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<front>
<journal-meta>
<journal-id journal-id-type="issn">1556-5009</journal-id>
<journal-title-group>
<journal-title>Journal of Muslim Mental Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1556-5009</issn>
<publisher>
<publisher-name>Michigan Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3998/jmmh.3576</article-id>
<article-categories>
<subj-group>
<subject>Original article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Relationship Between Coping and Psychological Wellbeing Among South African Muslims During the Covid-19 Pandemic</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Gani</surname>
<given-names>Salma</given-names>
</name>
<email>salma.gani@wits.ac.za</email>
<xref ref-type="aff" rid="aff-1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laher</surname>
<given-names>Sumaya</given-names>
</name>
<email>sumaya.laher@wits.ac.za</email>
<xref ref-type="aff" rid="aff-2">&#8224;</xref>
</contrib>
</contrib-group>
<aff id="aff-1"><label>*</label>Psychology, University of the Witwatersrand</aff>
<aff id="aff-2"><label>&#8224;</label>University of the Witwatersrand</aff>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-10-06">
<day>06</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>18</volume>
<issue>3</issue>
<fpage>1</fpage>
<lpage>14</lpage>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 The Author(s)</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See <uri xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</uri>.</license-p>
</license>
</permissions>
<self-uri xlink:href="https://journals.publishing.umich.edu/jmmh/article/10.3998/jmmh.3576/"/>
<abstract>
<p>The impact of coping on well-being during the COVID-19 pandemic is well established; however, not much is known about the role of culture and religion in shaping coping styles during the pandemic, specifically among a Muslim minority in the African context. It is noted that religious individuals may turn to their faith and spirituality during times of distress. This study explored the predictive relationship between coping, religious coping, and psychological well-being in a sample of South African Muslim individuals during 2020 and 2021. In 2020, 410 participants completed a survey measuring coping styles, religious coping styles, and psychological well-being during the COVID-19 lockdown period in South Africa, and 277 participants completed the survey in 2021. Results indicated that in 2020 and 2021, acceptance and religious coping styles were the most dominant coping strategies employed by individuals. In general, positive coping styles were better predictors of psychological well-being in 2020, with less functional coping styles as negative predictors of psychological well-being in 2021. These results are discussed within the context of promoting psychological well-being during and after the pandemic.</p>
</abstract>
<kwd-group>
<kwd>coping</kwd>
<kwd>COVID-19</kwd>
<kwd>Muslims</kwd>
<kwd>psychological well-being</kwd>
<kwd>religious coping</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec>
<title>Introduction</title>
<p>Early studies on well-being and coping during the COVID-19 pandemic focused largely on fears of infection, mortality, and financial uncertainty amidst a global health crisis (Godini&#263; &amp; Obrenovic, 2020; <xref ref-type="bibr" rid="B61">Porcelli, 2020</xref>; <xref ref-type="bibr" rid="B62">Quadros et al., 2021</xref>). As the literature surrounding well-being evolved, emphasis was placed on the role of cultural responses to the pandemic, including studies on the cultural perceptions of social distancing (<xref ref-type="bibr" rid="B37">Luu Duc Hyunh, 2020</xref>) and meaning-making in a time of uncertainty (<xref ref-type="bibr" rid="B38">Isiko, 2020</xref>). In faith-based communities, religious coping in particular is often cited as a prevalent coping style in conditions similar to COVID-19 (<xref ref-type="bibr" rid="B81">Wong-McDonald &amp; Gorsuch, 2000</xref>). Culture and religion have been shown to influence how communities interpret stressful events and develop resilience (<xref ref-type="bibr" rid="B17">Coppola et al., 2021</xref>; <xref ref-type="bibr" rid="B74">Ting et al., 2021</xref>). Spirituality acted as a protective factor during the COVID-19 pandemic (<xref ref-type="bibr" rid="B32">Hamka et al., 2022</xref>), with studies citing an increase in prayer and religious reflection during that time (<xref ref-type="bibr" rid="B10">Awaad et al., 2021</xref>; <xref ref-type="bibr" rid="B67">Safdar et al., 2023</xref>). Religion plays a vital role in the lives of many, and religious responses to stressful outcomes become especially important when considering diverse nations like South Africa, which is often celebrated as the &#8220;Rainbow Nation&#8221; for its multicultural identity (<xref ref-type="bibr" rid="B23">Department of Arts and Culture, 2013</xref>). In South Africa, the pandemic occurred within the context of an already strained mental health care system (<xref ref-type="bibr" rid="B52">Nguse &amp; Wassenaar, 2021</xref>), with an increased impact on mental health concerns on already vulnerable groups due to the stress associated with containment measures and fear of infection (<xref ref-type="bibr" rid="B22">De Man et al., 2022</xref>). Within the South African context, the COVID-19 pandemic constitutes an additional burden for a population already impacted by a legacy of collective trauma (<xref ref-type="bibr" rid="B51">Naidu, 2020</xref>). Within this context, South African Muslims, who represent a religious minority, can offer valuable insight into how faith-based coping mechanisms may contribute to psychological well-being during a time of crisis.</p>
<sec>
<title><italic>Islam in South Africa</italic></title>
<p>Muslims make up a minority in South Africa, constituting less than 5% of the population (<xref ref-type="bibr" rid="B72">Statistics South Africa, 2025</xref>). Islam in South Africa has a rich history of displacement and resistance, which has shaped the cultural identity of Muslims in South Africa today. The first presence of Muslims in South Africa was as slaves and political exiles in the 17th century (<xref ref-type="bibr" rid="B20">Dangor, 2003</xref>). Islam was repressed at that time, forcing Muslims to practice in secret to preserve their Islamic traditions and practices. Under these conditions, they turned to their faith and spirituality as a way to cope, which strengthened communal bonds and promoted resilience (<xref ref-type="bibr" rid="B19">Dangor, 1997</xref>; <xref ref-type="bibr" rid="B69">Sicard, 1989</xref>). Among those earliest Muslims were Islamic scholars who were instrumental in keeping Islam alive and promoted an ethos rooted in patience, prayer, and remembrance (<xref ref-type="bibr" rid="B19">Dangor, 1997</xref>; <xref ref-type="bibr" rid="B20">Dangor, 2003</xref>; <xref ref-type="bibr" rid="B69">Sicard, 1989</xref>). In later years, the migration of Muslims from the Indian subcontinent expanded Islam into other parts of South Africa. These Muslims also shaped the institutionalization of Islam, setting up key infrastructures, such as <italic>mosques</italic> (places of worship) and <italic>madrassas</italic> (Islamic schools), further shaping the presence of Islam in South Africa and reinforcing Islamic teachings in the lives of Muslims (<xref ref-type="bibr" rid="B20">Dangor, 2003</xref>; <xref ref-type="bibr" rid="B78">Vahed, 2021</xref>). During apartheid, Muslims were once again marginalized and subjected to an oppressive, racist regime. Racialized laws segregated individuals of color into specific regions; however, this espoused strength in a collective identity. Many Muslims drew strength from their religious beliefs and practices, with their Islamic ethos shaping their political resistance and providing a means to cope during civil unrest (<xref ref-type="bibr" rid="B69">Sicard, 1989</xref>). As a result, the spiritual and moral practices of Muslims today are shaped by their history of oppression and resistance, thereby shaping their potential to overcome difficult circumstances.</p>
</sec>
<sec>
<title><italic>Understanding Coping and Religious Coping</italic></title>
<p>Coping can either be directed externally by changing the situation or directed internally by changing the meaning of the situation (<xref ref-type="bibr" rid="B46">Lazarus &amp; Folkman, 1984</xref>). Emotion-focused coping is associated with adapting to a distressing situation through emotional responses, whereas problem-focused coping is an active response aimed at evaluating the situation and developing strategies to reduce the stress effects (<xref ref-type="bibr" rid="B46">Lazarus &amp; Folkman, 1984</xref>). Denial and planning coping strategies were related to post-traumatic stress symptoms among participants during the SARS outbreak (<xref ref-type="bibr" rid="B71">Sim et al., 2010</xref>). During COVID-19, in 20 countries, individuals with moderate to severe anxiety and depression avoided thinking about the pandemic, reported struggling to cope, and were unsure of which coping strategies to use (<xref ref-type="bibr" rid="B39">Kar et al., 2021</xref>). While general coping strategies can be categorized as emotion-focused or problem-focused, religious coping offers an additional layer of meaning for those whose spirituality plays a central role in their daily lives.</p>
<p>Religion holds a strong positive association with meaning in life, even in contexts in which meaning and purpose are challenged (<xref ref-type="bibr" rid="B44">Krok, 2015</xref>). Across faith-based communities, religious coping allows individuals to view trying situations as having a higher meaning, an opportunity to grow themselves into better individuals, and gain more control in their lives by placing the experience as a test from God (<xref ref-type="bibr" rid="B54">Paloutzian &amp; Park, 2005</xref>; <xref ref-type="bibr" rid="B80">Wnuk &amp; Marcinkowski, 2014</xref>). These concepts are further illustrated during the COVID-19 pandemic, where individuals often interpreted difficult experiences as a test from God and a time to reflect on their spiritual state of being (<xref ref-type="bibr" rid="B25">Fatima et al., 2022</xref>). Religious coping is dichotomised between positive and negative coping. Religious coping can consist of various systems of practice, such as religious rituals, seeking support from congregations, and through examining events through a relationship with God that impacts well-being (<xref ref-type="bibr" rid="B43">Kr&#228;geloh et al., 2012</xref>; <xref ref-type="bibr" rid="B6">Adam &amp; Ward, 2016</xref>).</p>
</sec>
<sec>
<title><italic>The Relationship Between Coping and Psychological Well-Being</italic></title>
<p>Psychological well-being can be described as social and emotional competence derived from perceptions and behaviors that allow for healthy engagement, meaning, and self-realization (<xref ref-type="bibr" rid="B40">Keyes, 2002</xref>). Psychological well-being also focuses on individuals&#8217; evaluation of themselves, such as recognizing positive aspects of their ability for growth, purpose, relationships, and being self-determined (<xref ref-type="bibr" rid="B66">Ryff &amp; Keyes, 1995</xref>). Efficient coping can result in positive psychological outcomes, such as happiness, personal development, life satisfaction, and job performance (<xref ref-type="bibr" rid="B48">Loukzadeh &amp; Bafrooi, 2013</xref>). A study on university students determined a significant relationship between psychological well-being and coping styles used, suggesting that the higher the psychological well-being profile was, the greater their use of coping strategies (<xref ref-type="bibr" rid="B27">Freire et al., 2016</xref>; <xref ref-type="bibr" rid="B28">Freire et al., 2018</xref>). Approach-oriented coping (active coping and seeking instrumental support) showed greater influence on psychological well-being among a sample of Taiwanese nurses, suggesting that occupation, context, and culture can make sense of the differential outcomes in coping strategies employed (<xref ref-type="bibr" rid="B47">Lee, Tzeng &amp; Chiang, 2019</xref>).</p>
<p>Muslims engaging in religious coping strategies established the connection between their religious coping and psychological well-being, as evidenced in several studies (<xref ref-type="bibr" rid="B13">Berzengi et al., 2017</xref>; <xref ref-type="bibr" rid="B6">Adam &amp; Ward, 2016</xref>; <xref ref-type="bibr" rid="B7">Aflakseir &amp; Coleman, 2011</xref>). Within Muslim communities, religion is commonly perceived as playing a positive role in well-being (<xref ref-type="bibr" rid="B42">Koenig &amp; Shohaib, 2014</xref>). Psychological well-being and religious beliefs are suggested to be positively correlated when Muslims identify as religious, resulting in greater levels of health and happiness than those who do not identify as religious (<xref ref-type="bibr" rid="B31">Green &amp; Elliot, 2010</xref>). Muslims may rely on their religious beliefs and teachings to cope with life stressors (<xref ref-type="bibr" rid="B3">Abu Raiya et al., 2008</xref>; <xref ref-type="bibr" rid="B6">Adam &amp; Ward, 2016</xref>), serving as a protective resource in times of significant distress (<xref ref-type="bibr" rid="B24">Fatima et al., 2018</xref>). Although not all religious coping is beneficial, positive religious coping, such as seeking comfort from God, has been associated with better mental health (<xref ref-type="bibr" rid="B4">Abu-Raiya &amp; Pargament, 2015</xref>; <xref ref-type="bibr" rid="B68">Saffari et al., 2013</xref>). Inversely, negative religious coping, such as spiritual discontent, may contribute to increased distress and lowered states of well-being (<xref ref-type="bibr" rid="B53">Nurasikin et al., 2013</xref>). For many Muslims, religion plays a central role in their coping processes, and engaging in negative religious coping may conflict with their intrinsic religious values, thus negatively affecting their long-term psychological state. Pargament (<xref ref-type="bibr" rid="B55">1997</xref>) highlighted the notion that when coping diverges from religious principles, individuals may experience guilt and shame, which can further impact psychological states. These dynamics were even more pronounced during the COVID-19 pandemic, where positive religious coping positively predicted positive appraisals and negative religious coping negatively predicted positive appraisals in a sample of Pakistani Muslims (<xref ref-type="bibr" rid="B25">Fatima et al., 2022</xref>). Appraisals are key indicators in how individuals interpret an event as stressful, with positive appraisals associated with positive psychological outcomes during COVID-19 (<xref ref-type="bibr" rid="B21">Daniels et al., 2021</xref>; <xref ref-type="bibr" rid="B79">Wallis et al., 2023</xref>).</p>
<p>During the pandemic, religious coping was related to reduced stress among American Orthodox Jews (<xref ref-type="bibr" rid="B60">Pirutinsky, Cherniak &amp; Rosmarin, 2020</xref>). However, in a sample of older adults in Jordan, most experienced high levels of death anxiety during COVID-19 and lower levels of religious coping and spiritual well-being (<xref ref-type="bibr" rid="B63">Rababa, Hayaineh &amp; Bani-Iss, 2021</xref>). Religiosity and religious coping were found to moderate the relationships between coping and well-being, and hope and well-being, in Muslim samples during the pandemic (<xref ref-type="bibr" rid="B33">Hardjo et al., 2021</xref>). This suggests that the effects of coping and other protective factors on well-being may vary depending on the level of religiosity in Muslim populations.</p>
