PERTANIKA JOURNAL OF SOCIAL SCIENCES AND HUMANITIES

Religiosity is a construct that has interesting implications in the mental health issues of youths. This study examines the role of religiosity on anxiety, depression, and stress using 148 Muslim students studying Islamic studies at undergraduate provision in an Islamic University as sample. Results indicated that the level of religiosity among the participants ranged from moderately religious to highly religious. The mean levels of anxiety, depression, and stress among the participants were moderate, and a significant number of students suffered from severe psychological distress. Female students were reported to experience significantly slightly more stress than male students. Furthermore, the relationship between religiosity, anxiety, and depression was significantly negative but not stressful. Further analysis found that religiosity serves as a protective factor for depression. Meanwhile, some religiosity components (i.e., avoidance of sinful acts and frequent conduct of recommended acts) were found to be a significant protective factor against anxiety and depression, respectively. Thus, in retrospect, mental health and religion appear to converge on managing psychological distress. As so to speak, this is a vital point in the emerging mental health services in which the incorporation of religious components into clinical practice may show good promising results in aiding the recovery process of psychological health issues. Likewise, embedding religiosity in one’s life, or being religiously minded, reflected in daily life manifestation, is linked with better mental health outcomes.

• Abu-Raiya, H. (2017). A critique from within: Some important research issues that psychologists of religion and spirituality should further work on. Mental Health, Religion & Culture, 20(6), 544-551. https://doi.org/10.1080/13674676.2017.1377945

• Abu-Raiya, H., & Ayten, A. (2020). Religious involvement, interpersonal forgiveness and mental health and well-being among a multinational sample of Muslims. Journal of Happiness Studies, 21(8), 3051-3067. https://doi.org/10.1007/s10902-019-00213-8

• Aghababaei, N., & Tekke, M. (2018). The relations among well-being outcomes and motives, religiosity, and personality factors in Malaysian Muslim university students. Journal of Research and Health, 8(6), 565-571. http://doi.org/10.29252/jrh.8.6.565

• Al-Sowygh, Z. H. (2013). Academic distress, perceived stress and coping strategies among dental students in Saudi Arabia. The Saudi Dental Journal, 25(3), 97-105. https://doi.org/10.1016/j.sdentj.2013.05.002

• Altemus, M., Sarvaiya, N., & Neill Epperson, C. (2014). Sex differences in anxiety and depression clinical perspectives. Frontiers in Neuroendocrinology, 35(3), 320-330. https://doi.org/10.1016/j.yfrne.2014.05.004

• Ayten, A., & Korkmaz, S. (2020). The relationships between religiosity, prosociality, satisfaction with life and generalised anxiety: A study on Turkish Muslims. Mental Health, Religion & Culture, 22(10), 980-993. https://doi.org/10.1080/13674676.2019.1695246

• Badri, M. (2013). Abu Zayd al-Balkhi’s sustenance of the soul: The cognitive behavior therapy of a ninth century physician. The International Institute of Islamic Thought.

• Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667-672. https://doi.org/10.1007/s00127-008-0345-x

• Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. https://doi.org/10.1037/0022-006X.56.6.893

• Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77-100. https://doi.org/10.1016/0272-7358(88)90050-5

• Bonelli, R. M. (2017). An evidence-based review on religiosity in Psychiatry. Journal of Neurology & Stroke, 7(2). https://doi.org/10.15406/jnsk.2017.07.00231

• Brown, D. R., Ndubuisi, S. C., & Gary, L. E. (1990). Religiosity and psychological distress among blacks. Journal of Religion & Health, 29(1), 55-68. https://doi.org/10.1007/BF00987095

• Buzdar, M. A., Ali, A., Nadeem, M., Nadeem, M. (2014). Relationship between religiosity and psychological symptoms in female university students. Journal of Religion & Health, 54(6), 2155-2163. https://doi.org/10.1007/s10943-014-9941-0

• Choudhry, F. R., Mani, V., Ming, L. C., & Khan, T. M. (2016). Beliefs and perception about mental health issues: A meta-synthesis. Neuropsychiatric Disease and Treatment, 2, 2807-2818. https://doi.org/10.2147/NDT.S111543

• Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404

• Fawzy, M., & Hamed, S. A. (2017). Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Research, 255, 186-194. https://doi.org/10.1016/j.psychres.2017.05.027

• Forouhari, S., Hosseini Teshnizi, S., Ehrampoush, M. H., Mazloomy Mahmoodabad, S. S., Fallahzadeh, H., Tabei, S. Z., Nami, M., Mirzaei, M., Namavar Jahromi, B., Teshnizi, S. M. H., Dehkordi, J. G., & Kazemitabaee, M. (2019). Relationship between religious orientation, anxiety, and depression among college students: A systematic review and meta-analysis. Iranian Journal of Public Health, 48(1), 43-52. https://doi.org/10.18502/ijph.v48i1.781

• Gardner, T. M., Krägeloh, C. U., & Henning, M. A. (2014). Religious coping, stress, and quality of life of Muslim university students in New Zealand. Mental Health, Religion and Culture, 17(4), 327-338. https://doi.org/10.1080/13674676.2013.804044

• Gonçalves, J. R. L., Jorge, A. P., Zanetti, G. C., Amaro, E. de A., Tótoli, R. T., & Lucchetti, G. (2018). Religiousness is associated with lower levels of anxiety, but not depression, in medical and nursing students. Revista Da Associação Médica Brasileira, 64(6), 537-542. https://doi.org/10.1590/1806-9282.64.06.537

• Hackney, C. H., & Sanders, G. S. (2003). Religiosity and mental health: A meta-analysis of recent studies. Journal for the Scientific Study of Religion, 42(1), 43-55. https://doi.org/10.1111/1468-5906.t01-1-00160

• Hanafiah, A. N., & Van Bortel, T. (2015). A qualitative exploration of the perspectives of mental health professionals on stigma and discrimination of mental illness in Malaysia. International Journal of Mental Health Systems, 9(1). https://doi.org/10.1186/s13033-015-0002-1

• Harris, J. I., Schoneman, S. W., & Carrera, S. R. (2002). Approaches to religiosity related to anxiety among college students. Mental Health, Religion and Culture, 5(3), 253-265. https://doi.org/10.1080/13674670110112730

• Hodge, D. R., Zidan, T., & Husain, A. (2016). Developing a model of wellness among Muslims: Examining the role of spirituality. British Journal of Social Work, 46(6), 1671-1689. https://doi.org/10.1093/bjsw/bcv099

• Hope, V., & Henderson, M. (2014). Medical student depression, anxiety and distress outside North America: A systematic review. Medical Education, 48(10), 963. https://doi.org/10.1111/medu.12512

• Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3-10. https://doi.org/10.1016/j.jadohealth.2009.08.008

• Institute for Public Health. (2015). National Health and Morbidity Survey 2015 (NHMS 2015). Vol. II: Non-communicable diseases, risk factors & other health problems, 2015. Ministry of Health, Malaysia. http://www.iku.gov.my/images/IKU/Document/REPORT/nhmsreport2015vol2.pdf

• Jansen, K. L., Motley, R., & Hovey, J. (2010). Anxiety, depression and students’ religiosity. Mental Health, Religion and Culture, 13(3), 267-271. https://doi.org/10.1080/13674670903352837

• Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry, 54(5), 283-291. https://doi.org/10.1177/070674370905400502

• Lee, E. H. (2012). Review of the psychometric evidence of the Perceived Stress Scale. Asian Nursing Research, 6(4), 121-127. https://doi.org/10.1016/j.anr.2012.08.004

• Lee, M. F., & Syaid, S. (2017). Factors contributing towards Malaysian Technical University (MTU) students’ mental health. Pertanika Journal of Social Sciences and Humanities, 25(May), 93-100.

