AccScience Publishing / JCBP / Online First / DOI: 10.36922/jcbp.2139
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ORIGINAL RESEARCH ARTICLE

Mental health status and influencing factors among Chinese college students in the post-COVID-19 pandemic period

Zhen Huang1,2† ,  Jiangli Hu1,2† ,  Jia Li1,2 ,  Zhili Zou1,2 ,  Zuxing Wang1,2 ,  Yunqiong Wang1,2†* ,  Jingyi Fan1,2†*
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1 Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chengdu, Sichuan, China
2 Key Laboratory of Psychosomatic Medicine, Chinese Academy of Medical Sciences, Chengdu, Sichuan, China
JCBP, 2139 https://doi.org/10.36922/jcbp.2139
Submitted: 30 October 2023 | Accepted: 4 July 2024 | Published: 6 November 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

After almost 3 years of battling against the coronavirus disease 2019 (COVID-19) pandemic, the static infection prevention had evolved to a dynamic management model at the end of 2022. However, the considerable rebound from pandemic in some areas is generally accompanied by increasing public pressure and depression. Hence, we investigated the impacts of the pandemic on the mental health and sleep quality of college students in China by conducting a cross-sectional survey on undergraduate, graduate, and doctoral students (n = 1105) through the Questionnaire Star survey platform. Demographic data, COVID-19-related stressors, information from four standardized scales (namely anxiety, depression, stress, and sleep), and other information were gathered through the survey. A total of 1120 questionnaires were collected, of which 1105 met the inclusion criteria. Most respondents were medical students (64%), and almost all of them had received the COVID-19 vaccine (99%). More people had been infected with COVID-19 (75%), with 33% showing mild to severe anxiety. A total of 54% of the respondents had mild to severe depression, 70% had moderate to severe perceived stress, and 28% had sleep disturbances. Further, analysis showed that the level of mental health was correlated with sleep. In addition, respondents from the medical specialty experienced more severe depression and anxiety (P < 0.01), and the increase in stress after the outbreak, in terms of anxiety and depression, became significantly more pronounced (P < 0.001). After the lifting of COVID-19 restrictions, the mental health level of college students was affected to some extent. The COVID-19 cases surge in some areas also resulted in psychological pressure and negative mental health among college students to a large extent even after the easing of COVID-19 restrictions. Despite the exigency to address the COVID-19 cases, attention must also be focused on the associated mental health problems, which require more systematic resolution from relevant authorities or departments.

Keywords
COVID-19
Mental health
Anxiety depression
College students
Stress
Funding
None.
Conflict of interest
The authors declare no conflicts of interest.
References
  1. Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol. 2020;92(6):568-576. doi: 10.1002/jmv.25748

 

  1. Zhai P, Ding Y, Wu X, Long J, Zhong Y, Li Y. The epidemiology, diagnosis, and treatment of COVID-19. Int J Antimicrob Agents. 2020;55:5. doi: 10.1016/j.ijantimicag.2020.105955

 

  1. Lee J, Solomon M, Stead T, Kwon B, Ganti L. Impact of COVID-19 on the mental health of US college students. BMC Psychol. 2021;9(1):95. doi: 10.1186/s40359-021-00598-3

 

  1. Tiwari R, Dhama K, Sharun K, et al. COVID-19: Animals, veterinary and zoonotic links. Vet Q. 2020;40(1):169-182. doi: 10.1080/01652176.2020.1766725

 

  1. Lee H, Kim J, Moon J, et al. A study on the changes in life habits, mental health, and sleep quality of college students due to COVID-19. Work. 2022;73(3):777-786. doi: 10.3233/WOR-220112

 

  1. Branquinho C, Paiva T, Guedes F, et al. Health risk behaviors before and during COVID-19 and gender differences. J Community Psychol. 2022;50(2):1102-1110. doi: 10.1002/jcop.22705

 

  1. Saris IMJ, Aghajani M, van der Werff SJA, van der Wee NJA, Penninx BWJH. Social functioning in patients with depressive and anxiety disorders. Acta Psychiatr Scand. 2017;136(4):352-361. doi: 10.1111/acps.12774

 

  1. Magson NR, Freeman JYA, Rapee RM, Richardson CE, Oar EL, Fardouly J. Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. J Youth Adolesc. 2021;50(1):44-57. doi: 10.1007/s10964-020-01332-9

 

  1. Monteleone P, Martiadis V, Maj M. Circadian rhythms and treatment implications in depression. Prog Neuropsychopharmacol Biol Psychiatry. 2011;35(7): 1569-1574. doi: 10.1016/j.pnpbp.2010.07.028

 

  1. Hickie IB, Rogers NL. Novel melatonin-based therapies: Potential advances in the treatment of major depression. Lancet. 2011;378(9791):621-631. doi: 10.1016/S0140-6736(11)60095-0

 

  1. Williams AB, Dzierzewski JM, Griffin SC, Lind MJ, Dick D, Rybarczyk BD. Insomnia disorder and behaviorally induced insufficient sleep syndrome: Prevalence and relationship to depression in college students. Behav Sleep Med. 2020;18(2):275-286. doi: 10.1080/15402002.2019.1578772

 

  1. Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934

 

  1. Holmes EA, O’Connor RC, Perry VH, et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-560. doi: 10.1016/S2215-0366(20)30168-1

 

  1. Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students’ mental health in the United States: Interview survey study. J Med Internet Res. 2020;22(9):e21279. doi: 10.2196/21279

 

  1. Anand P, Bhurji N, Williams N, Desai N. Comparison of PHQ-9 and PHQ-2 as screening tools for depression and school related stress in inner city adolescents. J Prim Care Community Health. 2021;12:21501327211053750. doi: 10.1177/21501327211053750

 