<p>Much research into the pandemic and religious coping has been focused on Muslim populations in the Western and Asian contexts, with limited research among those residing in Africa. Given the unique socio-political history of South Africa and the role of spirituality in navigating historical challenges, this study sought to examine the role of coping and religious coping on psychological well-being during a time of significant distress. This research aims to fill a gap in local and international literature, which can contribute to the development of appropriate mental health support systems sensitive to the needs of a religiously devout minority in South Africa. The aim of this study is to determine the coping styles used by South African Muslims, their level of psychological well-being, and the coping predictors of psychological well-being during the COVID-19 pandemic in 2020 and 2021. The following research questions were formulated to meet this aim:</p>
<list list-type="order">
<list-item><p>What are the prominent coping styles used and the levels of psychological well-being of South African Muslims during the COVID-19 pandemic in 2020 and 2021?</p></list-item>
<list-item><p>Which coping styles are significant predictors of psychological well-being in 2020 and 2021?</p></list-item>
</list>
</sec>
</sec>
<sec>
<title>Methods</title>
<p>This study took place during the COVID-19 pandemic in 2020 and 2021. South African Muslims over 18 years old were recruited across South Africa to participate in this study in both waves of data collection, implemented in July 2020 and July 2021. Participants were recruited using social media platforms WhatsApp, Facebook, and Instagram, resulting in a non-probability, convenience sample. Additionally, participants were requested to forward the survey link to friends and family members to expand the participant pool. The questionnaire was available through an online link using SurveyMonkey (<xref ref-type="bibr" rid="B73">SurveyMonkey, 2022</xref>). The participants were not utilized across both waves, making this a repeated cross-sectional study.</p>
<p><xref ref-type="table" rid="T1">Table 1</xref> presents the demographic characteristics of participants in 2020 and 2021. In 2020, 410 participants completed the survey, while 281 participants completed it in 2021. Most participants resided in the Gauteng region in the 2020 and 2021 samples, and the majority were of Indian ethnicity. The sample for both years consisted mostly of female participants, with 70.7% in 2020 and 56.6% in 2021. Across both years, most participants were married, and the age group with the highest response rate was 25&#8211;34. For the 2020 data, a variable was created from age and medical history to determine which respondents would be at a greater risk of the effects of the COVID-19 virus. According to the Centers for Disease Control and Prevention (CDC, 2025), individuals over 60 and those with medical conditions, such as cardiovascular disease, chronic respiratory disease, or diabetes, were coded into this variable as high risk. Participants under 60 and without any stated conditions were categorized as low risk. Most samples were reported as low risk (72.9%) in 2020. In 2021, additional questions were reported on COVID-19 diagnosis in the past year. Most participants (60.5%) did not have a diagnosis in the past year, while 38.8% did. Most participants (53.7%) also said that a family member was diagnosed in the past year, while 44.1% did not have a family member diagnosed. In 2021, 77.9% of participants indicated they had lost a family member or friend during the past year, while 20.3% indicated they had not.</p>
<table-wrap id="T1">
<label>Table 1</label>
<caption>
<p>Sample Characteristics.</p>
</caption>
<table>
<tbody>
<tr>
<td align="left" valign="top"><bold>Variables</bold></td>
<td align="left" valign="top"><bold>2020- N (%)</bold></td>
<td align="left" valign="top"><bold>2021- N (%)</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold>Sample size</bold></td>
<td align="left" valign="top"><bold>N = 411</bold></td>
<td align="left" valign="top"><bold>N = 281</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold>Gender</bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Male</italic></td>
<td align="left" valign="top">119 (29.1%)</td>
<td align="left" valign="top">122 (43.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Female</italic></td>
<td align="left" valign="top">289 (70.7%)</td>
<td align="left" valign="top">159 (56.6%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Age</bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>18 to 24</italic></td>
<td align="left" valign="top">63 (15.3%)</td>
<td align="left" valign="top">28 (10%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>25 to 34</italic></td>
<td align="left" valign="top">106 (25.7%)</td>
<td align="left" valign="top">63 (22.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>35 to 44</italic></td>
<td align="left" valign="top">103 (25%)</td>
<td align="left" valign="top">49 (17.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>45 to 54</italic></td>
<td align="left" valign="top">60 (14.6%)</td>
<td align="left" valign="top">37 (13.2%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>55 to 64</italic></td>
<td align="left" valign="top">51 (12.4%)</td>
<td align="left" valign="top">55 (19.6%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>65 to 74</italic></td>
<td align="left" valign="top">25 (6.1%)</td>
<td align="left" valign="top">40 (14.2%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>75 or older</italic></td>
<td align="left" valign="top">2 (0.5%)</td>
<td align="left" valign="top">9 (3.2%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Marital status</bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Married</italic></td>
<td align="left" valign="top">278 (67.5%)</td>
<td align="left" valign="top">196 (69.8%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Single</italic></td>
<td align="left" valign="top">121 (29.6%)</td>
<td align="left" valign="top">54 (19.2%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Widowed</italic></td>
<td align="left" valign="top">6 (1.5%)</td>
<td align="left" valign="top">14 (5%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Other</italic></td>
<td align="left" valign="top">7 (1.7%)</td>
<td align="left" valign="top">17 (6%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Number of people in household (including you)</bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>1</italic></td>
<td align="left" valign="top">8 (1.9%)</td>
<td align="left" valign="top">11 (3.9%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>2 to 3</italic></td>
<td align="left" valign="top">113 (27.4%)</td>
<td align="left" valign="top">105 (37.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>4 to 6</italic></td>
<td align="left" valign="top">239 (58%)</td>
<td align="left" valign="top">144 (51.2%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>7 or more</italic></td>
<td align="left" valign="top">47 (11.4%)</td>
<td align="left" valign="top">20 (7.1%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>COVID-19 risk<sup>a</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Low risk</italic></td>
<td align="left" valign="top">298 (72.9%)</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>High risk</italic></td>
<td align="left" valign="top">111 (27.1%)</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><bold>COVID-19 diagnosis in past year<sup>b</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Yes</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">109 (38.8%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>No</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">170 (60.5%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Prefer not to say</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">1 (0.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Family member COVID-19 diagnosed in past year<sup>b</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Yes</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">151 (53.7%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>No</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">124 (44.1%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Prefer not to say</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">4 (1.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Lost a family member or friend during past year<sup>b</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Yes</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">219 (77.9%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>No</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">57 (20.3%)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Prefer not to say</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">4 (1.4%)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Variable</bold></td>
<td align="left" valign="top"><bold>Mean (SD), Min/Max</bold></td>
<td align="left" valign="top"><bold>Mean (SD), Min/Max</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold>Level of religiosity</bold></td>
<td align="left" valign="top">3.59 (SD = 0.8), Min = 1; Max = 5</td>
<td align="left" valign="top">3.64 (SD = 0.78), Min = 1; Max = 5</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Physical Health</bold></td>
<td align="left" valign="top">15.43 (SD = 2.83), Min = 3; Max = 24</td>
<td align="left" valign="top">9.21 (SD = 3.95), Min = 3; Max = 24</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Mental Health</bold></td>
<td align="left" valign="top">13.55 (SD = 3.27), Min = 5; Max = 20</td>
<td align="left" valign="top">12.81 (SD = 3.24), Min = 5; Max = 20</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p><italic>Note</italic>. <sup>a</sup>Requested in 2020 only. <sup>b</sup>Requested in 2021 only.</p></fn>
</table-wrap-foot>
</table-wrap>
<sec>
<title><italic>Measures</italic></title>
<p>Participants were given an online questionnaire consisting of a demographics section, and the Brief Cope (<xref ref-type="bibr" rid="B14">Carver, 1997</xref>; <xref ref-type="bibr" rid="B15">Carver, Scheier &amp; Weintraub, 1989</xref>), Brief Religious Coping Scale (<xref ref-type="bibr" rid="B56">Pargament, Feuille &amp; Burdzy, 2011</xref>), and Psychological Well-Being Scale (<xref ref-type="bibr" rid="B66">Ryff &amp; Keyes, 1995</xref>) were employed. Information requested in the demographic section included age, gender, region, education status, home language, population group, marital status, number of children, number of people in the household, and medical history. These questions helped to describe the sample across both years and contextualize the findings within the South African Muslim population. In 2020, age and medical history were used together to code individuals into a low risk or high risk group for moderate to severe COVID-19 symptoms. In 2021, the survey asked if the participant or their family members had contracted COVID-19 in the past year. Additionally, they were asked if they had lost a family member or friend in the past year due to the virus.</p>
</sec>
<sec>
<title><italic>Physical and Mental Health</italic></title>
<p>The Global Health and Mental Health Scale identified as the Patient-Reported Outcomes Measurement Information System (PROMIS) (<xref ref-type="bibr" rid="B34">Hays et al., 2018</xref>) was used to determine the general physical and mental health of this sample, and to exclude any respondent who scored low or high (10th or 90th percentile) on either physical or mental health to limit the impact of extreme values on our results. This measure aligns with the World Health Organization (WHO) assessment of health and is a reliable and valid measure for physical and mental health across general populations (<xref ref-type="bibr" rid="B12">Bat&#243; et al., 2024</xref>; <xref ref-type="bibr" rid="B58">Pellicciari et al., 2021</xref>).</p>
</sec>
<sec>
<title><italic>Coping</italic></title>
<p>To assess coping, the Brief COPE inventory (<xref ref-type="bibr" rid="B14">Carver, 1997</xref>) was used to determine various coping styles suitable for assessing how individuals cope during acute and highly stressful circumstances (<xref ref-type="bibr" rid="B29">Garc&#237;a et al., 2018</xref>). This scale has been validated in numerous contexts and populations, including Muslim samples (<xref ref-type="bibr" rid="B64">Rodrigues et al., 2022</xref>). This scale consists of 14 subscales, comprising problem-focused, emotion-focused, and maladaptive coping styles (active coping, planning, positive reframing, instrumental support, emotional support, venting, humor, acceptance, religion, self-blame, self-distraction, denial, substance use, and behavioral disengagement) (<xref ref-type="bibr" rid="B14">Carver, 1997</xref>). The Brief Cope consists of 28 items, with two items per subscale. Items are answered using a 4-point Likert scale (from 1: <italic>I haven&#8217;t been doing this at all</italic>, to 4: <italic>I have been doing this a lot</italic>). Higher scores indicate a greater use of the specific coping strategy. All subscales exceeded .60 alpha reliability except venting, denial, and acceptance (<xref ref-type="bibr" rid="B14">Carver, 1997</xref>). The Brief Cope has shown excellent internal consistency reliability for each of the 14 subscales, with omega values ranging from 0.70&#937; to 0.97&#937; (<xref ref-type="bibr" rid="B49">Monzani, Dario, Patrizia et al, 2015</xref>). In the 2020 sample, internal consistency reliability for the subscales ranged from 0.85 (humor) to 0.61 (active coping). In the 2021 sample, subscale reliabilities ranged from 0.87 (substance use) to 0.62 (venting).</p>
<p>To assess religious coping, the Brief RCOPE was used, which is the short form of the Religious Coping measure by Pargament, Feuille &amp; Burdzy (<xref ref-type="bibr" rid="B56">2011</xref>). It measures positive and negative religious coping strategies. Positive religious coping illustrates a secure relationship with God, whereas negative religious coping reflects tensions to spiritual connectedness (<xref ref-type="bibr" rid="B56">Pargament, Feuille &amp; Burdzy 2011</xref>). This measure is relevant given that Muslims may turn to faith and spirituality during a time of crisis, therefore employing numerous religious coping strategies to mitigate acute stressors due to the COVID-19 pandemic. This scale was used to measure religious coping among different religious denominations, including Muslims (<xref ref-type="bibr" rid="B50">Mohammadzadeh &amp; Najafi, 2018</xref>; Saunders &amp; Stephenson, 2024). The domains of positive and negative coping were especially useful in examining the impact of positive and negative coping on psychological well-being and were, therefore, included in this study. This scale consists of 14 items, with seven items to measure each of the two subscales. Items are answered using a 5-point Likert scale (from 1: <italic>strongly disagree</italic>, to 5: <italic>strongly agree</italic>). Higher scores indicate a greater use of the religious coping domain. Internal consistency coefficients in a Muslim sample indicated that positive religious coping has a Cronbach alpha coefficient of 0.91 and negative religious coping has an alpha coefficient of 0.68 (<xref ref-type="bibr" rid="B13">Berzengi et al., 2017</xref>). The internal consistency reliability alphas in the 2020 and 2021 samples ranged between 0.85 and 0.92 for both subscales.</p>
