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Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. Isolation strategy with quarantine is a useful model in controlling transmission and rapid spread. As a result, people remained at home and disrupted their outside daily activities. It led to the closure of educational institutes, which is a source of many students to cope with numerous personal and familial issues. This study aims to focus on exploring the relationships and potential mediational pathways between mental health problems, illness perception, anxiety and depression disorders.

The study incorporated snowball sampling techniques through a cross-sectional, Web-based survey and recruited 500 students from different universities of twin cities, Rawalpindi and Islamabad from March 23 to April 15, 2020, during the coronavirus outbreak lockdown. The study used four instruments, Beck Depression Scale, Beck Anxiety Inventory, Revised Illness Perception Questionnaire and The Warwick-Edinburgh Mental Well-being Scale for assessing depression, anxiety, illness perception and mental health disorders.

The findings indicated normal (43.2%), mild (20.5%), moderate (13.6%) and severe (22.7%) levels of anxiety prevalence in students. Results specified a normal (65.9%), mild (9.10%), moderate (9.12%) and severe (15.90%) depression prevalence and findings stipulated that anxiety disorder prevalence was higher than depression disorder. The correlational results specified a negative and significant relationship between mental health, illness perception, anxiety and depression symptoms. The multiple regression analysis stated that anxiety and depression disorders mediated the relationship between mental health and present illness perception. The perception of illness exhibited a relation to depression and anxiety disorders.

The study proposed a model to address mental health problems during the lockdown. The (2019-nCoV) illness perception developed mental disorders, including anxiety and depression, which has declined individuals’ mental health. There is an urgent need for ongoing clinical examination and management to address psychological disorders and findings suggest assessing mental health to combatting the pandemic worldwide. Findings recommend developing strategies to promote mental health-care facilities during COVID-19 wide-ranging disasters. These results highlight the impending importance of devising strategies to treat mental health problems.

This study aims to explore the indigenous needs of married women in Pakistan due to the public health challenges they face due to marital conflict. The research focuses on investigating psychometric properties and cross-cultural validation of the revised dyadic adjustment scale’s (RDAS) Urdu translated version to assess marital relationship quality between married madrassa and non-madrassa women. The study examines empirically validated two-factor model (RDAS) between married madrassa and non-madrassa women (Busby et al., 1995; Hollist et al., 2012; Isanezhad et al., 2012; Christensen et al., 2006) and (Bayraktaroglu and Cakici, 2017). These studies approach including consensus, satisfaction and cohesion.

The investigators executed the study into two phases: a pilot test and the main survey.

The pilot study's findings specified that the Urdu translated version of the revised DAS indicated a decent internal consistency (a = 0.70). The overall revised DAS maintained a stronger test-retest correlation and tested it over 15 days (r = 0.95). The main study recorded 300 respondents' responses from madrassa and non-madrassa married women using a purposive sampling approach and recruited them from the locality of various madrassas and housing societies of Islamabad, Azad Kashmir and Rawalpindi, Pakistan. The study findings showed higher intercorrelations between total and subscales of the revised DAS. It further compared the groups with a multi-group confirmatory factor analysis (CFA) method and examined the revised DAS structure in married madrassa and non-madrassa women.

This study contributes to scientific knowledge and helps develop and validate indigenous cross-cultural instruments to examine marital life quality. It offers practical and reliable information about Pakistani couples' emotional attachment and marriage adjustment issues.

The study applied a three-factor solution, and it demonstrated a robust factorial validity in the context of Pakistani culture, which is a novel contribution to the literature.