• Levin, J. (2010). Religion and mental health: Theory and research. International Journal of Applied Psychoanalytic Studies, 7(2), 102-115. https://doi.org/10.1002/aps.240

• Lorenz, L., Doherty, A., & Casey, P. (2019). The role of religion in buffering the impact of stressful life events on depressive symptoms in patients with depressive episodes or adjustment disorder. International Journal of Environmental Research and Public Health, 16(7), 1238. https://doi.org/10.3390/ijerph16071238

• Md Nordin, N., Abu Talib, M., Yaacob, S. N., & Shatar Sabran, M. (2010). A study on selected demographic characteristics and mental health of young adults in public higher learning institutions in Malaysia. Global Journal of Health Science, 2(2), 104-110. https://doi.org/10.5539/gjhs.v2n2p104

• Md. Sa’ad, R. A. A., Razali, Z. A., Sanip, S., & Mohd Rani, M. D. (2017). Knowledge and attitude of Malaysia’s Muslim faith healers in dealing with the mentally ill. Mental Health, Religion & Culture, 20(10), 1015-1027. https://doi.org/10.1080/13674676.2018.1428793

• Miller, A. S., & Stark, R. (2002). Gender and religiousness: Can socialization explanations be saved? American Journal of Sociology, 107(6), 1399-1423. https://doi.org/10.1086/342557

• Moreira-Almeida, A., Neto, F. L., & Koenig, H. G. (2006). Religiousness and mental health: A review. Religiosidade e saúde mental: Uma revisão. Revista Brasileira de Psiquiatria, 28(3), 242-250. https://doi.org/10.1590/s1516-44462006005000006

• Nadeem, M., Ali, A., & Buzdar, M. A. (2017). The association between Muslim religiosity and young adult college students’ depression, anxiety, and stress. Journal of Religion and Health, 56(4), 1170-1179. https://doi.org/10.1007/s10943-016-0338-0

• Olufadi, Y. (2017). Muslim Daily Religiosity Assessment Scale (MUDRAS): A new instrument for Muslim religiosity research and practice. Psychology of Religion and Spirituality, 9(2), 165-179. https://doi.org/10.1037/rel0000074

• Pacheco, J. P. G., Giacomin, H. T., Tam, W. W., Ribeiro, T. B., Arab, C., Bezerra, I. M., & Pinasco, G. C. (2017). Mental health problems among medical students in Brazil: A systematic review and meta-analysis. Revista Brasileira de Psiquiatria, 39(4), 369-378. https://doi.org/10.1590/1516-4446-2017-2223

• Pargament, K. I. (2011). Spiritually integrated psychotherapy: Understanding and addressing the sacred. Guilford Press.

• Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T. (2015). College students: Mental health problems and treatment considerations. Academic Psychiatry, 39(5), 503-511. https://doi.org/10.1007/s40596-014-0205-9

• Power, L., & McKinney, C. (2014). The effects of religiosity on psychopathology in emerging adults: Intrinsic versus extrinsic religiosity. Journal of Religion and Health, 53(5), 1529-1538. https://doi.org/10.1007/s10943-013-9744-8

• Pozos-Radillo, B. E., Preciado-Serrano, M. D. L., Acosta-Fernández, M., Aguilera-Velasco, M. D. L. Á., & Delgado-García, D. D. (2014). Academic stress as a predictor of chronic stress in university students. Psicologia Educativa, 20(1), 47-52. https://doi.org/10.1016/j.pse.2014.05.006

• Rashid, M. H. A., Hashim, N. A., Nikmat, A. W., & Mohamad, M. (2021). Religiosity, religious coping and psychological distress among muslim university students in Malaysia. International Journal of Evaluation and Research in Education, 10(1), 150-160. https://doi.org/10.11591/ijere.v10i1.20870

• Razali, Z. A., & Tahir, M. F. (2018). The role of psychiatrists and Muslim faith healers in mental health issues. IIUM Medical Journal Malaysia, 17(1). https://doi.org/10.31436/imjm.v17i1.1037

• Razali, Z. A., Rahman, N. A. A., & Husin, S. (2018). Complementing the treatment of a major depressive disorder patient with ruqyah shar ‘iyyah therapy: A Malaysian case study. Journal of Muslim Mental Health, 12(2). https://doi.org/10.3998/jmmh.10381607.0012.204