</sec>
<sec>
<title><italic>Psychological Well-Being</italic></title>
<p>The Psychological Well-Being Scale-revised, developed by Ryff and Keyes (<xref ref-type="bibr" rid="B66">1995</xref>), measures aspects of positive functioning and well-being, and relates to long-term psychological states that may be impacted by the pandemic. This scale has been validated in a Muslim sample (<xref ref-type="bibr" rid="B41">Khanjani et al., 2014</xref>). This scale consists of 18 items measuring six psychological well-being domains. These domains are autonomy, environmental mastery, purpose in life, positive relations with others, personal growth, and self-acceptance. These items are answered on a 5-point Likert scale, from 1 (strongly disagree) to 5 (strongly agree). A higher score reflects higher levels of psychological well-being. Ryff and Keyes (<xref ref-type="bibr" rid="B66">1995</xref>) reported internal consistency reliability coefficients ranging from .33 (purpose in life) to .56 (positive relations with others). In <xref ref-type="bibr" rid="B18">2018</xref>, Costea-Barlutiu, B&#462;las-Baconschi &amp; Hathazi reported Cronbach alpha coefficients ranging from 0.62 to 0.75 for the six dimensions of psychological well-being. The internal consistency reliability coefficients in the 2020 sample ranged between 0.83 (Total Psychological Well-Being) and 0.61 (Environmental Mastery and Personal Growth). In 2021, the internal consistency reliability coefficients ranged from 0.81 (Total Psychological Well-being) to 0.54 (Personal Growth).</p>
</sec>
<sec>
<title><italic>Ethics</italic></title>
<p>Ethical clearance for this study was obtained from the Human Research Ethics Committee at the University of the Witwatersrand (Protocol number: MASPR/20/06) and was deemed low risk. Participants were presented with a Participant Information Sheet (PIS) outlining the purpose of the study and the voluntary nature of their participation. Anonymity and confidentiality were ensured by not requesting identifying information and removing IP addresses from the extracted dataset from the survey platform. The PIS also provided a Muslim-focused nationwide hotline for counseling services to mitigate vulnerability. At the end of the PIS, participants were requested to consent to participating, ensuring informed consent before completing the questionnaire. The links were open for one month at each data collection point. Data was extracted and analysed using SPSS Version 27 and 28 (<xref ref-type="bibr" rid="B35">IBM Corp., 2020</xref>).</p>
</sec>
<sec>
<title><italic>Data Analysis</italic></title>
<p>Descriptive statistics were used to analyze demographic information, coping styles, and psychological well-being in the samples in 2020 and 2021, with standard deviations reported for normally distributed data and medians and interquartile ranges for non-normally distributed data. A backward stepwise multiple linear regression was conducted to determine the predictors of overall psychological well-being and each domain of psychological well-being for 2020 and 2021, while controlling for religiosity and gender. The backward stepwise linear regression approach starts with all predictors in the model, sequentially removing the least significant predictors until a final model is reached with predictors that best explain the variance in the dependent variable (<xref ref-type="bibr" rid="B26">Field, 2013</xref>). Assumptions for the multiple linear regression were checked (linearity, normality of residuals, homoscedasticity, and outliers). The alpha level of significance was set at 0.05 for all inferential statistics.</p>
</sec>
</sec>
<sec>
<title>Results</title>
<sec>
<title>Coping Styles Utilized and Levels of Psychological Well-Being</title>
<p>As seen in <xref ref-type="table" rid="T2">Table 2</xref>, the coping styles were consistent across 2020 and 2021, displaying a similar pattern of ranking from most to least endorsed strategies. The most reported coping strategy was turning to religion, with a mean of 6.43 (SD = 1.54) in 2020 and 6.29 (SD = 1.66) in 2021. This was followed closely by acceptance for 2020 (mean = 6.31, SD = 1.45), which indicates a marginal decline in endorsement in 2021 (mean = 5.62, SD = 1.87). This was similarly evident with positive reframing reported higher in 2020 (mean = 5.28, SD = 1.66) than in 2021 (mean = 4.77, SD = 1.87). However, the overall pattern of coping strategies remained constant across the years. The lowest reported strategies include substance use reported in 2020 (mean = 2.16, SD = .69) and in 2021 (2.17, SD = .617). This was followed by behavioral disengagement in 2020 (mean = 2.87, SD = 1.22) and in 2021 (mean = 2.96, SD = 1.34), and denial in 2020 (mean = 2.96, SD = 1.35) and in 2021 (mean = 3.04, SD = 1.42). The highest reported less-than-functional coping style was self-distraction in 2020 (mean = 4.73, SD = 1.55), which reduced slightly in 2021 (mean = 3.66, SD = 1.60).</p>
<table-wrap id="T2">
<label>Table 2</label>
<caption>
<p>Comparison of Coping Styles, Religious Coping and Levels of Psychological Well-Being in 2020 and 2021.</p>
</caption>
<table>
<tbody>
<tr>
<td align="left" rowspan="2" valign="top"><bold>Variables</bold></td>
<td align="left" valign="top"><bold>Means/medians (SD/IQR)</bold></td>
<td align="left" valign="top"><bold>Means/medians (SD/IQR)</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold>2020 n = 411</bold></td>
<td align="left" valign="top"><bold>2021 n = 279</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold>Brief COPE<sup>a</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Active coping</italic></td>
<td align="left" valign="top">5.00 (SD = 1.58)</td>
<td align="left" valign="top">4.74 (SD = 1.82)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Planning</italic></td>
<td align="left" valign="top">4.99 (SD = 1.69)</td>
<td align="left" valign="top">4.71 (SD = 1.95)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive reframing</italic></td>
<td align="left" valign="top">5.28 (SD = 1.66)</td>
<td align="left" valign="top">4.77 (SD = 1.87)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Acceptance</italic></td>
<td align="left" valign="top">6.31 (SD = 1.45)</td>
<td align="left" valign="top">5.62 (SD = 1.87)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Humor</italic></td>
<td align="left" valign="top">3.79 (SD = 1.68)</td>
<td align="left" valign="top">3.30 (SD = 1.56)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Turning to religion</italic></td>
<td align="left" valign="top">6.43 (SD = 1.54)</td>
<td align="left" valign="top">6.29 (SD = 1.66)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Emotional support</italic></td>
<td align="left" valign="top">4.24 (SD = 1.73)</td>
<td align="left" valign="top">3.84 (SD = 1.66)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Instrumental support</italic></td>
<td align="left" valign="top">4.03 (SD = 1.65)</td>
<td align="left" valign="top">3.66 (SD = 1.60)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-distraction</italic></td>
<td align="left" valign="top">4.73 (SD = 1.55)</td>
<td align="left" valign="top">4.54 (SD = 1.73)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Denial</italic></td>
<td align="left" valign="top">2.00 (IQR = 2)</td>
<td align="left" valign="top">3.00 (IQR = 2)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Venting</italic></td>
<td align="left" valign="top">3.73 (SD = 1.33)</td>
<td align="left" valign="top">3.73 (SD = 1.53)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Substance use</italic></td>
<td align="left" valign="top">2.00 (IQR = 0)</td>
<td align="left" valign="top">2.00 (IQR = 0)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Behavioral disengagement</italic></td>
<td align="left" valign="top">2.00 (IQR = 1)</td>
<td align="left" valign="top">2.00 (IQR = 2)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-blame</italic></td>
<td align="left" valign="top">2.00 (IQR = 2)</td>
<td align="left" valign="top">3.00 (IQR = 2)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Brief Religious COPE<sup>b</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive Religious coping</italic></td>
<td align="left" valign="top">31.00 (IQR = 7)</td>
<td align="left" valign="top">32 (IQR = 7)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Negative Religious coping</italic></td>
<td align="left" valign="top">12.28 (SD = 5.49)</td>
<td align="left" valign="top">13.55 (SD = 5.69)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Psychological Well-Being<sup>c</sup></bold></td>
<td align="left" valign="top"></td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Autonomy</italic></td>
<td align="left" valign="top">8.15 (SD = 1.52)</td>
<td align="left" valign="top">8.19 (SD = 1.48)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Environmental mastery</italic></td>
<td align="left" valign="top">7.53 (SD = 1.52)</td>
<td align="left" valign="top">10.58 (SD = 2.39)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Personal growth</italic></td>
<td align="left" valign="top">8.74 (SD = 1.25)</td>
<td align="left" valign="top">8.62 (SD = 1.28)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive relations with others</italic></td>
<td align="left" valign="top">6.90 (SD = 2.17)</td>
<td align="left" valign="top">6.65 (SD = 2.08)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Purpose</italic></td>
<td align="left" valign="top">6.80 (SD = 1.74)</td>
<td align="left" valign="top">6.44 (SD = 1.84)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-acceptance</italic></td>
<td align="left" valign="top">7.72 (SD = 1.57)</td>
<td align="left" valign="top">11.04 (SD = 2.51)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Total Psychological Well-Being<sup>d</sup></italic></td>
<td align="left" valign="top">45.84 (SD = 5.82)</td>
<td align="left" valign="top">51.56 (SD = 7.47)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p><italic>Note</italic>. <sup>a</sup>Min = 2, Max = 8. <sup>b</sup>Min = 7, Max = 35. <sup>c</sup>Min = 3, Max = 15. <sup>d</sup>Min = 18, Max = 90.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>Positive religious coping was a highly endorsed coping style in both 2020 (median = 31, IQR = 7) and 2021 (median = 32, IQR = 7), while negative religious coping was reported consistently lower than positive religious coping in 2020 (mean = 12.28, SD = 5.49) and 2021 (mean = 13.55, SD = 5.69).</p>
<p>Psychological well-being varied across the years, with the most highly rated psychological well-being domain in 2020 as personal growth (mean = 8.74, SD = 1.25), and self-acceptance in 2021 (mean = 11.04, SD = 2.51). The two subscales produced different mean scores across both years, with the environmental mastery mean score increasing from 7.53 (SD = 1.52) in 2020 to 10.58 (SD = 2.39) in 2021. Similarly, self-acceptance resulted in a mean increase from 7.72 (SD = 1.57) in 2020 to 11.04 (SD = 2.51) in 2021. In addition, total psychological well-being increased from 45.84 (SD = 5.82) in 2020 to 51.56 (SD = 7.47) in 2021.</p>
<p>The descriptive results suggest that participants demonstrated a reliance on functional coping strategies more than less functional coping strategies during 2020 and 2021. However, some functional coping strategies were utilized less in 2021 than in 2020, such as acceptance and positive reframing. Participants utilized positive religious coping strategies more than negative coping for both years. The environmental mastery and self-acceptance well-being domains were rated higher in 2021 than in 2020, resulting in an increased mean score for total psychological well-being in 2021. However, these differences were not statistically significant, and marginal differences in scores across the years can be attributed to sampling bias.</p>
</sec>
<sec>
<title><italic>Coping and Religious Coping as Predictors of Psychological Well-being</italic></title>
<p><xref ref-type="table" rid="T3">Tables 3</xref> and <xref ref-type="table" rid="T4">4</xref> present the final models with significant predictors of each psychological well-being domain in 2020 and 2021. The results for each model are reported below.</p>
<table-wrap id="T3">
<label>Table 3</label>
<caption>
<p>Linear Regression Models for Autonomy, Environmental Mastery, and Personal Growth for 2020 and 2021.</p>
</caption>
<table>
<tbody>
<tr>
<td align="left" rowspan="2" valign="top"><bold>Variable</bold></td>
<td align="left" colspan="2" valign="top"><bold>Autonomy</bold></td>
<td align="left" colspan="2" valign="top"><bold>Environmental mastery</bold></td>
<td align="left" colspan="2" valign="top"><bold>Personal growth</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Constant</italic></td>
<td align="left" valign="top">8.98** (0.41)</td>
<td align="left" valign="top">9.00** (0.38)</td>
<td align="left" valign="top">8.57** (0.34)</td>
<td align="left" valign="top">11.94** (0.82)</td>
<td align="left" valign="top">8.05 (0.33)</td>
<td align="left" valign="top">13.39 (0.41)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Gender</italic></td>
<td align="left" valign="top">&#8211;0.39*</td>
<td align="left" valign="top">&#8211;0.33</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Level of religiosity</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Active coping</italic></td>
<td align="left" valign="top">0.14*</td>
<td align="left" valign="top">0.15*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.13*</td>
<td align="left" valign="top">0.33**</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Planning</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.09</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top"></td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive reframing</italic></td>
<td align="left" valign="top">0.11*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.11*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.08*</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Acceptance</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.10*</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Humor</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.07</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Religion</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Emotional support</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.10</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.24*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Instrumental support</italic></td>
<td align="left" valign="top">&#8211;0.11*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.14*</td>
<td align="left" valign="top">0.20*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.22*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-distraction</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.14*</td>
