Therefore, this study aims to identify the level of mental and emotional health among students at UniSZA as a
result of changes in the teaching and learning (PdP) process during the COVID-19 outbreak and the MCO in
Terengganu. The objective of this study also focuses on the impact of the COVID-19 outbreak on mental and
emotional health. The main findings and discussions are centered on the implications of the COVID-19 outbreak
on mental and emotional health among students in UniSZA.
The COVID-19 pandemic can lead to symptoms of anxiety, which include cognitive, emotional, somatic,
autonomic, and behavioral aspects, with varying degrees depending on the characteristics of the at-risk
population. Among the cognitive symptoms are poor concentration, memory problems, and feelings of
helplessness, while the emotional symptoms include feelings of fear, dread, distress, irritability, and sensitivity.
Somatic symptoms include insomnia, body aches, loss of appetite, and a decrease in sexual desire. Autonomic
symptoms include a fast heartbeat, palpitations, frequent urges to urinate, and stomach pain. Behavioral
symptoms of anxiety can be observed through aggressive behavior, cruelty, and avoidance of crowds, places, or
situations (Chhabra, 2020).
A study by Sundarasen et al. (2020) involving 983 respondents among students found that 20.4%, 6.6%, and
2.8% of students experienced anxiety at minimal to moderate, moderate severe, and very severe levels during
the COVID-19 pandemic. All factors, including age, gender, field of study or course, and financial status, showed
significant relationships with the level of anxiety. The main stressors were financial constraints, online learning,
uncertainty about academic performance, graduation, and future job prospects. These findings were also
supported by a study from Firdaus Abdul Gani (2020), which found that the majority of students exhibited
symptoms of anxiety during the MCO, with 62.64% expressing concerns about food sources and finances, while
54% of students avoided social contact and large gatherings.
LITERATURE REVIEW
Based on the National Health and Morbidity Survey (NHMS) 2019, nearly half of million citizens in the adult
category (2.3 percent) were found to experience symptoms of stress or depression. Among this group, the
majority of affected individuals were from the B40 group (2.7 percent), followed by the M40 group (1.7 percent)
and the T20 group (0.5 percent). At the same time, the NHMS 2019 also found that 424,000 (7.9 percent) children
experienced mental health issues. Half of these mental health problems began as early as the age of 14, and three-
quarters of them occurred in the mid-20s (Berita Harian, 2020).
In the education sector, after the outbreak of the COVID-19 pandemic, all schools, including public and private
higher education institutions across the country, were forced to close simultaneously due to the spread of the
virus, which was seen as potentially impacting the operations of organizations as well as teaching and learning
in the involved institutions. The situation during the COVID-19 pandemic required swift action from the relevant
authorities, such as the government, the Ministry of Higher Education, and the involved institutions, to make the
best decisions to prevent the spread of infection through the implementation of the Movement Control Order
(MCO). Therefore, on May 16, 2020, the National Security Council approved the proposal submitted by the
Ministry of Higher Education (MOHE) to manage all campus activities involving all Higher Education
Institutions (HEIs) nationwide (Ministry of Higher Education, 2020).
Furthermore, according to Tam and El Azhar (2020), as a result of the COVID-19 pandemic, it is estimated that
more than 421 million students were affected in their learning process for the current academic session when
educational institutions had to close immediately to ensure the safety of the staff and students, who are
considered to be at risk of infection. According to a study conducted by Mohd Arif Johari & Sa'odah Ahmad
(2019), there were several challenges faced by students in undergoing online learning, including the ability to
adapt to technological changes, as it involved digital learning, as well as the change in attitude required to accept
the practice of online learning that was being implemented.
METHODOLOGY
The design of this study is quantitative, using a survey research approach with a questionnaire instrument.This
study was conducted during the post–COVID-19 pandemic recovery phase in the 2021/2022 period. The
sampling method employed in this study was systematic random sampling involving three (3) UniSZA