• Rehm, J., & Shield, K. D. (2019). Global burden of disease and the impact of mental and addictive disorders. Current Psychiatry Reports, 21(2). https://doi.org/10.1007/s11920-019-0997-0

• Ross, C. E. (1990). Religion and psychological distress. Journal for the Scientific Study of Religion, 29(2), 236-245. https://doi.org/10.2307/1387431

• Royal College Psychiatrists. (2011). Mental health of students in higher education. College Report CR166. https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr166.pdf?sfvrsn=d5fa2c24_2

• Salam, A., Yousuf, R., Bakar, S. M. A., & Haque, M. (2013). Stress among medical students in Malaysia: A systematic review of literatures. International Medical Journal, 20(6), 649-655.

• Saleem, S., Mahmood, Z., & Naz, M. (2013). Mental health problems in university students: A prevalence study. FWU Journal of Social Sciences, 7(2), 124-130.

• Schnabel, L. (2017). Gendered religiosity. Review of Religious Research, 59, 547-556. https://doi.org/10.1007/s13644-017-0302-9

• Shamsuddin, K., Fadzil, F., Ismail, W. S. W., Shah, S. A., Omar, K., Muhammad, N. A., Jaffar, A., Ismail, A., & Mahadevan, R. (2013). Correlates of depression, anxiety and stress among Malaysian university students. Asian Journal of Psychiatry, 6(4), 318-23. https://doi.org/10.1016/j.ajp.2013.01.014

• Ssekamanya, S. A. (2016). Islamic theological and spiritual foundations of resilience: implications for counseling and psychotheraphy with Muslims. In S. A. Ssekamanya & S. R. Abd. Hamid (Eds.), Spirituality, religion and coping: Studies on psychological well-being from educational perspective (pp. 3-16). Institut Terjemahan & Buku Malaysia Berhad.

• Storrie, K., Ahern, K., & Tuckett, A. (2010). A systematic review: Students with mental health problems-A growing problem. International Journal of Nursing Practice, 16(1), 1-6. https://doi.org/10.1111/j.1440-172X.2009.01813.x

• Strawbridge, W. J., Shema, S. J., Cohen, R. D., Roberts, R. E., & Kaplan, G. A. (1998). Religiosity buffers effects of some stressors on depression but exacerbates others. Journals of Gerontology - Series B: Psychological Sciences and Social Sciences, 53B(3), S118-S126. https://doi.org/10.1093/geronb/53B.3.S118

• The Qur’an English Meanings (Saheeh International, Trans.). (2004). Al-Muntada Al-Islami.

• van der Watt, A. S. J., van de Water, T., Nortje, G., Oladeji, B. D., Seedat, S., Gureje, O., Kola, L., Appiah-Poku, J., Othieno, C., Harris, B., Esan, O., Makanjuola, V., & Price, L. N. (2018). The perceived effectiveness of traditional and faith healing in the treatment of mental illness: A systematic review of qualitative studies. Social Psychiatry and Psychiatric Epidemiology, 53, 555-566. https://doi.org/10.1007/s00127-018-1519-9

• Weber, S. R., & Pargament, K. I. (2014). The role of religion and spirituality in mental health. Current Opinion in Psychiatry, 5(27), 358-363 https://doi.org/10.1097/YCO.0000000000000080

• Wong, Y. J., Rew, L., & Slaikeu, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues in Mental Health Nursing, 27(2), 161-183. https://doi.org/10.1080/01612840500436941

• World Health Organization. (2019, November 29). Mental disorders. https://www.who.int/en/news-room/fact-sheets/detail/mental-disorders

• Yusoff, M. S. B., Yee, L. Y., Wei, L. H., Meng, L. H., Bin, L. X., Siong, T. C., & Rahim, A. F. A. (2011). A study on stress, stressors and coping strategies among Malaysian medical students. International Journal of Students’ Research, 1(2), 45-50. https://doi.org/10.5549/IJSR.1.2.45-50