<td align="left" valign="top">&#8211;0.31**</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.16*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Denial</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.14*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.20*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Venting</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Substance use</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.12</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.23**</td>
<td align="left" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Behavioral disengagement</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.54**</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.35**</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-blame</italic></td>
<td align="left" valign="top">&#8211;0.22**</td>
<td align="left" valign="top">&#8211;0.17*</td>
<td align="left" valign="top">&#8211;0.33**</td>
<td align="left" valign="top">&#8211;0.35**</td>
<td align="left" valign="top">&#8211;0.11*</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive religious coping</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.07*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Negative religious coping</italic></td>
<td align="left" valign="top">&#8211;0.03</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.03*</td>
<td align="left" valign="top"></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.05*</td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>Model statistic F(df)</italic></bold></td>
<td align="left" valign="top">11.25** (6, 402)</td>
<td align="left" valign="top">7.85** (4, 262)</td>
<td align="left" valign="top">15.02** (9, 399)</td>
<td align="left" valign="top">35.60** (5, 261)</td>
<td align="left" valign="top">20.04** (5, 403)</td>
<td align="left" valign="top">13.42** (7,260)</td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>Adjusted R-square</italic></bold></td>
<td align="left" valign="top">0.13</td>
<td align="left" valign="top">0.09</td>
<td align="left" valign="top">0.24</td>
<td align="left" valign="top">0.39</td>
<td align="left" valign="top">0.19</td>
<td align="left" valign="top">0.25</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>*p &lt; 0.05, **p &lt; 0.001.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4">
<label>Table 4</label>
<caption>
<p>Linear Regression Models for Positive Relations with Others, Purpose, Self-Acceptance, and Total Psychological Well-Being for 2020 and 2021.</p>
</caption>
<table>
<tbody>
<tr>
<td align="left" rowspan="2" valign="top"><bold>Variable</bold></td>
<td align="left" colspan="2" valign="top"><bold>Positive relations with others</bold></td>
<td align="left" colspan="2" valign="top"><bold>Purpose</bold></td>
<td align="left" colspan="2" valign="top"><bold>Self-acceptance</bold></td>
<td align="left" colspan="2" valign="top"><bold>Total PWB</bold></td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
<td align="left" valign="top"><bold><italic>2020</italic></bold></td>
<td align="left" valign="top"><bold><italic>2021</italic></bold></td>
</tr>
<tr>
<td align="left" valign="top"><italic>Constant</italic></td>
<td align="left" valign="top">7.24**</td>
<td align="left" valign="top">9.59**</td>
<td align="left" valign="top">6.45**</td>
<td align="left" valign="top">12.45**</td>
<td align="left" valign="top">9.41**</td>
<td align="left" valign="top">13.83**</td>
<td align="left" valign="top">47.18**</td>
<td align="left" valign="top">56.62</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Gender</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.66*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Level of religiosity</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.34</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Active coping</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.46*</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Planning</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.17*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive reframing</italic></td>
<td align="left" valign="top">0.13</td>
<td align="left" valign="top">0.17*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.11*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.51*</td>
<td align="left" valign="top">0.68*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Acceptance</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.36</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Humour</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Religion</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Emotional support</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.20*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.24*</td>
<td align="left" valign="top">0.09*</td>
<td align="left" valign="top">0.29*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Instrumental support</italic></td>
<td align="left" valign="top">0.23*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.21</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-distraction</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.35**</td>
<td align="left" valign="top">0.19*</td>
<td align="left" valign="top">&#8211;0.25*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.91*</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Denial</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.12</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Venting</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.16</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Substance use</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.19*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.63*</td>
<td align="left" valign="top">&#8211;</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Behavioural disengagement</italic></td>
<td align="left" valign="top">&#8211;0.24*</td>
<td align="left" valign="top">&#8211;0.20</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.15*</td>
<td align="left" valign="top">&#8211;0.34*</td>
<td align="left" valign="top">&#8211;0.44*</td>
<td align="left" valign="top">&#8211;1.65**</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Self-blame</italic></td>
<td align="left" valign="top">&#8211;0.27**</td>
<td align="left" valign="top">&#8211;0.16</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.30**</td>
<td align="left" valign="top">&#8211;0.40**</td>
<td align="left" valign="top">&#8211;1.1**</td>
<td align="left" valign="top">&#8211;1.11**</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Positive religious coping</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.05*</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">0.14</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Negative religious coping</italic></td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.07**</td>
<td align="left" valign="top">&#8211;</td>
<td align="left" valign="top">&#8211;0.06*</td>
<td align="left" valign="top">&#8211;0.04*</td>
<td align="left" valign="top">&#8211;0.06*</td>
<td align="left" valign="top">&#8211;0.12*</td>
<td align="left" valign="top">&#8211;0.21*</td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>Model statistic</italic></bold></td>
<td align="left" valign="top">9.61** (4, 401)</td>
<td align="left" valign="top">16.72** (7, 260)</td>
<td align="left" valign="top">4.65* (2, 404)</td>
<td align="left" valign="top">6.33** (5, 262)</td>
<td align="left" valign="top">23.97** (6, 402)</td>
<td align="left" valign="top">17.19** (7, 260)</td>
<td align="left" valign="top">22.79** (7, 398)</td>
<td align="left" valign="top">31.84** (6, 259)</td>
</tr>
<tr>
<td align="left" valign="top"><bold><italic>Adjusted R-square</italic></bold></td>
<td align="left" valign="top">0.08</td>
<td align="left" valign="top">0.29</td>
<td align="left" valign="top">0.02</td>
<td align="left" valign="top">0.09</td>
<td align="left" valign="top">0.25</td>
<td align="left" valign="top">0.30</td>
<td align="left" valign="top">0.27</td>
<td align="left" valign="top">0.41</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>*p &lt; 0.05, **p &lt; 0.001</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title><italic>Significant Predictors of Autonomy in 2020 and 2021</italic></title>
<p>After 13 model iterations in 2020 and 15 model iterations in 2021, the Autonomy domain models&#8217; statistics revealed that the model for 2020 accounted for 13% of the unique variance in autonomy, while the model in 2021 only accounted for 9% of the variance. In 2020, gender emerged as a significant negative predictor for autonomy (B = &#8211;0.39, p &lt; 0.05), suggesting that males reported higher rates of autonomy in that year. Active coping positively predicted autonomy for both 2020 (B = .14, p &lt; .05) and 2021 (B = .15, p &lt; 0.05). Additionally, positive reframing was a significant positive predictor in 2020 (B = 0.11, p &lt; 0.05), whereas instrumental support negatively predicted autonomy in the same year (B = &#8211;0.10, p &lt; 0.05). Self-blame was a consistent negative predictor across both years (2020: B = &#8211;.22, p &lt; .001; 2021: B = &#8211;.24, p &lt; .001). Denial was a negative predictor in 2021 (B = &#8211;0.14, p &lt; 0.05). The results indicate a similar pattern of predictors in both years, with self-blame and active coping emerging as consistent predictors of autonomy.</p>
</sec>
<sec>
<title><italic>Significant Predictors of Environmental Mastery in 2020 and 2021</italic></title>
<p>After 10 model iterations in 2020 and 14 model iterations in 2021, the final predictive models for environmental mastery accounted for 24% in 2020 and 39% in 2021. In 2020, positive reframing was a significant positive predictor of environmental mastery (B = 0.11, p &lt; 0.05), while instrumental support emerged as a negative predictor (B = &#8211;0.14, p &lt; 0.05). This trend reversed in 2021 with instrumental support becoming a positive predictor (B = 0.20, p &lt; 0.05). Among the less functional coping styles, self-blame was a strong negative predictor in 2020 (B = &#8211;0.33, p &lt; 0.001) and 2021 (B = &#8211;0.35, p &lt; .001). Similarly, self-distraction also negatively predicted environmental mastery in 2020 (B = &#8211;0.14, p &lt; 0.05), with larger effects noted in 2021 (B = &#8211;0.31, p &lt; 0.01). Additionally, behavioral disengagement was a negative predictor in 2021 (B = &#8211;0.54, p &lt; 0.01). The results indicate that more functional coping styles predicted environmental mastery in 2020, while less functional coping styles were stronger predictors of environmental mastery in 2021.</p>
</sec>
<sec>
<title><italic>Significant Predictors of Personal Growth in 2020 and 2021</italic></title>
<p>After 14 model iterations in 2020 and 12 model iterations in 2020, the final predictive model revealed that the predictors in 2020 explained 19% of the unique variance in personal growth and 25% of the variance in 2021. Active coping emerged as a positive predictor in both years, with a stronger effect in 2021(2020: B = 0.13, p &lt; 0.05; 2021: B = 0.33, p &lt; 0.001). In 2020, acceptance (B = 0.10, p &lt; 0.05) and positive reframing (B = 0.08, p &lt; 0.05) were significant positive predictors of personal growth. Instrumental support was a significant positive predictor in 2021 (B = 0.22, p &lt; 0.05); however, emotional support unexpectedly emerged as a negative predictor in 2021 (B = &#8211;0.24, p &lt; 0.05). Several less functional coping styles emerged as negative predictors in 2021. These were behavioural disengagement (B = &#8211;0.15, p &lt; 0.05), denial (B = &#8211;0.20, p &lt; 0.05) and self-distraction (B = &#8211;0.16, p &lt; 0.05). Substance use (B = &#8211;0.23, p &lt; 0.001) and self-blame (B = &#8211;0.11, p &lt; 0.05) were the only significant negative predictors in 2020. Results indicate a greater influence of dysfunctional coping over time.</p>
</sec>
<sec>
<title><italic>Significant Predictors of Positive Relations with Others in 2020 and 2021</italic></title>
<p>After 15 model iterations in 2020 and 12 model iterations in 2021, the models&#8217; statistics revealed that the predictors in 2020 accounted for only 8% of the variance in 2020 and 29% of the variance in 2021. In 2020, instrumental support was a significant and positive predictor of positive relations with others 2020 (B = 0.23, p &lt; 0.05), while positive reframing (B = 0.17, p &lt; 0.05) and emotional support (B = 0.20, p &lt; 0.05) were positive predictors in 2021. Behavioral disengagement (B = &#8211;0.24, p &lt; 0.05) and self-blame were significant, negative predictors in 2020 (B = &#8211;0.27, p &lt; 0.05). Whereas, self-distraction (B = &#8211;0.35, p &lt; 0.001) and negative religious coping (B = &#8211;0.07, p &lt; 0.05) were significant negative predictors in 2021. Results indicate that coping predictors in 2020 were characterised as supportive and avoidance, while 2021 included more maladaptive coping and showed greater explanatory power.</p>
</sec>
<sec>
<title><italic>Significant Predictors of Purpose in Life Subscale in 2020 and 2021</italic></title>
<p>After 17 model iterations in 2020 and 14 model iterations in 2021, the model statistics revealed that the predictors in 2020 accounted for only 2% of the unique variance in 2020 and 9% in 2021. Self-distraction was the only predictor in 2020 (B = &#8211;0.19, p &lt; 0.05), negatively predicting purpose in life. Emotional support (B = 0.24, p &lt; 0.05) significantly and positively predicted purpose in life in 2021. Self-distraction (B = &#8211;0.25, p &lt; 0.05) negatively predicted this subscale in 2021. From the results, self-distraction appears to undermine purpose in life across both years.</p>
</sec>
<sec>
<title><italic>Significant Predictors of Self-acceptance Subscale in 2020 and 2021</italic></title>
<p>After 13 model iterations in 2020 and 12 model iterations in 2021, the final models&#8217; statistics revealed that the predictors for self-acceptance accounted for 25% of the unique variance in 2020 and 30% in 2021. Positive reframing (B = 0.11, p &lt; 0.05) and emotional support (B = 0.09, p &lt; 0.05) predicted self-acceptance in 2020 only. Behavioral disengagement and self-blame consistently negatively predicted this self-acceptance across both years, with negative religious coping only marginally predicting self-acceptance in 2020 (B = &#8211;0.06, p &lt; 0.05) and 2021 (B = &#8211;0.12, p &lt; 0.05).</p>
</sec>
<sec>
<title><italic>Significant Predictors of Total Psychological Well-Being in 2020 and 2021</italic></title>
<p>After 12 model iterations in 2020 and 13 model iterations in 2021, the final predictive models accounted for 29% of the variance in total well-being in 2020 and 38% in 2021. Positive reframing significantly and positively predicted total psychological well-being in 2020 (B = 0.51, p &lt; 0.05) and in 2021 (B = 0.68, p &lt; 0.05), while active coping (B = 0.46, p &lt; 0.05) predicted total well-being in 2020 alone. Positive reframing consistently predicted total well-being in 2020 (B = 0.51, p &lt; 0.05) and 2021 (B = 0.68, p &lt; 0.05). Behavioral disengagement negatively predicted total well-being in both 2020 (B = &#8211;0.44, p &lt; 0.05) and 2021 (B = &#8211;1.65, p &lt; 0.001). This was similarly reflected with self-blame as a negative predictor in 2020 (B = &#8211;1.1, p &lt; 0.001) and 2021 (B = &#8211;1.11, p &lt; 0.001). Self-distraction was a negative predictor in 2021 (B = &#8211;0.91, p &lt; 0.05), while substance use was a negative predictor in 2020 (B = &#8211;0.63, p &lt; 0.05). Negative religious coping negatively predicted total psychological well-being in both 2020 (B = &#8211;0.12, p &lt; 0.05) and 2021 (B = &#8211;0.21, p &lt; 0.05).</p>
