The psychological impact of the COVID-19 epidemic on college students in China

Wenjun Cao, Ziwei Fang, Guoqiang Hou, Mei Han, Xinrong Xu, Jiaxin Dong, Jianzhong Zheng, Wenjun Cao, Ziwei Fang, Guoqiang Hou, Mei Han, Xinrong Xu, Jiaxin Dong, Jianzhong Zheng

Abstract

A COVID-19 epidemic has been spreading in China and other parts of the world since December 2019. The epidemic has brought not only the risk of death from infection but also unbearable psychological pressure. We sampled college students from Changzhi medical college by using cluster sampling. They responded to a questionnaire packet that included the 7-item Generalized Anxiety Disorder Scale (GAD-7) and those inquiring the participants' basic information. We received 7,143 responses. Results indicated that 0.9% of the respondents were experiencing severe anxiety, 2.7% moderate anxiety, and 21.3% mild anxiety. Moreover, living in urban areas (OR = 0.810, 95% CI = 0.709 - 0.925), family income stability (OR = 0.726, 95% CI = 0.645 - 0.817) and living with parents (OR = 0.752, 95% CI = 0.596 - 0.950) were protective factors against anxiety. Moreover, having relatives or acquaintances infected with COVID-19 was a risk factor for increasing the anxiety of college students (OR = 3.007, 95% CI = 2.377 - 3.804). Results of correlation analysis indicated that economic effects, and effects on daily life, as well as delays in academic activities, were positively associated with anxiety symptoms (P < .001). However, social support was negatively correlated with the level of anxiety (P < .001). It is suggested that the mental health of college students should be monitored during epidemics.

Keywords: COVID-19; College students; Psychological.

Conflict of interest statement

Declaration of competing interest The authors have declared that no competing interests exist.

Copyright © 2020 Elsevier B.V. All rights reserved.