  1. Crockett MA, Martínez V, Ordóñez-Carrasco JL. Propiedades psicométricas de la escala Generalized Anxiety Disorder 7-Item (GAD-7) en una muestra comunitaria de adolescentes en Chile [Psychometric properties of the generalized anxiety disorder 7-item (GAD-7) scale in chilean adolescents]. Rev Med Chil. 2022;150(4):458-464. doi: 10.4067/S0034-98872022000400458

 

  1. Nielsen MG, Ørnbøl E, Vestergaard M, et al. The construct validity of the perceived stress scale. J Psychosom Res. 2016;84:22-30. doi: 10.1016/j.jpsychores.2016.03.009

 

  1. Wang X, Chen H, Liu L, et al. Anxiety and sleep problems of college students during the outbreak of COVID-19. Front Psychiatry. 2020;11:588693. doi: 10.3389/fpsyt.2020.588693

 

  1. Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, et al. Middle East respiratory syndrome-corona virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health. 2020;13(5):687-691. doi: 10.1016/j.jiph.2020.01.005

 

  1. Ma Z, Zhao J, Li Y, et al. Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiol Psychiatr Sci. 2020;29:e181. doi: 10.1017/S2045796020000931

 

  1. Xiao H, Shu W, Li M, et al. Social distancing among medical students during the 2019 coronavirus disease pandemic in China: Disease awareness, anxiety disorder, depression, and behavioral activities [published correction appears in Int J Environ Res Public Health. 2020;18(1). Int J Environ Res Public Health. 2020;17(14):5047. doi: 10.3390/ijerph17145047

 

  1. Wang X, Zhang N, Pu C, Li Y, Chen H, Li M. Anxiety, depression, and PTSD among college students in the post-COVID-19 era: A cross-sectional study. Brain Sci. 2022;12(11):1553. doi: 10.3390/brainsci12111553

 

  1. Liu F, Dai L, Cai Y, Chen X, Li J, Shi L. Psychological state and its correlates of local college students in Wuhan during COVID-19 pandemic [published online ahead of print, 2022 Apr 25]. Psychol Sch. 2022;60(5):1477-1487. doi: 10.1002/pits.22699

 

  1. Wasserman D. Review of health and risk-behaviours, mental health problems and suicidal behaviours in young Europeans on the basis of the results from the EU-funded Saving and Empowering Young Lives in Europe (SEYLE) study. Przegląd zachowań zdrowotnych i zachowań obciążonych ryzykiem, problemów ze zdrowiem psychicznym i zachowań samobójczych u młodych Europejczyków na podstawie wyników badania SEYLE finansowanego przez UE. Psychiatr Pol. 2016;50(6):1093-1107. doi: 10.12740/PP/66954

 

  1. Hong D, Wang J, Zhang H, et al. Psychological impact of the 2022 round COVID-19 pandemic on China’s college students [published online ahead of print, 2022 Dec 26]. J Shanghai Jiaotong Univ Sci. 2022;29:1-9. doi: 10.1007/s12204-022-2557-8

 

  1. Wang X, Chen H, Liu L, et al. Anxiety and Sleep Problems of College Students During the Outbreak of COVID-19. Front Psychiatry. 2020;11:588693. Published 2020 Nov 23. doi: 10.3389/fpsyt.2020.588693

 

  1. Wang R, He L, Xue B, et al. Sleep quality of college students during COVID-19 outbreak in China: A cross-sectional study. Altern Ther Health Med. 2022;28(3):58-64.

 

  1. Sanford LD, Suchecki D, Meerlo P. Stress, arousal, and sleep. Curr Top Behav Neurosci. 2015;25:379-410. doi: 10.1007/7854_2014_314

 

  1. Quek TT, Tam WW, Tran BX, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health. 2019;16(15):2735. doi: 10.3390/ijerph16152735

 

  1. Moreira de Sousa J, Moreira CA, Telles-Correia D. Anxiety, depression and academic performance: A study amongst Portuguese medical students versus non-medical students. Acta Med Port. 2018;31(9):454-462. doi: 10.20344/amp.9996

 

  1. Xie L, Luo H, Li M, Ge W, Xing B, Miao Q. The immediate psychological effects of Coronavirus Disease 2019 on medical and non-medical students in China. Int J Public Health. 2020;65(8):1445-1453. doi: 10.1007/s00038-020-01475-3

 

  1. Rempel JD, Krueger C, Uhanova J, Wong S, Minuk GY. The impact of gender on interferon-associated depression and anxiety. J Interferon Cytokine Res. 2019;39(7):416-420. doi: 10.1089/jir.2019.0002

 

  1. Pavlidi P, Kokras N, Dalla C. Sex differences in depression and anxiety [published online ahead of print, 2022 Aug 2]. Curr Top Behav Neurosci. 2022;103-132. doi: 10.1007/7854_2022_375

 

  1. Bangasser DA, Eck SR, Ordoñes Sanchez E. Sex differences in stress reactivity in arousal and attention systems. Neuropsychopharmacology. 2019;44(1):129-139. doi: 10.1038/s41386-018-0137-2

 

  1. Sherrill JT, Anderson B, Frank E, et al. Is life stress more likely to provoke depressive episodes in women than in men? Depress Anxiety. 1997;6(3):95-105.

 

  1. Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J Sleep Res. 2018;27(6):e12710. doi: 10.1111/jsr.12710

 

  1. Slavich GM, Irwin MR. From stress to inflammation and major depressive disorder: A social signal transduction theory of depression. Psychol Bull. 2014;140(3):774-815. doi: 10.1037/a0035302
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Journal of Clinical and Basic Psychosomatics, Electronic ISSN: 2972-4414 Print ISSN: 3060-8562, Published by AccScience Publishing
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