</sec>
</sec>
<sec>
<title>Discussion</title>
<p>In South Africa, the COVID-19 pandemic introduced challenges to psychological well-being, including grief, isolation, and financial insecurity. For Muslims, these challenges can be understood through a spiritual lens shaped by historical resilience. It is established that coping and religious coping play a role in psychological well-being, particularly in individuals who ascribe to a religious grouping (<xref ref-type="bibr" rid="B44">Krok, 2015</xref>; <xref ref-type="bibr" rid="B47">Lee, Tzeng &amp; Chiang, 2019</xref>), but this needs to be explored further during the COVID-19 pandemic. The relationship between coping and psychological well-being has also never been explored in the Muslim population living in South Africa. It was hypothesized that religious coping would be prevalent in this population and that coping styles would have an impact on psychological well-being in an adult sample of Muslims residing in South Africa during the COVID-19 pandemic.</p>
<p>The findings of this study indicate that acceptance and turning to religion were the most prevalent coping strategies in 2020 and 2021. Similarly, during COVID-19, Muslims in the UAE also made use of religious coping more than other religious denominations (<xref ref-type="bibr" rid="B75">Thomas &amp; Barbato, 2020</xref>). Acceptance and religion were also seen to be prominent coping styles among Muslims during challenging situations such as loss and bereavement (<xref ref-type="bibr" rid="B65">Rubin &amp; Yasien-Esmael, 2004</xref>). Religious coping is categorized as a problem-solving or emotion-focused coping strategy that has positive outcomes and is an expression of how one would turn to religion in times of stress (<xref ref-type="bibr" rid="B43">Kr&#228;geloh et al., 2012</xref>). Acceptance in Islam is intimately tied to the Islamic tradition of <italic>Qadr</italic>, which means &#8220;accepting God&#8217;s will&#8221; (<xref ref-type="bibr" rid="B8">Ahaddour &amp; Broeckaert, 2018</xref>). Considering the nature of the COVID-19 pandemic and the lack of personal control over the circumstances surrounding the virus, acceptance can provide a strategy to cognitively accommodate the stressors associated with the pandemic.</p>
<p>Prominent coping predictors for 2020 and 2021 were active coping and self-blame. The use of active coping strategies and acceptance was also the most used coping method during the mandatory lockdown in the United States (<xref ref-type="bibr" rid="B57">Park et al., 2020</xref>). According to the American Psychological Association (APA), active coping is associated with less mood disturbance and self-efficacy (APA, 2020). It is an adaptive process that involves recognizing internal strengths and responsibility in changing one&#8217;s habits and managing the stressor through set behaviors (APA, 2020). A study during the early stages of the pandemic indicated a significant relationship between active coping and life satisfaction during this time (<xref ref-type="bibr" rid="B82">Zacher &amp; Rudolph, 2020</xref>). These results indicate that individuals who actively look for ways to overcome the stressors associated with COVID-19 will likely experience a greater sense of well-being. This is corroborated by a recent study indicating religious groupings, endorsing more functional coping strategies during the pandemic (<xref ref-type="bibr" rid="B59">Peneycad et al., 2024</xref>).</p>
<p>Self-blame indicates that individuals who tend to blame themselves for events that occur would likely experience lower psychological well-being. This aligns with a study that indicated self-blame was negatively associated with self-acceptance, autonomy, and environmental mastery (<xref ref-type="bibr" rid="B11">Balzarotti et al., 2016</xref>). Aligned with the results of this study, another study reported that self-blame was a predictor of significant and negative impact on psychological functioning during the pandemic (<xref ref-type="bibr" rid="B77">Umucu &amp; Lee, 2020</xref>). This is consistent with less adaptive coping responses, resulting in lower well-being (<xref ref-type="bibr" rid="B16">Chao, 2012</xref>).</p>
<p>Negative religious coping negatively predicted areas of well-being in this study, consistent with previous findings in Muslim samples. It was revealed that negative religious coping was a significant predictor of PTSD (<xref ref-type="bibr" rid="B13">Berzengi et al., 2017</xref>), death depression (<xref ref-type="bibr" rid="B70">Sharif et al., 2018</xref>), and psychiatric morbidity (<xref ref-type="bibr" rid="B7">Aflaksier &amp; Coleman, 2011</xref>). Negative religious coping was also associated with lower life satisfaction (<xref ref-type="bibr" rid="B5">Abu Raiya et al., 2020</xref>). Positive religious coping significantly predicted only a few areas of well-being, consistent with previous studies, which found non-significant results for positive religious coping on well-being (<xref ref-type="bibr" rid="B13">Berzengi et al., 2017</xref>; <xref ref-type="bibr" rid="B70">Sharif et al., 2018</xref>). However, in one study, positive religious coping was found to be positively associated with positive effects and life satisfaction in a Muslim sample (<xref ref-type="bibr" rid="B1">Abu Raiya et al., 2019</xref>).</p>
<p>This study posits the significance of religious coping in the Muslim population as Muslims rely on their religious beliefs and teachings to cope with life stressors (<xref ref-type="bibr" rid="B2">Abu Raiya &amp; Pargament, 2011</xref>; <xref ref-type="bibr" rid="B6">Adam &amp; Ward, 2016</xref>). Religious practices, such as prayer and supplication, understood as behavioral coping practices, were present in times of happiness to illustrate gratitude in a Muslim sample (Adam &amp; Ward, 2015). This may have helped some Muslim people to recognise that COVID-19 was beyond their control, and so persevered through the challenges associated with it while being grateful for the positives in their lives, which contributed positively to their psychological wellbeing. This is illustrated by a recent study, which cited meaning in life as a fundamental mechanism through which well-being can be promoted during the pandemic (<xref ref-type="bibr" rid="B76">Tutzer et al., 2024</xref>). In this sample, positive religious coping positively predicted environmental mastery, suggesting that coping strategies focused on connecting with a higher power may produce efforts in making positive changes in one&#8217;s environment. Similar religious coping responses to the pandemic lockdown have been found across multiple denominations, with evidence of promoting well-being (<xref ref-type="bibr" rid="B36">Iyer et al., 2024</xref>).</p>
<p>However, this study is not without its limitations. A repeated cross-sectional design limited the researchers in determining any temporal ordering of variables, as the same participants were not matched across each year, which increased sample variability and allowed them to observe trends in both years. If a panel design, in which the same participants completed the questionnaire in both waves, were used, this would have allowed the researchers to track changes within-subjects, thereby increasing statistical power and reducing subject variability. In addition, this would have allowed for fixed and random effects to be modeled. It is also important to note that the majority of the participants were Indian, suggesting that the results cannot be attributed to other Muslim ethnic communities within South Africa. Furthermore, the Muslim population represents only one segment of individuals who subscribe to a religion. Thus, given the findings linked to the positive contributions of functional coping strategies, as well as religious coping strategies for psychological well-being, future research should investigate the impact of coping on psychological well-being across other religious and non-religious groupings. This can assist in better understanding the needs of South Africans and can inform suitable therapeutic interventions during times of distress.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>This study contributes uniquely to the literature on well-being and coping among a Muslim minority in an African country. It examines the trajectory of coping and well-being during the COVID-19 pandemic, where changing landscapes impacted the utilization of different coping styles and their impact on well-being. This study found that religious coping and acceptance were prominent coping styles used by this sample in both years. Active coping as a functional coping strategy was found to positively predict many areas of psychological well-being in 2020 and 2021. However, less functional coping strategies were consistently impacting psychological well-being in 2021. This evidence suggests that while less functional strategies may have been useful as an immediate relief from the pandemic, their prolonged use had lasting effects on long-term psychological states. It also points to the protracted nature of the pandemic as an enduring stressor. This may present a long-term weathering of psychological resources in countries with stunted public mental health care provisions, suggesting that a greater need for resilience-building strategies is necessary in these contexts. In addition, among minority groups such as Muslims in South Africa, faith-based organizations and religious institutions that are fundamental features in Muslim communities can work to promote healthy coping strategies in this population to ensure lasting psychological well-being.</p>
</sec>
</body>
<back>
<sec>
<title>Acknowledgements</title>
<p>This research submission was funded by the South African Department of Science and Innovation National Research Foundation (grant number: MND210702619060).</p>
</sec>
<sec>
<title>Conflicts of interest</title>
<p>The authors report no conflict of interest.</p>
</sec>
<ref-list>
<ref id="B1"><mixed-citation publication-type="journal"><string-name><surname>Abu-Raiya</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Ayten</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Tekke</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Agbaria</surname>, <given-names>Q.</given-names></string-name> (<year>2019</year>). <article-title>On the links between positive religious coping, satisfaction with life and depressive symptoms among a multinational sample of Muslims</article-title>. <source>International Journal of Psychology</source>, <volume>54</volume>(<issue>5</issue>), <fpage>678</fpage>&#8211;<lpage>686</lpage>. <pub-id pub-id-type="doi">10.1002/ijop.12521</pub-id></mixed-citation></ref>
<ref id="B2"><mixed-citation publication-type="journal"><string-name><surname>Abu-Raiya</surname>, <given-names>H.</given-names></string-name>, &amp; <string-name><surname>Pargament</surname>, <given-names>K. I.</given-names></string-name> (<year>2011</year>). <article-title>Empirically based psychology of Islam: Summary and critique of the literature</article-title>. <source>Mental Health, Religion &amp; Culture</source>, <volume>14</volume>(<issue>2</issue>), <fpage>93</fpage>&#8211;<lpage>115</lpage>. <pub-id pub-id-type="doi">10.1080/13674670903426482</pub-id></mixed-citation></ref>
<ref id="B3"><mixed-citation publication-type="journal"><string-name><surname>Abu Raiya</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Pargament</surname>, <given-names>K. I.</given-names></string-name>, <string-name><surname>Mahoney</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Stein</surname>, <given-names>C.</given-names></string-name> (<year>2008</year>). <article-title>A psychological measure of Islamic religiousness: Development and evidence for reliability and validity</article-title>. <source>The International Journal for the Psychology of Religion</source>, <volume>18</volume>(<issue>4</issue>), <fpage>291</fpage>&#8211;<lpage>315</lpage>. <pub-id pub-id-type="doi">10.1080/10508610802229270</pub-id></mixed-citation></ref>
<ref id="B4"><mixed-citation publication-type="journal"><string-name><surname>Abu-Raiya</surname>, <given-names>H.</given-names></string-name>, &amp; <string-name><surname>Pargament</surname>, <given-names>K. I.</given-names></string-name> (<year>2015</year>). <article-title>Religious coping among diverse religions: Commonalities and divergences</article-title>. <source>Psychology of Religion and Spirituality</source>, <volume>7</volume>(<issue>1</issue>), <elocation-id>24</elocation-id>.</mixed-citation></ref>
<ref id="B5"><mixed-citation publication-type="journal"><string-name><surname>Abu-Raiya</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Sasson</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Pargament</surname>, <given-names>K. I.</given-names></string-name>, &amp; <string-name><surname>Rosmarin</surname>, <given-names>D. H.</given-names></string-name> (<year>2020</year>). <article-title>Religious coping and health and wellbeing among Jews and Muslims in Israel</article-title>. <source>The International Journal for the Psychology of Religion</source>, <volume>30</volume>(<issue>3</issue>), <fpage>202</fpage>&#8211;<lpage>215</lpage>. <pub-id pub-id-type="doi">10.1080/10508619.2020.1727692</pub-id></mixed-citation></ref>
<ref id="B6"><mixed-citation publication-type="journal"><string-name><surname>Adam</surname>, <given-names>Z.</given-names></string-name>, &amp; <string-name><surname>Ward</surname>, <given-names>C.</given-names></string-name> (<year>2016</year>). <article-title>Stress, religious coping and wellbeing in acculturating Muslims</article-title>. <source>Journal of Muslim Mental Health</source>, <volume>10</volume>(<issue>2</issue>), <fpage>3</fpage>&#8211;<lpage>26</lpage>. <pub-id pub-id-type="doi">10.3998/jmmh.10381607.0010.201</pub-id></mixed-citation></ref>
<ref id="B7"><mixed-citation publication-type="journal"><string-name><surname>Aflakseir</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Coleman</surname>, <given-names>P. G.</given-names></string-name> (<year>2011</year>). <article-title>Initial development of the Iranian religious coping scale</article-title>. <source>Journal of Muslim Mental Health</source>, <volume>6</volume>(<issue>1</issue>), <fpage>44</fpage>&#8211;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.3998/jmmh.10381607.0006.104</pub-id></mixed-citation></ref>
<ref id="B8"><mixed-citation publication-type="journal"><string-name><surname>Ahaddour</surname>, <given-names>C.</given-names></string-name>, &amp; <string-name><surname>Broeckaert</surname>, <given-names>B.</given-names></string-name> (<year>2018</year>). <article-title>&#8220;For every illness there is a cure&#8221;: Attitudes and beliefs of Moroccan Muslim Women Regarding Health, Illness and Medicine</article-title>. <source>Journal of religion and health</source>, <volume>57</volume>(<issue>4</issue>), <fpage>1285</fpage>&#8211;<lpage>1303</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-017-0466-1</pub-id></mixed-citation></ref>
<ref id="B9"><mixed-citation publication-type="webpage"><collab>American Psychological Association</collab>. (n.d.). <chapter-title>Active Coping</chapter-title>. In <source>APA dictionary of psychology</source>. Retrieved March 31, 2021, from <uri>https://dictionary.apa.org/active-coping</uri></mixed-citation></ref>
