Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study

Objectives To estimate the effect of student status on mental health condition during COVID-19 general lockdown in France.Design Cross-sectional analysis comparing students and non-students recruited in the same study.Setting Participants of the web-based CONFINS study implemented during the general...

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Main Authors: Julie Arsandaux, Marie Tournier, Christophe Tzourio, Ilaria Montagni, Shérazade Kinouani, Stéphane Schuck, Mélissa Macalli, Nathalie Texier, Mathilde Pouriel, Raphaël Germain, Adel Mebarki
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e053231.full
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author Julie Arsandaux
Marie Tournier
Christophe Tzourio
Ilaria Montagni
Shérazade Kinouani
Stéphane Schuck
Mélissa Macalli
Nathalie Texier
Mathilde Pouriel
Raphaël Germain
Adel Mebarki
author_facet Julie Arsandaux
Marie Tournier
Christophe Tzourio
Ilaria Montagni
Shérazade Kinouani
Stéphane Schuck
Mélissa Macalli
Nathalie Texier
Mathilde Pouriel
Raphaël Germain
Adel Mebarki
author_sort Julie Arsandaux
collection DOAJ
description Objectives To estimate the effect of student status on mental health condition during COVID-19 general lockdown in France.Design Cross-sectional analysis comparing students and non-students recruited in the same study.Setting Participants of the web-based CONFINS study implemented during the general lockdown in France in spring 2020.Participants 2260 participants (78% women) including 1335 students (59%).Primary and secondary outcome measures Through an online questionnaire, participants declared if they have experienced suicidal thoughts, coded their perceived stress on a 10-points scale and completed validated mental health scales (Patient Health Questionnaire-9 for depressive symptoms, Generalised Anxiety Disorder-7 for anxiety symptoms) during the last 7 days. The effect of college student status on each mental health condition was estimated using multivariate logistic regression analyses. Stratified models for students and non-students were performed to identify population-specific factors.Results Student status was associated with a higher frequency of depressive symptoms (adjusted OR (aOR)=1.58; 95% CI 1.17 to 2.14), anxiety symptoms (aOR=1.51; 95% CI 1.10 to 2.07), perceived stress (n=1919, aOR=1.70, 95% CI 1.26 to 2.29) and suicidal thoughts (n=1919, aOR=1.57, 95% CI 0.97 to 2.53). Lockdown conditions that could be potentially aggravating on mental health like isolation had a higher impact on students than on non-students.Conclusions College students were at higher risk of mental health disturbances during lockdown than non-students, even after taking into account several potential confounding factors. A close follow-up and monitoring of students’ mental health status is warranted during lockdown periods in this vulnerable population.
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spelling doaj.art-578df6256ea848eaacf6bfda6ee71f892022-12-21T20:45:15ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-053231Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS studyJulie Arsandaux0Marie Tournier1Christophe Tzourio2Ilaria Montagni3Shérazade Kinouani4Stéphane Schuck5Mélissa Macalli6Nathalie Texier7Mathilde Pouriel8Raphaël Germain9Adel Mebarki101 Team HEALTHY, UMR 1219, F-33000, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, Bordeaux, France1 Team HEALTHY, UMR 1219, F-33000, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, Bordeaux, France1 Team HEALTHY, UMR 1219, F-33000, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, Bordeaux, FranceBordeaux Population Health Research Center UMR129, University of Bordeaux-Inserm, Bordeaux, France1Department of General Practice, University of Bordeaux, Bordeaux, Franceassistant, unit of pharmacoepidemiologyBordeaux Population Health, Université de Bordeaux, Talence, FranceKappa Santé, Paris, FranceKappa Santé, Paris, FranceKappa Santé, Paris, FranceKappa Santé, Paris, FranceObjectives To estimate the effect of student status on mental health condition during COVID-19 general lockdown in France.Design Cross-sectional analysis comparing students and non-students recruited in the same study.Setting Participants of the web-based CONFINS study implemented during the general lockdown in France in spring 2020.Participants 2260 participants (78% women) including 1335 students (59%).Primary and secondary outcome measures Through an online questionnaire, participants declared if they have experienced suicidal thoughts, coded their perceived stress on a 10-points scale and completed validated mental health scales (Patient Health Questionnaire-9 for depressive symptoms, Generalised Anxiety Disorder-7 for anxiety symptoms) during the last 7 days. The effect of college student status on each mental health condition was estimated using multivariate logistic regression analyses. Stratified models for students and non-students were performed to identify population-specific factors.Results Student status was associated with a higher frequency of depressive symptoms (adjusted OR (aOR)=1.58; 95% CI 1.17 to 2.14), anxiety symptoms (aOR=1.51; 95% CI 1.10 to 2.07), perceived stress (n=1919, aOR=1.70, 95% CI 1.26 to 2.29) and suicidal thoughts (n=1919, aOR=1.57, 95% CI 0.97 to 2.53). Lockdown conditions that could be potentially aggravating on mental health like isolation had a higher impact on students than on non-students.Conclusions College students were at higher risk of mental health disturbances during lockdown than non-students, even after taking into account several potential confounding factors. A close follow-up and monitoring of students’ mental health status is warranted during lockdown periods in this vulnerable population.https://bmjopen.bmj.com/content/11/8/e053231.full
spellingShingle Julie Arsandaux
Marie Tournier
Christophe Tzourio
Ilaria Montagni
Shérazade Kinouani
Stéphane Schuck
Mélissa Macalli
Nathalie Texier
Mathilde Pouriel
Raphaël Germain
Adel Mebarki
Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
BMJ Open
title Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
title_full Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
title_fullStr Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
title_full_unstemmed Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
title_short Mental health condition of college students compared to non-students during COVID-19 lockdown: the CONFINS study
title_sort mental health condition of college students compared to non students during covid 19 lockdown the confins study
url https://bmjopen.bmj.com/content/11/8/e053231.full
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