišković, A. & Maslać Seršić, D. Work stress among university teachers: Gender and position differences. Arh. Hig. Rada Toksikol. 62, 299–306 (2011).

Vagg, P. R., Spielberger, C. D. & Wasala, C. F. Effects of organizational level and gender on stress in the workplace. Int. J. Stress Manag. 9, 243–261 (2002).

Manaf, M. R. A. et al. Perceived Symptoms of Depression, Anxiety and Stress amongst Staff in a Malaysian Public University: A Workers Survey. Int. J. Environ. Res. Public Health 18, 11874 (2021).

Muhammad Sabar Wibawa, W., Takahashi, Y. & D Riantoputra, C. Investigating Work Engagement of Highly Educated Young Employees through Applying the Job Demands-Resources Model. Int. J. Organ. Leadersh. 10, 89–102 (2021).

Mauno, S., Ruokolainen, M. & Kinnunen, U. Does aging make employees more resilient to job stress? Age as a moderator in the job stressor–well-being relationship in three Finnish occupational samples. Aging Ment. Health 17, 411–422 (2013).

Cameron, J. J. & Ross, M. In times of uncertainty: Predicting the survival of long-distance relationships. J. Soc. Psychol. 147, 581–606 (2007).

Stewart, J. G. & Harkness, K. L. Testing a revised interpersonal theory of depression using a laboratory measure of excessive reassurance seeking. J. Clin. Psychol. 73, 331–348 (2017).

Sundarasen, S. et al. Psychological impact of COVID-19 and lockdown among university students in Malaysia: implications and policy recommendations. Int. J. Environ. Res. Public Health 17, 6206 (2020).

Wang, C. et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health 17, 1729 (2020).

Strazdins, L., D’Souza, R. M., Lim, L. L.-Y., Broom, D. H. & Rodgers, B. Job strain, job insecurity, and health: rethinking the relationship. J. Occup. Health Psychol. 9, 296 (2004).

Ahmady, S., Changiz, T., Masiello, I. & Brommels, M. Organizational role stress among medical school faculty members in Iran: dealing with role conflict. BMC Med. Educ. 7, 1–10 (2007).

Daniel, W. W. & Cross, C. L. Biostatistics: a foundation for analysis in the health sciences. (Wiley, 2018).

Edimansyah, B. A., Rusli, B. N., Naing, L. & Mazalisah, M. Reliability and construct validity of the Malay version of the Job Content Questionnaire (JCQ). Southeast Asian J. Trop. Med. Public Health 37, 412 (2006).

Nordin, R. Bin, Kaur, A., Soni, T., Por, L. K. & Miranda, S. Construct validity and internal consistency reliability of the Malay version of the 21-item depression anxiety stress scale (Malay-DASS-21) among male outpatient clinic attendees in Johor. J Med J Malaysia 72, 265 (2017).

Chan, Y. H. Biostatistics 202: logistic regression analysis. Singapore Med. J. 45, 149–153 (2004).

Department of Statistics Malaysia. Household Income and Basic Amenities (HIS/BA) survey of 2019. (2019).

Razali, S., Yung-An, C., Nazali, M. I. M. & Nawawi, H. M. Determining Predictors of Depression and Anxiety for Prevention of Common Mental Illness among Staff of an Academic Institution in Malaysia. Asian J. Qual. Life 4, 1–13 (2019).

Othman, Z. & Yahya, F. Extent and sources of anxiety among employees attending a university hospital clinic. Int. Med. J. 25, 143–146 (2018).

Elbay, R. Y., Kurtulmuş, A., Arpacıoğlu, S. & Karadere, E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 290, 113130 (2020).

Jia, R. et al. Mental health in the UK during the COVID-19 pandemic: cross-sectional analyses from a community cohort study. BMJ Open 10, e040620 (2020).

Lee, H.-S., Dean, D., Baxter, T., Griffith, T. & Park, S. Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea. Psychiatry Res. 295, 113570 (2021).

Nolen-Hoeksema, S. & Ahrens, C. Age differences and similarities in the correlates of depressive symptoms. Psychol. Aging 17, 116 (2002).

Pérez-Fuentes, M. del C., Molero Jurado, M. del M., Martos Martínez, Á. & Gázquez Linares, J. J. Threat of COVID-19 and emotional state during quarantine: Positive and negative affect as mediators in a cross-sectional study of the Spanish population. PLoS One 15, e0235305 (2020).

Ozcelik, H. & Barsade, S. G. No employee an island: Workplace loneliness and job performance. Acad. Manag. J. 61, 2343–2366 (2018).

Charoensukmongkol, P. & Phungsoonthorn, T. The effectiveness of supervisor support in lessening perceived uncertainties and emotional exhaustion of university employees during the COVID-19 crisis: the constraining role of organizational intransigence. J. Gen. Psychol. 1–20 (2020).

Evanoff, B. A. et al. Work-related and personal factors associated with mental well-being during the COVID-19 response: survey of health care and other workers. J. Med. Internet Res. 22, e21366 (2020).

Boya, F. Ö., Demiral, Y., Ergör, A., Akvardar, Y. & De Witte, H. Effects of perceived job insecurity on perceived anxiety and depression in nurses. Ind. Health 46, 613–619 (2008).

Gallie, D., Felstead, A., Green, F. & Inanc, H. The hidden face of job insecurity. Work. Employ. Soc. 31, 36–53 (2017).

Lee, W.-W., Park, J.-B., Min, K.-B., Lee, K.-J. & Kim, M.-S. Association between work-related health problems and job insecurity in permanent and temporary employees. Ann. Occup. Environ. Med. 25, 1–9 (2013).

Gulliver, A., Farrer, L., Bennett, K. & Griffiths, K. M. University staff mental health literacy, stigma and their experience of students with mental health problems. J. Furth. High. Educ. 43, 434–442 (2019).

Catano, V. et al. Occupational stress in Canadian universities: A national survey. Int. J. Stress Manag. 17, 232 (2010).

Peters, L. et al. Comparison of DASS-21, PHQ-8, and GAD-7 in a virtual behavioral health care setting. Heliyon 7, e06473 (2021).

How to Cite
Yusof, M. Z., Muhamad Azlan Ezuan Razali, Muhamad Faiz Aiman Mohd Rawi, & Mohamad Luqman sabarani. (2022). MENTAL HEALTH STATUS AND PSYCHOSOCIAL JOB DETERMINANT AMONG EMPLOYEES IN A MALAYSIAN HIGHER INSTITUTION DURING THE COVID-19 PANDEMIC . Malaysian Journal of Public Health Medicine, 22(2), 68-76. Retrieved from