<ref id="B10"><mixed-citation publication-type="journal"><string-name><surname>Awaad</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Kouser</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Raza</surname>, <given-names>L.</given-names></string-name>, &amp; <string-name><surname>Umarji</surname>, <given-names>O.</given-names></string-name> (<year>2021</year>). <article-title>The Need for Deen: Muslim Mental Health During the COVID-19 Pandemic</article-title>. <source>The Journal of the British Islamic Medical Association</source>, <volume>7</volume>(<issue>3</issue>), <fpage>1</fpage>&#8211;<lpage>5</lpage>.</mixed-citation></ref>
<ref id="B11"><mixed-citation publication-type="journal"><string-name><surname>Balzarotti</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Biassoni</surname>, <given-names>F.</given-names></string-name>, <string-name><surname>Villani</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Prunas</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Velotti</surname>, <given-names>P.</given-names></string-name> (<year>2016</year>). <article-title>Individual differences in cognitive emotion regulation: Implications for subjective and psychological wellbeing</article-title>. <source>Journal of Happiness Studies</source>, <volume>17</volume>(<issue>1</issue>), <fpage>125</fpage>&#8211;<lpage>143</lpage>. <pub-id pub-id-type="doi">10.1007/s10902-014-9587-3</pub-id></mixed-citation></ref>
<ref id="B12"><mixed-citation publication-type="journal"><string-name><surname>Bat&#243;</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Brodszky</surname>, <given-names>V.</given-names></string-name>, <string-name><surname>Mitev</surname>, <given-names>A. Z.</given-names></string-name>, <string-name><surname>Jenei</surname>, <given-names>B.</given-names></string-name>, &amp; <string-name><surname>Rencz</surname>, <given-names>F.</given-names></string-name> (<year>2024</year>). <article-title>Psychometric properties and general population reference values for PROMIS Global Health in Hungary</article-title>. <source>The European Journal of Health Economics</source>, <volume>25</volume>(<issue>4</issue>), <fpage>549</fpage>&#8211;<lpage>562</lpage>.</mixed-citation></ref>
<ref id="B13"><mixed-citation publication-type="journal"><string-name><surname>Berzengi</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Berzenji</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Kadim</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Mustafa</surname>, <given-names>F.</given-names></string-name>, &amp; <string-name><surname>Jobson</surname>, <given-names>L.</given-names></string-name> (<year>2017</year>). <article-title>Role of Islamic appraisals, trauma-related appraisals, and religious coping in the posttraumatic adjustment of Muslim trauma survivors</article-title>. <source>Psychological Trauma: Theory, Research, Practice, and Policy</source>, <volume>9</volume>(<issue>2</issue>), <fpage>189</fpage>&#8211;<lpage>197</lpage>. <pub-id pub-id-type="doi">10.1037/tra0000179</pub-id></mixed-citation></ref>
<ref id="B14"><mixed-citation publication-type="journal"><string-name><surname>Carver</surname>, <given-names>C. S.</given-names></string-name> (<year>1997</year>). <article-title>You want to measure coping but your protocol&#8217;s too long: Consider the brief COPE</article-title>. <source>International journal of behavioral medicine</source>, <volume>4</volume>(<issue>1</issue>), <fpage>92</fpage>&#8211;<lpage>100</lpage>. <pub-id pub-id-type="doi">10.1207/s15327558ijbm0401_6</pub-id></mixed-citation></ref>
<ref id="B15"><mixed-citation publication-type="journal"><string-name><surname>Carver</surname>, <given-names>C. S.</given-names></string-name>, <string-name><surname>Scheier</surname>, <given-names>M. F.</given-names></string-name>, &amp; <string-name><surname>Weintraub</surname>, <given-names>J. K.</given-names></string-name> (<year>1989</year>). <article-title>Assessing coping strategies: a theoretically based approach</article-title>. <source>Journal of Personality and Social Psychology</source>, <volume>56</volume>(<issue>2</issue>), <elocation-id>267</elocation-id>. <pub-id pub-id-type="doi">10.1037/0022-3514.56.2.267</pub-id></mixed-citation></ref>
<ref id="B16"><mixed-citation publication-type="journal"><string-name><surname>Chao</surname>, <given-names>R. C. L.</given-names></string-name> (<year>2012</year>). <article-title>Managing perceived stress among college students: The roles of social support and dysfunctional coping</article-title>. <source>Journal of College Counseling</source>, <volume>15</volume>(<issue>1</issue>), <fpage>5</fpage>&#8211;<lpage>21</lpage>. <pub-id pub-id-type="doi">10.1002/j.2161-1882.2012.00002.x</pub-id></mixed-citation></ref>
<ref id="B17"><mixed-citation publication-type="journal"><string-name><surname>Coppola</surname>, <given-names>I.</given-names></string-name>, <string-name><surname>Rania</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Parisi</surname>, <given-names>R.</given-names></string-name>, &amp; <string-name><surname>Lagomarsino</surname>, <given-names>F.</given-names></string-name> (<year>2021</year>). <article-title>Spiritual well-being and mental health during the COVID-19 pandemic in Italy</article-title>. <source>Frontiers in psychiatry</source>, <volume>12</volume>, <elocation-id>626944</elocation-id>.</mixed-citation></ref>
<ref id="B18"><mixed-citation publication-type="journal"><string-name><surname>Costea-B&#259;rlu&#539;iu</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>B&#259;la&#537;-Baconschi</surname>, <given-names>C.</given-names></string-name>, &amp; <string-name><surname>Hathazi</surname>, <given-names>A.</given-names></string-name> (<year>2018</year>). <article-title>Romanian adaptation of the Ryff&#8217;s Psychological Well-Being Scale: Brief report of the factor structure and psychometric properties</article-title>. <source>Journal of Evidence-Based Psychotherapies</source>, <volume>18</volume>(<issue>1</issue>), <fpage>21</fpage>&#8211;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.24193/jebp.2018.1.2</pub-id></mixed-citation></ref>
<ref id="B19"><mixed-citation publication-type="journal"><string-name><surname>Dangor</surname>, <given-names>S.</given-names></string-name> (<year>1997</year>). <article-title>The Expression of Islam in South Africa</article-title>. <source>Journal of Muslim Minority Affairs</source>, <volume>17</volume>(<issue>1</issue>), <fpage>141</fpage>&#8211;<lpage>151</lpage>.</mixed-citation></ref>
<ref id="B20"><mixed-citation publication-type="journal"><string-name><surname>Dangor</surname>, <given-names>S. E.</given-names></string-name> (<year>2003</year>). <article-title>The establishment and consolidation of Islam in South Africa: from the Dutch colonisation of the Cape to the present</article-title>. <source>Historia</source>, <volume>48</volume>(<issue>1</issue>), <fpage>203</fpage>&#8211;<lpage>220</lpage>.</mixed-citation></ref>
<ref id="B21"><mixed-citation publication-type="journal"><string-name><surname>Daniels</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Wellan</surname>, <given-names>S. A.</given-names></string-name>, &amp; <string-name><surname>Walter</surname>, <given-names>H.</given-names></string-name> (<year>2021</year>). <article-title>Learning it the hard way-how enjoying life and positive appraisal buffer the negative effects of stressors on mental health in the COVID-19 pandemic</article-title>. <source>Journal of Affective Disorders Reports</source>, <volume>6</volume>, <elocation-id>100200</elocation-id>.</mixed-citation></ref>
<ref id="B22"><mixed-citation publication-type="journal"><string-name><surname>De Man</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Smith</surname>, <given-names>M. R.</given-names></string-name>, <string-name><surname>Schneider</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Tabana</surname>, <given-names>H.</given-names></string-name> (<year>2022</year>). <article-title>An exploration of the impact of COVID-19 on mental health in South Africa</article-title>. <source>Psychology, Health &amp; Medicine</source>, <volume>27</volume>(<issue>1</issue>), <fpage>120</fpage>&#8211;<lpage>130</lpage>.</mixed-citation></ref>
<ref id="B23"><mixed-citation publication-type="book"><collab>Department of Arts and Culture</collab>. (<year>2013</year>). <source>Mzansi&#8217;s Golden Economy, Contribution of the Arts, Culture and Heritage Sector to the New Growth Path</source>. <publisher-loc>Pretoria</publisher-loc>: <publisher-name>Government Printers</publisher-name>.</mixed-citation></ref>
<ref id="B24"><mixed-citation publication-type="journal"><string-name><surname>Fatima</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Sharif</surname>, <given-names>S.</given-names></string-name>, &amp; <string-name><surname>Khalid</surname>, <given-names>I.</given-names></string-name> (<year>2018</year>). <article-title>How does religiosity enhance psychological well-being? Roles of self-efficacy and perceived social support</article-title>. <source>Psychology of Religion and Spirituality</source>, <volume>10</volume>(<issue>2</issue>), <elocation-id>119</elocation-id>.</mixed-citation></ref>
<ref id="B25"><mixed-citation publication-type="journal"><string-name><surname>Fatima</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Arshad</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Mushtaq</surname>, <given-names>M.</given-names></string-name> (<year>2022</year>). <article-title>Religious coping and young adult&#8217;s mental well-being during Covid-19: Testing a double moderated mediation model</article-title>. <source>Archive for the Psychology of Religion</source>, <volume>44</volume>(<issue>3</issue>), <fpage>158</fpage>&#8211;<lpage>174</lpage>.</mixed-citation></ref>
<ref id="B26"><mixed-citation publication-type="book"><string-name><surname>Field</surname>, <given-names>A.</given-names></string-name> (<year>2013</year>). <source>Discovering statistics using IBM SPSS statistics</source> (<edition>4th</edition> ed.). <publisher-name>SAGE Publications</publisher-name>.</mixed-citation></ref>
<ref id="B27"><mixed-citation publication-type="journal"><string-name><surname>Freire</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Ferrad&#225;s</surname>, <given-names>M. D. M.</given-names></string-name>, <string-name><surname>Valle</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>N&#250;&#241;ez</surname>, <given-names>J. C.</given-names></string-name>, &amp; <string-name><surname>Vallejo</surname>, <given-names>G.</given-names></string-name> (<year>2016</year>). <article-title>Profiles of psychological wellbeing and coping strategies among university students</article-title>. <source>Frontiers in psychology</source>, <volume>7</volume>, <elocation-id>1554</elocation-id>. <pub-id pub-id-type="doi">10.3389/fpsyg.2016.01554</pub-id></mixed-citation></ref>
<ref id="B28"><mixed-citation publication-type="journal"><string-name><surname>Freire</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Ferrad&#225;s</surname>, <given-names>M. D. M.</given-names></string-name>, <string-name><surname>N&#250;&#241;ez</surname>, <given-names>J. C.</given-names></string-name>, &amp; <string-name><surname>Valle</surname>, <given-names>A.</given-names></string-name> (<year>2018</year>). <article-title>Coping flexibility and eudaimonic well-being in university students</article-title>. <source>Scandinavian journal of psychology</source>, <volume>59</volume>(<issue>4</issue>), <fpage>433</fpage>&#8211;<lpage>442</lpage>.</mixed-citation></ref>
<ref id="B29"><mixed-citation publication-type="journal"><string-name><surname>Garc&#237;a</surname>, <given-names>F. E.</given-names></string-name>, <string-name><surname>Barraza-Pe&#241;a</surname>, <given-names>C. G.</given-names></string-name>, <string-name><surname>Wlodarczyk</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Alvear-Carrasco</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Reyes-Reyes</surname>, <given-names>A.</given-names></string-name> (<year>2018</year>). <article-title>Psychometric properties of the Brief-COPE for the evaluation of coping strategies in the Chilean population</article-title>. <source>Psicologia: Reflex&#227;o e Cr&#237;tica</source>, <volume>31</volume>, <elocation-id>22</elocation-id>.</mixed-citation></ref>
<ref id="B30"><mixed-citation publication-type="journal"><string-name><surname>Godinic</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Obrenovic</surname>, <given-names>B.</given-names></string-name>, &amp; <string-name><surname>Khudaykulov</surname>, <given-names>A.</given-names></string-name> (<year>2020</year>). <article-title>Effects of Economic Uncertainty on Mental Health in the COVID-19 Pandemic Context: Social Identity Disturbance, Job Uncertainty and Psychological Well-Being Model</article-title>. <source>International Journal of Innovation and Economic Development</source>, <volume>6</volume>(<issue>1</issue>), <fpage>61</fpage>&#8211;<lpage>74</lpage>. <pub-id pub-id-type="doi">10.18775/ijied.1849-7551-7020.2015.61.2005</pub-id></mixed-citation></ref>
<ref id="B31"><mixed-citation publication-type="journal"><string-name><surname>Green</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Elliott</surname>, <given-names>M.</given-names></string-name> (<year>2010</year>). <article-title>Religion, health, and psychological wellbeing</article-title>. <source>Journal of religion and health</source>, <volume>49</volume>(<issue>2</issue>), <fpage>149</fpage>&#8211;<lpage>163</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-009-9242-1</pub-id></mixed-citation></ref>
<ref id="B32"><mixed-citation publication-type="journal"><string-name><surname>Hamka</surname></string-name>, <string-name><surname>Suen</surname>, <given-names>M. W.</given-names></string-name>, <string-name><surname>Ramadhan</surname>, <given-names>Y. A.</given-names></string-name>, <string-name><surname>Yusuf</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Wang</surname>, <given-names>J. H.</given-names></string-name> (<year>2022</year>). <article-title>Spiritual well-being, depression, anxiety, and stress in Indonesian Muslim communities during COVID-19</article-title>. <source>Psychology Research and Behavior Management</source>, <fpage>3013</fpage>&#8211;<lpage>3025</lpage>.</mixed-citation></ref>
<ref id="B33"><mixed-citation publication-type="journal"><string-name><surname>Hardjo</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Haryono</surname>, <given-names>S.</given-names></string-name>, &amp; <string-name><surname>Bashori</surname>, <given-names>K.</given-names></string-name> (<year>2021</year>). <article-title>The role of coping strategies in achieving psychological well-being in students during the covid-19 pandemic with religiosity as a moderator variable</article-title>. <source>Psychology and Education</source>, <volume>58</volume>(<issue>5</issue>), <fpage>25</fpage>&#8211;<lpage>34</lpage>.</mixed-citation></ref>
