Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study

In the post-COVID-19 era, significant changes have taken place regarding the epidemic, the economy, family and social life. However, it remains unclear how these changes encompass the psychological symptoms of college students. We carried out a cross-sectional study to investigate anxiety, depressio...

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Main Authors: Xing Wang, Nan Zhang, Changqin Pu, Yunyue Li, Hongguang Chen, Mengqian Li
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/11/1553
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author Xing Wang
Nan Zhang
Changqin Pu
Yunyue Li
Hongguang Chen
Mengqian Li
author_facet Xing Wang
Nan Zhang
Changqin Pu
Yunyue Li
Hongguang Chen
Mengqian Li
author_sort Xing Wang
collection DOAJ
description In the post-COVID-19 era, significant changes have taken place regarding the epidemic, the economy, family and social life. However, it remains unclear how these changes encompass the psychological symptoms of college students. We carried out a cross-sectional study to investigate anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms among college students from 10 November 2020, to 16 November 2020. The questionnaire included a self-designed canvas, Generalized Anxiety Disorder 7 (GAD-7), Patient Health Questionnaire 9 (PHQ-9), and Impact of Event Scale (IES-R). Factors associated with psychological symptoms were estimated by ordered and non-conditional logistic regression analysis. Of 4754 participants, 25.0%, 29.7%, 3.4%, 15.3%, 17.1%, and 2.9% reported anxiety, depression, PTSD symptoms, one, any two, and all three, respectively. In cases with anxiety or depression symptoms, there was a 9.11% comorbidity with PTSD. Factors associated with fears of being infected, social, family, and economic changes increased the risk of psychological symptoms in college students caused by COVID-19. Female college students, identified with anxiety or depression symptoms, were at a lower risk of developing PTSD symptoms (OR, 0.61, 95% CI: 0.43–0.86). Non-medical majors at university, rural residence, higher educational background, fear of taking public transport, and deterioration of family relationships increased the risk for PTSD symptoms among male respondents with anxiety or depression symptoms due to COVID-19. Factors correlated with psychological symptoms had expanded from the fear of being infected to extensive social, family, and economic changes caused by COVID-19. Therefore, screening and interventions for psychological symptoms should be consistently strengthened and more targeted to college students in the post-COVID-19 era.
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spelling doaj.art-5cfffd07bb5a4d16894486ac9dd8274e2023-11-24T07:49:41ZengMDPI AGBrain Sciences2076-34252022-11-011211155310.3390/brainsci12111553Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional StudyXing Wang0Nan Zhang1Changqin Pu2Yunyue Li3Hongguang Chen4Mengqian Li5School of Life Sciences, Nanchang University, Nanchang 330036, ChinaDepartment of Psychology, School of Public Policy and Administration, Nanchang University, Nanchang 330031, ChinaQueen Mary College, Nanchang University, Nanchang 330006, ChinaQueen Mary College, Nanchang University, Nanchang 330006, ChinaPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100083, ChinaDepartment of Psychosomatic Medicine, Gao Xin Hospital of the First Affiliated Hospital of Nanchang University, Nanchang 330029, ChinaIn the post-COVID-19 era, significant changes have taken place regarding the epidemic, the economy, family and social life. However, it remains unclear how these changes encompass the psychological symptoms of college students. We carried out a cross-sectional study to investigate anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms among college students from 10 November 2020, to 16 November 2020. The questionnaire included a self-designed canvas, Generalized Anxiety Disorder 7 (GAD-7), Patient Health Questionnaire 9 (PHQ-9), and Impact of Event Scale (IES-R). Factors associated with psychological symptoms were estimated by ordered and non-conditional logistic regression analysis. Of 4754 participants, 25.0%, 29.7%, 3.4%, 15.3%, 17.1%, and 2.9% reported anxiety, depression, PTSD symptoms, one, any two, and all three, respectively. In cases with anxiety or depression symptoms, there was a 9.11% comorbidity with PTSD. Factors associated with fears of being infected, social, family, and economic changes increased the risk of psychological symptoms in college students caused by COVID-19. Female college students, identified with anxiety or depression symptoms, were at a lower risk of developing PTSD symptoms (OR, 0.61, 95% CI: 0.43–0.86). Non-medical majors at university, rural residence, higher educational background, fear of taking public transport, and deterioration of family relationships increased the risk for PTSD symptoms among male respondents with anxiety or depression symptoms due to COVID-19. Factors correlated with psychological symptoms had expanded from the fear of being infected to extensive social, family, and economic changes caused by COVID-19. Therefore, screening and interventions for psychological symptoms should be consistently strengthened and more targeted to college students in the post-COVID-19 era.https://www.mdpi.com/2076-3425/12/11/1553COVID-19mental healthanxietydepressionPTSDcollege students
spellingShingle Xing Wang
Nan Zhang
Changqin Pu
Yunyue Li
Hongguang Chen
Mengqian Li
Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
Brain Sciences
COVID-19
mental health
anxiety
depression
PTSD
college students
title Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
title_full Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
title_fullStr Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
title_full_unstemmed Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
title_short Anxiety, Depression, and PTSD among College Students in the Post-COVID-19 Era: A Cross-Sectional Study
title_sort anxiety depression and ptsd among college students in the post covid 19 era a cross sectional study
topic COVID-19
mental health
anxiety
depression
PTSD
college students
url https://www.mdpi.com/2076-3425/12/11/1553
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