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As scholars and practitioners endeavour to comprehend the intricate interplay between mental health conditions during this unprecedented time, a growing body of research underscores the profound implications of anxiety, stress, and depression on students' educational trajectories. While epidemiological studies have begun to assess the impacts of anxiety, stress, and depression, there is limited literature specifically addressing the effects on medical students in East Asia, particularly in Indonesia. This study aims to analyse the levels of anxiety, stress, depression, and their impact on the academic performance of undergraduate medical students. This study employs a quantitative, observational, and analytical crosssectional design. The sample size is 405 respondents, selected using purposive sampling. Data collection involves the DASS 42 questionnaires. The analysis was conducted using Chi-Square tests and multivariate analysis with SPSS software. The study reveals a significant correlation between anxiety and academic performance, with a p-value < 0.05 (OR=1.815). Stress also affects academic performance, with a p-value < 0.25 (OR=1.757). In addition, depression significantly impacts academic performance with a p-value < 0.05 (OR=2.009). Collectively, anxiety, stress, and depression significantly influence academic performance, with a combined p-value < 0.05 (OR=5.136). Anxiety, stress, and depression significantly affect the academic performance of students. Implementing targeted programs to reduce these mental health issues can enhance students' quality of life and academic success. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic that occurred in the late of 2019, has significantly impacted various sectors, including health, the economy, and education. Despite extensive research globally, there is limited literature on the psychological effects of the pandemic in East Asia, particularly in Indonesia. This study aimed to investigate the levels of anxiety, depression, and stress among Indonesian communities during the pandemic, and how these conditions relate to demographic characteristics. Utilizing a crosssectional design, the study employed descriptive, bivariate, and multivariate analyses using the DASS 42 questionnaire. The sample comprised 389 respondents selected through purposive sampling. Analysis through SPSS software, including Chi-Square and multivariate logistic regression tests, revealed that the majority of respondents did not experience significant anxiety (53.7%), while 21.7% and 11.9% experienced moderate and mild anxiety, respectively. Depression was absent in 74% of respondents, though 3.6% to 10% reported mild to extreme levels. Stress was reported by 28.3% of respondents, with 1.5% to 13.6% experiencing extremely severe to mild stress. Significant correlations were found between anxiety, depression, and stress with factors such as sex, age, residential area, and occupation. These findings underscore the need for targeted psychological and financial support, along with collaborative programs aimed at addressing economic, health, and educational challenges exacerbated by the pandemic. [ABSTRACT FROM AUTHOR]

The aim of this study is to investigate the intricate relationship between social support, self-efficacy, physical activity, personality type, and stress levels among university students. This study employed an analytic observational cross-sectional design, and data were collected from 329 respondents using the Depression, Anxiety, and Stress Scales-42 (DASS-42) questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), General Self-Efficacy Scales (GSES) to measure self-efficacy, International Physical Activity Questionnaire (IPAQ) to measure physical activity, personality type assessed using the Eysenck Personality Inventory (EPI). Purposive sampling was utilized to select samples based on inclusion and exclusion criteria, and statistical analyses, including chi-square and logistic regression tests, were conducted to examine the associations between variables. It was found that 41.9% of students experienced stress, while 58.1% did not experience stress. Notably, higher levels of social support and self-efficacy were linked with reduced stress, with 87.4% of students reporting high social support and 83.2% with high self-efficacy remaining stress-free. In contrast, lower levels of these factors were associated with higher stress incidence. Moreover, good physical activity habits were correlated with lower stress levels (73.8%), contrasting with poor physical activity linked to heightened stress (72.5%). In addition, students with introverted personalities demonstrated higher stress rates (72.5%). Importantly, the study identified a significant influence of social support, self-efficacy, physical activity, and personality type on stress levels (p < 0.05). Fostering social support networks, enhancing self-efficacy beliefs, and promoting physical activity are effective to alleviate stress among university students. [ABSTRACT FROM AUTHOR]

Background: Insomnia is a frequent clinical sign of various psychopathological disorders and affects millions of people worldwide. Although stress is recognized as the primary factor of insomnia, the relationship between social media and sleep quality among students remains unclear. Such relationships can have significant implications on the public sleep health that clinicians and researchers have to understand better. This study aimed to explore the relationship between stress, social media usage, sleep quality, and insomnia among university students. Methods: This study was conducted through an observational analysis while using a cross-sectional design of the study which was conducted in 2023. Purposive sampling techniques were used to select 311 students as respondents of the study. The questionnaires used were DASS 42 questionnaire, Intensity of Social Media Usage questionnaire, Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI). This study used Chi-Square analysis to examine the associations between stress, social media activity, sleep quality, and insomnia using SPSS version 26. Results: The average age of the students were ranging from 17 years to 22 years. There was a lack of significant association between stress and insomnia (p = 0.876) and between social media activity and insomnia (p = 0.402). Sleep quality demonstrated a highly significant relationship with insomnia (p < 0.001), highlighting its importance as a contributing factor to insomnia occurrences among university students. Conclusion: These results highlight the importance of improving sleep quality to reduce insomnia among university students. [ABSTRACT FROM AUTHOR]

Background: It is widely known that COVID-19 has influenced many aspects of human life. Notwithstanding, the quality of life of the human population in South East Asia, especially in Indonesia, was not wellarticulated concerning the pandemic's impacts. This study aimed to investigate the quality of life of Indonesian inhabitants in the middle of the pandemic. Methods: A descriptive, bivariate, and multivariate analysis was employed within a cross-sectional study design. As many as 389 respondents were included in the analysis using WHOQOL-BREV. Purposive technical sampling and SPSS ver. 26 were employed for the statistical analysis. Results: The majority of the respondents had a good quality of life (QOL) in the physical health, psychological, social condition, or environmental aspects more than 93%, and only a small proportion of the respondents who experienced bad quality of life ranging from 0.3%-3.3%. It is found that the factors of gender and occupation were found to have a significant correlation with p < 0.05 with quality of life (psychological and social condition aspects). Conclusion: The factors of gender and employment have a significant influence on the quality of life in terms of the psychological and social relationships of the respondents. [ABSTRACT FROM AUTHOR]