<ref id="B34"><mixed-citation publication-type="journal"><string-name><surname>Hays</surname>, <given-names>R. D.</given-names></string-name>, <string-name><surname>Spritzer</surname>, <given-names>K. L.</given-names></string-name>, <string-name><surname>Schalet</surname>, <given-names>B. D.</given-names></string-name>, &amp; <string-name><surname>Cella</surname>, <given-names>D.</given-names></string-name> (<year>2018</year>). <article-title>PROMIS<sup>&#174;</sup>-29 v2. 0 profile physical and mental health summary scores</article-title>. <source>Quality of life Research</source>, <volume>27</volume>(<issue>7</issue>), <fpage>1885</fpage>&#8211;<lpage>1891</lpage>. <pub-id pub-id-type="doi">10.1007/s11136-018-1842-3</pub-id></mixed-citation></ref>
<ref id="B35"><mixed-citation publication-type="journal"><collab>IBM Corp.</collab> (<year>2020</year>). <source>IBM SPSS Statistics for Windows</source> (Version 27.0) [Computer software].</mixed-citation></ref>
<ref id="B36"><mixed-citation publication-type="journal"><string-name><surname>Iyer</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Larcom</surname>, <given-names>S.</given-names></string-name>, &amp; <string-name><surname>She</surname>, <given-names>P. W.</given-names></string-name> (<year>2024</year>). <source>Do Religious People Cope Better in a Crisis?</source> Evidence from the UK Pandemic Lockdowns.</mixed-citation></ref>
<ref id="B37"><mixed-citation publication-type="journal"><string-name><surname>Luu Duc Huynh</surname>, <given-names>T.</given-names></string-name> (<year>2020</year>). <article-title>Does culture matter social distancing under the COVID-19 pandemic?</article-title> <source>Safety Science</source>, <volume>130</volume>, <elocation-id>104872</elocation-id>. <pub-id pub-id-type="doi">10.1016/j.ssci.2020.104872</pub-id></mixed-citation></ref>
<ref id="B38"><mixed-citation publication-type="journal"><string-name><surname>Isiko</surname>, <given-names>A. P.</given-names></string-name> (<year>2020</year>). <article-title>Religious construction of disease: An exploratory appraisal of religious responses to the COVID-19 pandemic in Uganda</article-title>. <source>Journal of African Studies and Development</source>, <volume>12</volume>(<issue>3</issue>), <fpage>77</fpage>&#8211;<lpage>96</lpage>.</mixed-citation></ref>
<ref id="B39"><mixed-citation publication-type="journal"><string-name><surname>Kar</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Kar</surname>, <given-names>B.</given-names></string-name>, &amp; <string-name><surname>Kar</surname>, <given-names>S.</given-names></string-name> (<year>2021</year>). <article-title>Stress and coping during COVID-19 pandemic: Result of an online survey</article-title>. <source>Psychiatry research</source>, <volume>295</volume>, <elocation-id>113598</elocation-id>. <pub-id pub-id-type="doi">10.1016/j.psychres.2020.113598</pub-id></mixed-citation></ref>
<ref id="B40"><mixed-citation publication-type="journal"><string-name><surname>Keyes</surname>, <given-names>C. L.</given-names></string-name> (<year>2002</year>). <article-title>The mental health continuum: From languishing to flourishing in life</article-title>. <source>Journal of health and social behavior</source>, <fpage>207</fpage>&#8211;<lpage>222</lpage>.</mixed-citation></ref>
<ref id="B41"><mixed-citation publication-type="journal"><string-name><surname>Khanjani</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Shahidi</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Fath Abadi</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Mazaheri</surname>, <given-names>M.</given-names></string-name>, and <string-name><surname>Shokri</surname>, <given-names>O.</given-names></string-name> (<year>2014</year>). <article-title>Factor structure and psychometric properties of short form (18 questions) Ryff psychological well-being scale in male and female students</article-title>. <source>Thought Behav. Clin. Psychol.</source> <volume>8</volume>, <fpage>27</fpage>&#8211;<lpage>36</lpage>.</mixed-citation></ref>
<ref id="B42"><mixed-citation publication-type="book"><string-name><surname>Koenig</surname>, <given-names>H. G.</given-names></string-name>, &amp; <string-name><surname>Al Shohaib</surname>, <given-names>S.</given-names></string-name> (<year>2014</year>). <source>Health and wellbeing in Islamic societies</source>. <publisher-loc>Cham, Switzerland</publisher-loc>: <publisher-name>Springer</publisher-name>.</mixed-citation></ref>
<ref id="B43"><mixed-citation publication-type="journal"><string-name><surname>Kr&#228;geloh</surname>, <given-names>C. U.</given-names></string-name>, <string-name><surname>Chai</surname>, <given-names>P. P. M.</given-names></string-name>, <string-name><surname>Shepherd</surname>, <given-names>D.</given-names></string-name>, &amp; <string-name><surname>Billington</surname>, <given-names>R.</given-names></string-name> (<year>2012</year>). <article-title>How religious coping is used relative to other coping strategies depends on the individual&#8217;s level of religiosity and spirituality</article-title>. <source>Journal of religion and health</source>, <volume>51</volume>(<issue>4</issue>), <fpage>1137</fpage>&#8211;<lpage>1151</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-010-9416-x</pub-id></mixed-citation></ref>
<ref id="B44"><mixed-citation publication-type="journal"><string-name><surname>Krok</surname>, <given-names>D.</given-names></string-name> (<year>2015</year>). <article-title>The role of meaning in life within the relations of religious coping and psychological wellbeing</article-title>. <source>Journal of religion and health</source>, <volume>54</volume>(<issue>6</issue>), <fpage>2292</fpage>&#8211;<lpage>2308</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-014-9983-3</pub-id></mixed-citation></ref>
<ref id="B45"><mixed-citation publication-type="journal"><string-name><surname>Krok</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Zarzycka</surname>, <given-names>B.</given-names></string-name>, &amp; <string-name><surname>Telka</surname>, <given-names>E.</given-names></string-name> (<year>2023</year>). <article-title>Risk perception of Covid-19, religiosity, and subjective well-being in emerging adults: The mediating role of meaning-making and perceived stress</article-title>. <source>Journal of psychology and theology</source>, <volume>51</volume>(<issue>1</issue>), <fpage>3</fpage>&#8211;<lpage>18</lpage>.</mixed-citation></ref>
<ref id="B46"><mixed-citation publication-type="book"><string-name><surname>Lazarus</surname>, <given-names>R. S.</given-names></string-name>, &amp; <string-name><surname>Folkman</surname>, <given-names>S.</given-names></string-name> (<year>1984</year>). <source>Stress, Appraisal, and Coping</source>. <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Springer</publisher-name>.</mixed-citation></ref>
<ref id="B47"><mixed-citation publication-type="journal"><string-name><surname>Lee</surname>, <given-names>T. S. H.</given-names></string-name>, <string-name><surname>Tzeng</surname>, <given-names>W. C.</given-names></string-name>, &amp; <string-name><surname>Chiang</surname>, <given-names>H. H.</given-names></string-name> (<year>2019</year>). <article-title>Impact of Coping Strategies on Nurses&#8217; Well-Being and Practice</article-title>. <source>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing</source>, <volume>51</volume>(<issue>2</issue>), <fpage>195</fpage>&#8211;<lpage>204</lpage>. <pub-id pub-id-type="doi">10.1111/jnu.12467</pub-id></mixed-citation></ref>
<ref id="B48"><mixed-citation publication-type="journal"><string-name><surname>Loukzadeh</surname>, <given-names>Z.</given-names></string-name>, &amp; <string-name><surname>Bafrooi</surname>, <given-names>N. M.</given-names></string-name> (<year>2013</year>). <article-title>Association of coping style and psychological wellbeing in hospital nurses</article-title>. <source>Journal of caring sciences</source>, <volume>2</volume>(<issue>4</issue>), <fpage>313</fpage>&#8211;<lpage>319</lpage>. <pub-id pub-id-type="doi">10.5681/jcs.2013.037</pub-id></mixed-citation></ref>
<ref id="B49"><mixed-citation publication-type="journal"><string-name><surname>Monzani</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Steca</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Greco</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>D&#8217;Addario</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Cappelletti</surname>, <given-names>E.</given-names></string-name>, &amp; <string-name><surname>Pancani</surname>, <given-names>L.</given-names></string-name> (<year>2015</year>). <article-title>The situational version of the Brief COPE: Dimensionality and relationships with goal-related variables</article-title>. <source>Europe&#8217;s journal of psychology</source>, <volume>11</volume>(<issue>2</issue>), <fpage>295</fpage>&#8211;<lpage>310</lpage>. <pub-id pub-id-type="doi">10.5964/ejop.v11i2.935</pub-id></mixed-citation></ref>
<ref id="B50"><mixed-citation publication-type="book"><string-name><surname>Mohammadzadeh</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Najafi</surname>, <given-names>M.</given-names></string-name> (<year>2018</year>). <chapter-title>Factor analysis and validation of the Brief Religious Coping Scale (Brief-RCOPE) in Iranian university students</chapter-title>. In <source>Assessment of Mental Health, Religion and Culture</source> (pp. <fpage>169</fpage>&#8211;<lpage>177</lpage>). <publisher-name>Routledge</publisher-name>.</mixed-citation></ref>
<ref id="B51"><mixed-citation publication-type="journal"><string-name><surname>Naidu</surname>, <given-names>T.</given-names></string-name> (<year>2020</year>). <article-title>The COVID-19 pandemic in South Africa</article-title>. <source>Psychological Trauma: Theory, Research, Practice, and Policy</source>, <volume>12</volume>(<issue>5</issue>), <elocation-id>559</elocation-id>.</mixed-citation></ref>
<ref id="B52"><mixed-citation publication-type="journal"><string-name><surname>Nguse</surname>, <given-names>S.</given-names></string-name>, &amp; <string-name><surname>Wassenaar</surname>, <given-names>D.</given-names></string-name> (<year>2021</year>). <article-title>Mental health and COVID-19 in South Africa</article-title>. <source>South African Journal of Psychology</source>, <volume>51</volume>(<issue>2</issue>), <fpage>304</fpage>&#8211;<lpage>313</lpage>.</mixed-citation></ref>
<ref id="B53"><mixed-citation publication-type="journal"><string-name><surname>Nurasikin</surname>, <given-names>M. S.</given-names></string-name>, <string-name><surname>Khatijah</surname>, <given-names>L. A.</given-names></string-name>, <string-name><surname>Aini</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Ramli</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Aida</surname>, <given-names>S. A.</given-names></string-name>, <string-name><surname>Zainal</surname>, <given-names>N. Z.</given-names></string-name>, &amp; <string-name><surname>Ng</surname>, <given-names>C. G.</given-names></string-name> (<year>2013</year>). <article-title>Religiousness, religious coping methods and distress level among psychiatric patients in Malaysia</article-title>. <source>International Journal of Social Psychiatry</source>, <volume>59</volume>(<issue>4</issue>), <fpage>332</fpage>&#8211;<lpage>338</lpage>. <pub-id pub-id-type="doi">10.1177/0020764012437127</pub-id></mixed-citation></ref>
<ref id="B54"><mixed-citation publication-type="book"><string-name><surname>Paloutzian</surname>, <given-names>R. F.</given-names></string-name>, &amp; <string-name><surname>Park</surname>, <given-names>C. L.</given-names></string-name> (<year>2005</year>). <chapter-title>Integrative themes in the current science of the psychology of religion</chapter-title> In <string-name><given-names>R. F.</given-names> <surname>Paloutzian</surname></string-name> &amp; <string-name><given-names>C. L.</given-names> <surname>Park</surname></string-name> (Eds.), <source>Handbook of the psychology of religion and spirituality</source> (pp. <fpage>3</fpage>&#8211;<lpage>20</lpage>). <publisher-name>The Guilford Press</publisher-name>.</mixed-citation></ref>
<ref id="B55"><mixed-citation publication-type="book"><string-name><surname>Pargament</surname>, <given-names>K. I.</given-names></string-name> (<year>1997</year>). <source>The psychology of religion and coping: Theory, research, practice</source>. <publisher-name>Guilford Press</publisher-name>.</mixed-citation></ref>
<ref id="B56"><mixed-citation publication-type="journal"><string-name><surname>Pargament</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Feuille</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Burdzy</surname>, <given-names>D.</given-names></string-name> (<year>2011</year>). <article-title>The Brief RCOPE: Current psychometric status of a short measure of religious coping</article-title>. <source>Religions</source>, <volume>2</volume>(<issue>1</issue>), <fpage>51</fpage>&#8211;<lpage>76</lpage>. <pub-id pub-id-type="doi">10.3390/rel2010051</pub-id></mixed-citation></ref>
<ref id="B57"><mixed-citation publication-type="journal"><string-name><surname>Park</surname>, <given-names>C. L.</given-names></string-name>, <string-name><surname>Russell</surname>, <given-names>B. S.</given-names></string-name>, <string-name><surname>Fendrich</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Finkelstein-Fox</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Hutchison</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Becker</surname>, <given-names>J.</given-names></string-name> (<year>2020</year>). <article-title>Americans&#8217; COVID-19 stress, coping, and adherence to CDC guidelines</article-title>. <source>Journal of general internal medicine</source>, <volume>35</volume>(<issue>8</issue>), <fpage>2296</fpage>&#8211;<lpage>2303</lpage>. <pub-id pub-id-type="doi">10.1007/s11606-020-05898-9</pub-id></mixed-citation></ref>
<ref id="B58"><mixed-citation publication-type="journal"><string-name><surname>Pellicciari</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Chiarotto</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Giusti</surname>, <given-names>E.</given-names></string-name>, <string-name><surname>Crins</surname>, <given-names>M. H.</given-names></string-name>, <string-name><surname>Roorda</surname>, <given-names>L. D.</given-names></string-name>, &amp; <string-name><surname>Terwee</surname>, <given-names>C. B.</given-names></string-name> (<year>2021</year>). <article-title>Psychometric properties of the patient-reported outcomes measurement information system scale v1. 2: global health (PROMIS-GH) in a Dutch general population</article-title>. <source>Health and quality of life outcomes</source>, <volume>19</volume>, <fpage>1</fpage>&#8211;<lpage>17</lpage>.</mixed-citation></ref>
<ref id="B59"><mixed-citation publication-type="journal"><string-name><surname>Peneycad</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Ysseldyk</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Tippins</surname>, <given-names>E.</given-names></string-name>, &amp; <string-name><surname>Anisman</surname>, <given-names>H.</given-names></string-name> (<year>2024</year>). <article-title>Medicine for the soul:(Non) religious identity, coping, and mental health during the COVID-19 pandemic</article-title>. <source>Plos one</source>, <volume>19</volume>(<issue>1</issue>), <elocation-id>e0296436</elocation-id>.</mixed-citation></ref>