References

    1. Bao Y., Sun Y., Meng S., Shi J., Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37–e38. London, England.
    1. Wang C., Horby P.W., Hayden F.G., Gao G.F. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470–473.
    1. Deng S.Q., Peng H.J. Characteristics of and public health responses to the coronavirus disease 2019 outbreak in China. J Clin Med. 2020;9(2):E575.
    1. Xiao C. A novel approach of consultation on 2019 novel coronavirus (COVID-19)-Related psychological and mental problems: structured letter therapy. Psychiatry Investig. 2020;17(2):175–176.
    1. Duan L. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020
    1. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., He L., Sheng C., Cai Y., Li X., Wang J., Zhang Z. Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020
    1. Yang Y., Li W., Zhang Q., Zhang L., Cheung T., Xiang Y.T. Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;20 30079-1.
    1. Li S.W., Wang Y., Yang Y.Y., Lei X.M., Yang Y.F. Analysis of influencing factors of anxiety and emotional disorders in children and adolescents during home isolation during the epidemic of novel coronavirus pneumonia. Chinese Journal of Child Health. 2020:1–9.
    1. Toussaint A., Hüsing P., Gumz A., Wingenfeld K., Härter M., Schramm E., Löwe B. Sensitivity to change and minimal clinically important difference of the 7-item generalized anxiety disorder questionnaire (GAD-7) J Affect Disord. 2020;265:395–401.
    1. Budikayanti A., Larasari A., Malik K., Syeban Z., Indrawati L.A., Octaviana F. Screening of generalized anxiety disorder in patients with epilepsy: using a valid and reliable indonesian version of generalized anxiety disorder-7 (GAD-7) Neurology research international. 2019
    1. Johnson S.U., Ulvenes P.G., Øktedalen T. Psychometric properties of the general anxiety disorder 7-Item (GAD-7) scale in a heterogeneous psychiatric sample. Frontiers in psychology. 2019;10:1713.
    1. Moreno E., Muñoz-Navarro R., Medrano L.A., González-Blanch C., Ruiz-Rodríguez P., Limonero J.T., Moretti L.S., Cano-Vindel A., Moriana J.A. Factorial invariance of a computerized version of the GAD-7 across various demographic groups and over time in primary care patients. J. Affect Disord. 2019;252:114–121.
    1. Abdellatif W., Ding J., Jalal S., Nguyen T., Khorshed D., Rybicki F.J., Ali I.T., McInnes M.D.F., Khan N.A., Shah S., Khosa F. Lack of gender disparity among administrative leaders of Canadian health authorities. J. Women's Health (Larchmt) 2020
    1. Mei S.L., Yu J.X., He B.W., Li J.Y. Psychological investigation of university students in a university in Jilin province. Med Soc (Berkeley) 2011;24(05):84–86.
    1. Cornine A. Reducing nursing student anxiety in the clinical setting: an integrative review. Nurs. education Perspectives. 2020;10
    1. Kmietowicz Z. Rules on isolation rooms for suspected covid-19 cases in GP surgeries to be relaxed. BMJ. 2020;368:m707. Clinical research ed.
    1. Ayittey F.K., Ayittey M.K., Chiwero N.B., Kamasah J.S., Dzuvor C. Economic impacts of Wuhan 2019-nCoV on China and the world. J Med Virol. 2020
    1. Shigemura J., Ursano R.J., Morganstein J.C., Kurosawa M., Benedek D.M. Public responses to the novel 2019 coronavirus(2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry clin. Neurosci. 2020
    1. Tang B., Bragazzi N.L., Li Q., Tang S., Xiao Y., Wu J. An updated estimation of the risk of transmission of the novel coronavirus (2019-nCov) Infect Dis. Model. 2020;5:248–255.
    1. Liu Z.F. Dalian medical university; 2013. A Study On the Relationship Between Adverse Family Experiences in Childhood and Emotional and Anxiety Disorders.
    1. Woodgate R.L., Tailor K., Tennent P., Wener P., Altman G. The experience of the self in Canadian youth living with anxiety: a qualitative study. PLoS ONE. 2020;15(1)
    1. Gentili D., Bardin A., Ros E., Piovesan C., Ramigni M., Dalmanzio M., Dettori M., Filia A., Cinquetti S. Impact of communication measures implemented during a school tuberculosis outbreak on risk perception among parents and school staff, italy, 2019. Int J. Environ. Res. Public Health. 2020;17(3):E911.
    1. World Health Organization . WHO; Geneva: 2020. Emergencies: Novel Coronavirus 2019.
    1. Song Z., Xu Y., Bao L., Zhang L., Yu P., Qu Y., Zhu H., Zhao W., Han Y., Qin C. From SARS to MERS, Thrusting Coronaviruses into the spotlight. Viruses. 2019;11(1):59.
    1. Kernan W.D. Health-related impediments to learning among dental and oral surgery students. J. Prev. Interv. Community. 2019;47(1):32–44.
    1. Pan X., Ojcius D.M., Gao T., Li Z., Pan C., Pan C. Lessons learned from the 2019-nCoV epidemic on prevention of future infectious diseases. Microbes and infection / Institut Pasteur. 2020;22(2):86–91.
    1. Peng L., Zhang J., Li M., Li P., Zhang Y., Zuo X., Miao Y., Xu Y. Negative life events and mental health of chinese medical students: the effect of resilience, personality and social support. Psychiatry Res. 2012;196(1):138–141.
    1. Kwok K.O., Wong V., Wei V.W.I., Wong S.Y.S., Tang J.W. Novel coronavirus (2019-nCoV) cases in Hong Kong and implications for further spread. The Journal of infection. 2020;20 30084-0.
    1. Thompson G., McBride R.B., Hosford C.C., Halaas G. Resilience among medical students: the role of coping style and social support. Teach Learn Med. 2016;28(2):174–182.
    1. Bai Y.X., Gegan T., Hai H., Liu Z.H., Wang W.R., Wang Z.G. Correlation between psychological changes of the community crowd and the social support in grave public health event. Inner Mongolia Med. J. 2005;37(04):295–297.
    1. National Health Commission of China., 2020. Update on the new coronavirus pneumonia outbreak as at 24:00 hours on 23 February. Available online: (20202–24).

Source: PubMed

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