<ref id="B60"><mixed-citation publication-type="journal"><string-name><surname>Pirutinsky</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Cherniak</surname>, <given-names>A. D.</given-names></string-name>, &amp; <string-name><surname>Rosmarin</surname>, <given-names>D. H.</given-names></string-name> (<year>2020</year>). <article-title>COVID-19, mental health, and religious coping among American Orthodox Jews</article-title>. <source>Journal of religion and health</source>, <volume>59</volume>(<issue>5</issue>), <fpage>2288</fpage>&#8211;<lpage>2301</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-020-01070-z</pub-id></mixed-citation></ref>
<ref id="B61"><mixed-citation publication-type="journal"><string-name><surname>Porcelli</surname>, <given-names>P.</given-names></string-name> (<year>2020</year>). <article-title>Fear, Anxiety and Health-Related Consequences After the Covid-19 Epidemic</article-title>. <source>Clinical Neuropsychiatry</source>, <volume>17</volume>(<issue>2</issue>), <fpage>103</fpage>&#8211;<lpage>111</lpage>. <pub-id pub-id-type="doi">10.36131/CN20200215</pub-id></mixed-citation></ref>
<ref id="B62"><mixed-citation publication-type="journal"><string-name><surname>Quadros</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Garg</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Ranjan</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Vijayasarathi</surname>, <given-names>G.</given-names></string-name>, &amp; <string-name><surname>Mamun</surname>, <given-names>M. A.</given-names></string-name> (<year>2021</year>). <article-title>Fear of COVID 19 Infection Across Different Cohorts: A Scoping Review</article-title>. <source>Frontiers in Psychiatry</source>, <elocation-id>12</elocation-id>. <pub-id pub-id-type="doi">10.3389/fpsyt.2021.708430</pub-id></mixed-citation></ref>
<ref id="B63"><mixed-citation publication-type="journal"><string-name><surname>Rababa</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Hayajneh</surname>, <given-names>A. A.</given-names></string-name>, &amp; <string-name><surname>Bani-Iss</surname>, <given-names>W.</given-names></string-name> (<year>2021</year>). <article-title>Association of death anxiety with spiritual wellbeing and religious coping in older adults during the COVID-19 pandemic</article-title>. <source>Journal of religion and health</source>, <volume>60</volume>(<issue>1</issue>), <fpage>50</fpage>&#8211;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-020-01129-x</pub-id></mixed-citation></ref>
<ref id="B64"><mixed-citation publication-type="journal"><string-name><surname>Rodrigues</surname>, <given-names>F.</given-names></string-name>, <string-name><surname>Figueiredo</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Rodrigues</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Ferreira</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Hern&#225;ndez-Mendo</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Monteiro</surname>, <given-names>D.</given-names></string-name> (<year>2022</year>). <article-title>A comprehensive review and bifactor modeling analysis of the brief COPE</article-title>. <source>INQUIRY: The Journal of Health Care Organization, Provision, and Financing</source>, <volume>59</volume>, 00469580221108127.</mixed-citation></ref>
<ref id="B65"><mixed-citation publication-type="journal"><string-name><surname>Rubin</surname>, <given-names>S. S.</given-names></string-name>, &amp; <string-name><surname>Yasien-Esmael</surname>, <given-names>H.</given-names></string-name> (<year>2004</year>). <article-title>Loss and bereavement among Israel&#8217;s Muslims: Acceptance of God&#8217;s will, grief, and the relationship to the deceased</article-title>. <source>OMEGA-Journal of Death and Dying</source>, <volume>49</volume>(<issue>2</issue>), <fpage>149</fpage>&#8211;<lpage>162</lpage>. <pub-id pub-id-type="doi">10.2190/5UNJ-BNBF-6PVT-L4RE</pub-id></mixed-citation></ref>
<ref id="B66"><mixed-citation publication-type="journal"><string-name><surname>Ryff</surname>, <given-names>C. D.</given-names></string-name>, &amp; <string-name><surname>Keyes</surname>, <given-names>C. L. M.</given-names></string-name> (<year>1995</year>). <article-title>The structure of psychological wellbeing revisited</article-title>. <source>Journal of personality and social psychology</source>, <volume>69</volume>(<issue>4</issue>), <fpage>719</fpage>&#8211;<lpage>727</lpage>. <pub-id pub-id-type="doi">10.1037/0022-3514.69.4.719</pub-id></mixed-citation></ref>
<ref id="B67"><mixed-citation publication-type="journal"><string-name><surname>Safdar</surname>, <given-names>M. R.</given-names></string-name>, <string-name><surname>Akram</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Ahmad</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Ayaz</surname>, <given-names>A. A.</given-names></string-name> (<year>2023</year>). <article-title>The role of religion and spirituality to cope with COVID-19 infections among people of lower socioeconomic status in Pakistan: An exploratory qualitative study</article-title>. <source>Journal of religion and health</source>, <volume>62</volume>(<issue>4</issue>), <fpage>2916</fpage>&#8211;<lpage>2932</lpage>.</mixed-citation></ref>
<ref id="B68"><mixed-citation publication-type="journal"><string-name><surname>Saffari</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Pakpour</surname>, <given-names>A. H.</given-names></string-name>, <string-name><surname>Naderi</surname>, <given-names>M. K.</given-names></string-name>, <string-name><surname>Koenig</surname>, <given-names>H. G.</given-names></string-name>, <string-name><surname>Baldacchino</surname>, <given-names>D. R.</given-names></string-name>, &amp; <string-name><surname>Piper</surname>, <given-names>C. N.</given-names></string-name> (<year>2013</year>). <article-title>Spiritual coping, religiosity and quality of life: a study on Muslim patients undergoing haemodialysis</article-title>. <source>Nephrology</source>, <volume>18</volume>(<issue>4</issue>), <fpage>269</fpage>&#8211;<lpage>275</lpage>. <pub-id pub-id-type="doi">10.1111/nep.12041</pub-id></mixed-citation></ref>
<ref id="B69"><mixed-citation publication-type="journal"><string-name><surname>Sicard</surname>, <given-names>S. v.</given-names></string-name> (<year>1989</year>). <article-title>Muslims and apartheid: the theory and practice of Muslim resistance to apartheid</article-title>. <source>Journal of Muslim Minority Affairs</source>, <volume>10</volume>(<issue>1</issue>), <fpage>199</fpage>&#8211;<lpage>222</lpage>. <pub-id pub-id-type="doi">10.1080/02666958908716115</pub-id></mixed-citation></ref>
<ref id="B70"><mixed-citation publication-type="journal"><string-name><surname>Sharif</surname>, <given-names>S. P.</given-names></string-name>, <string-name><surname>Lehto</surname>, <given-names>R. H.</given-names></string-name>, <string-name><surname>Nia</surname>, <given-names>H. S.</given-names></string-name>, <string-name><surname>Goudarzian</surname>, <given-names>A. H.</given-names></string-name>, <string-name><surname>Haghdoost</surname>, <given-names>A. A.</given-names></string-name>, <string-name><surname>Yaghoobzadeh</surname>, <given-names>A.</given-names></string-name>, &#8230; &amp; <string-name><surname>Nazari</surname>, <given-names>R.</given-names></string-name> (<year>2018</year>). <article-title>Religious coping and death depression in Iranian patients with cancer: Relationships to disease stage</article-title>. <source>Supportive Care in Cancer</source>, <volume>26</volume>(<issue>8</issue>), <fpage>2571</fpage>&#8211;<lpage>2579</lpage>. <pub-id pub-id-type="doi">10.1007/s00520-018-4088-2</pub-id></mixed-citation></ref>
<ref id="B71"><mixed-citation publication-type="journal"><string-name><surname>Sim</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Chan</surname>, <given-names>Y. H.</given-names></string-name>, <string-name><surname>Chong</surname>, <given-names>P. N.</given-names></string-name>, <string-name><surname>Chua</surname>, <given-names>H. C.</given-names></string-name>, &amp; <string-name><surname>Soon</surname>, <given-names>S. W.</given-names></string-name> (<year>2010</year>). <article-title>Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease</article-title>. <source>Journal of psychosomatic research</source>, <volume>68</volume>(<issue>2</issue>), <fpage>195</fpage>&#8211;<lpage>202</lpage>. <pub-id pub-id-type="doi">10.1016/j.jpsychores.2009.04.004</pub-id></mixed-citation></ref>
<ref id="B72"><mixed-citation publication-type="webpage"><collab>Statistics South Africa</collab>. (<year>2025</year>). <source>Report-03-01-84 -Cultural Dynamics in South Africa</source>. Retrieved from: <uri>https://www.statssa.gov.za/publications/03-01-84/03-01-84.pdf</uri></mixed-citation></ref>
<ref id="B73"><mixed-citation publication-type="webpage"><collab>Survey Monkey</collab>. (<year>2022</year>). <source>SurveyMonkey: The World&#8217;s Most Popular Free Online Survey Tool</source>. <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://www.surveymonkey.com">Surveymonkey.com</ext-link>. <uri>https://www.surveymonkey.com/</uri></mixed-citation></ref>
<ref id="B74"><mixed-citation publication-type="webpage"><string-name><surname>Ting</surname>, <given-names>R. S. K.</given-names></string-name>, <string-name><surname>Aw Yong</surname>, <given-names>Y. Y.</given-names></string-name>, <string-name><surname>Tan</surname>, <given-names>M. M.</given-names></string-name>, &amp; <string-name><surname>Yap</surname>, <given-names>C. K.</given-names></string-name> (<year>2021</year>). <article-title>Cultural responses to COVID-19 pandemic: Religions, illness perception, and perceived stress</article-title>. <source>Frontiers in psychology</source>, <volume>12</volume>, <elocation-id>634863</elocation-id>.</mixed-citation></ref>
<ref id="B75"><mixed-citation publication-type="journal"><string-name><surname>Thomas</surname>, <given-names>J.</given-names></string-name>, &amp; <string-name><surname>Barbato</surname>, <given-names>M.</given-names></string-name> (<year>2020</year>). <article-title>Positive religious coping and mental health among Christians and Muslims in response to the COVID-19 pandemic</article-title>. <source>Religions</source>, <volume>11</volume>(<issue>10</issue>), <elocation-id>498</elocation-id>. <pub-id pub-id-type="doi">10.3390/rel11100498</pub-id></mixed-citation></ref>
<ref id="B76"><mixed-citation publication-type="journal"><string-name><surname>Tutzer</surname>, <given-names>F.</given-names></string-name>, <string-name><surname>Schurr</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Frajo-Apor</surname>, <given-names>B.</given-names></string-name>, <string-name><surname>Pardeller</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Plattner</surname>, <given-names>B.</given-names></string-name>, <string-name><surname>Schmit</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Conca</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Fronthaler</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Haring</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Holzner</surname>, <given-names>B.</given-names></string-name>, <string-name><surname>Huber</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Marksteiner</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Miller</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Perwanger</surname>, <given-names>V.</given-names></string-name>, <string-name><surname>Pycha</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Schmidt</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Sperner-Unterweger</surname>, <given-names>B.</given-names></string-name>, &amp; <string-name><surname>Hofer</surname>, <given-names>A.</given-names></string-name> (<year>2024</year>). <article-title>Relevance of spirituality and perceived social support to mental health of people with pre-existing mental health disorders during the COVID-19 pandemic: A longitudinal investigation</article-title>. <source>Social Psychiatry and Psychiatric Epidemiology</source>, <volume>59</volume>(<issue>8</issue>), <fpage>1437</fpage>&#8211;<lpage>1448</lpage>.</mixed-citation></ref>
<ref id="B77"><mixed-citation publication-type="journal"><string-name><surname>Umucu</surname>, <given-names>E.</given-names></string-name>, &amp; <string-name><surname>Lee</surname>, <given-names>B.</given-names></string-name> (<year>2020</year>). <article-title>Examining the impact of COVID-19 on stress and coping strategies in individuals with disabilities and chronic conditions</article-title>. <source>Rehabilitation Psychology</source>, <volume>65</volume>(<issue>3</issue>), <fpage>193</fpage>&#8211;<lpage>198</lpage>. <pub-id pub-id-type="doi">10.1037/rep0000328</pub-id></mixed-citation></ref>
<ref id="B78"><mixed-citation publication-type="journal"><string-name><surname>Vahed</surname>, <given-names>G.</given-names></string-name> (<year>2021</year>). <article-title>Muslims in post-apartheid South Africa: Race, community, and identity</article-title>. <source>Social Identities</source>, <volume>27</volume>(<issue>1</issue>), <fpage>44</fpage>&#8211;<lpage>58</lpage>.</mixed-citation></ref>
<ref id="B79"><mixed-citation publication-type="journal"><string-name><surname>Wallis</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Holzen</surname>, <given-names>V.</given-names></string-name>, <string-name><surname>Sieverding</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Matthies</surname>, <given-names>E.</given-names></string-name>, &amp; <string-name><surname>Schmidt</surname>, <given-names>K.</given-names></string-name> (<year>2023</year>). <article-title>How do appraisal as threat or challenge, efficacy, and environmental quality affect wellbeing in the COVID-19 pandemic?</article-title>. <source>Frontiers in Psychiatry</source>, <volume>13</volume>, <elocation-id>1009977</elocation-id>.</mixed-citation></ref>
<ref id="B80"><mixed-citation publication-type="journal"><string-name><surname>Wnuk</surname>, <given-names>M.</given-names></string-name>, &amp; <string-name><surname>Marcinkowski</surname>, <given-names>J. T.</given-names></string-name> (<year>2014</year>). <article-title>Do existential variables mediate between religious-spiritual facets of functionality and psychological wellbeing</article-title>. <source>Journal of Religion and Health</source>, <volume>53</volume>(<issue>1</issue>), <fpage>56</fpage>&#8211;<lpage>67</lpage>. <pub-id pub-id-type="doi">10.1007/s10943-012-9597-6</pub-id></mixed-citation></ref>
<ref id="B81"><mixed-citation publication-type="journal"><string-name><surname>Wong-McDonald</surname>, <given-names>A.</given-names></string-name>, &amp; <string-name><surname>Gorsuch</surname>, <given-names>R. L.</given-names></string-name> (<year>2000</year>). <article-title>Surrender to God: An additional coping style?</article-title> <source>Journal of Psychology and Theology</source>, <volume>28</volume>(<issue>2</issue>), <fpage>149</fpage>&#8211;<lpage>161</lpage>. <pub-id pub-id-type="doi">10.1177/009164710002800207</pub-id></mixed-citation></ref>
<ref id="B82"><mixed-citation publication-type="journal"><string-name><surname>Zacher</surname>, <given-names>H.</given-names></string-name>, &amp; <string-name><surname>Rudolph</surname>, <given-names>C. W.</given-names></string-name> (<year>2020</year>). <article-title>Individual differences and changes in subjective wellbeing during the early stages of the COVID-19 pandemic</article-title>. <source>American Psychologist</source>, <volume>76</volume>(<issue>1</issue>), <fpage>50</fpage>&#8211;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1037/amp0000702</pub-id></mixed-citation></ref>
</ref-list>
</back>
</article>